frenulum is sore

About 1 year ago, I got some kind of an infection or some kind of a fungus on my penis. It started itching, so I went to a doctor, was prescribed diflucan and cream that contains Clotrimazole and Betamethasone.  I applied this, itch went away, things got better, however, the prepuce continued to shrink over the next 10 months.  

I got tired of the tight forskin which was causing discomfort during sex.

I got circumcised on: 3/18/2005. Am very happy with results.

About 2 weeks before the operation, my frenulum started feeling sore to touch.  Small white dots appeared on both sides of the frenulum.  Before operation I showed this to the doctor, but he said it's no big deal.

Now, it has been over 1 month since circumcision. Everything has healed, everything is clean and dry.  However, the same soreness that existed before circumcision still exists.

I am still able to masturbate, the soreness goes away as soon as I get aroused and erect.

However, I'm worried that there might still be some disease/fungus/bacteria on the frenulum that needs to be killed.

Here I am attaching high resolution pictures, so you can see what it looks like.

That red dot that you see is about 2mm in diameter. It appeared only yesterday by itself.

http://66.39.40.131/pics/IMG_2366sm.jpg
http://66.39.40.131/pics/IMG_2367sm.jpg
http://66.39.40.131/pics/IMG_2370sm.jpg
http://66.39.40.131/pics/IMG_2371sm.jpg

(after the image loads in the browse, you might even be able to zoom into it, by clicking on 'expand to regular size'.

[Kevin Pho, MD]

There are various types of infection that can be considered.  The first would be standard STDs like gonorrhea and chlamydia.  These can be evaluated with urine tests or a urethral swab.  

I would also consider herpes, which can be evaluated with a viral swab or with blood tests looking for the herpes antibody.  

A standard urinalysis can be considered to look for any other type of infection as well.  

An antibiotic or antiviral medication would be considered if the cultures or tests come back positive.

A dermatology referral can be considered if the infectious etiologies have been ruled out.  

You can discuss these options with your personal physicians.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b

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