this can't seriously be balinitus?

[g123204]

Please for the love of god someone give me some advice....Here's the scoop in a nutshell:

-uncircumcised
-around late december of 07 i developed what i now have learned was a pretty nasty case of balanitus
-early february 08 i saw my primary care doctor...he diagnosed balanitis and perscribes ketoconazole and said it would be gone in two to three weeks
- early march there was no difference in condition....went back and he perscribed hydrocortisone 2.5%....again said it would be gone in two more weeks
- conditions improved extremely slightly, but with any masturbation or sexual intercourse immediately returned
- early april went to specialist...urology...again said it was balanitus and perscribed nystatin/triamcinolone combo cream...said it would be knocked out in two weeks (notice a pattern?)
-early may...STILL not ANY better (symptoms appear to get slightly better for a day or two, then come back)....went back to primary care who then perscribed a ten day course of diflucan...it FINALLY seemed to be working...
- i would say it was about 80% better by day ten, so i asked for a refill because it still wasn't all better....i am now on the 4th day of the refill of diflucan, and once again, it seems like i'm going backwards in time, and the symptoms are still lingering and there seems to have been a climax in healing--and im just not getting over this thing...it's driving me nuts...

I did recently have an std test for everything except herpes...i came back clean...and my doctor did not test for herpes because he said that it would not only show up in my girlfriend's pap smear, but that this simply was obviously not herpes--at least according to him...and i don't think it is either...

my symptoms right now:
there is currently and have been since the beginning an inflamed red ring around the bottom of my glans...only see it when the foreskin is rolled back all the way...and it takes up probably the lower third of the glans....in one spot especially towards the side (where there tends to be friction during intercourse anyway), it is very very uncomfortable and painful to the touch...I was told be my doctors that this is a lesion from the balanitis that simply has not healed yet....

i'm really, really, really at my witts end....every time it seems to get better, i masturbate, or something, and it comes right back...and now the diflucan (the one thing that's supposed to knock it out) is seeming like it has no effect at all anymore....i cant stand this and don't know what else to do...i really seriously just want my penis to look and feel normal again, and especially for the one "lesion" (it's not open or blistered, just simply looks very red and irritated) to heal so i can go on with a normal sex life and not cringe as it currently feels like a bad friction burn.

i'm sorry for rambling but any help would be extremely appreciated...is this just a really bad case that has being stubborn? should i take more than one 150mg diflucan pill a day? please help!!!

[Robkoniff]

I have had the same terrible issue and to cut a long story short streptococcus and balanitis together the balanitis won't be cured until you take the antibiotics for streptococcus then take the ointment ointment for balanitis

[Kamal S Saini, MD, MRCP (UK), DM]

Hi,

Sorry to hear of your troubles.

I can only suggest a common-sense approach to the problem. Give it time to heal, and avoid sexual activity for two weeks (lets not break your firmly established pattern!).

Take the drug in the prescribed dose only.

You can help the healing process by maintaining hygeine and gently cleaning the area with clean warm water and cotton twice daily.

If it persists, maybe you can consider seeing your urologist again for circumcision. Since you have not mentioned conjunctivitis, burning sensation on passing urine, back or joint pains etc, one would not suspect any rheumatological problem in your case presently.

All the best.