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Why does the foreskin of the penis break while retracting?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

The foreskin of my penis at the periphery is rupturing, with pain when I retract the foreskin. I also have itching, just at the circumference of the penis forehead, where the foreskin is completely retracted and below the urine hole.

I am not circumcised. There are also some rashes on the left side of the scrotal sac. I have been using Clotrimazole ointment on the penis head and Clotrimazole dusting powder around the scrotal sack. Please help.

Thank you.

Answered by Dr. Madhav Tiwari

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

The condition you describe is known as balanoposthitis. It is an inflammatory condition of the foreskin and head of the penis that is common among men with poorly controlled diabetes (explain). It usually comes and goes from time to time and heals with the use of steroid creams such as Surfaz-SN cream (Beclometasone 0.025 percent w/w, Neomycin 3500 u/1g, and Clotrimazole 1 percent w/w). Consult your doctor and use the medicine accordingly.

However, if you are repeatedly having this problem two to three times a year, your best option would be to get a circumcision done to remove the foreskin. The most important aspect of managing this is strict diabetes control (if you have not been evaluated for diabetes, please get it done).

To summarize,

1. For an occasional breakout (once or twice a year), steroid creams for five to seven days will help. Please note that repeated use of these creams may thin out the skin.

2. For recurrent breakouts of balanoposthitis, circumcision is the best solution (especially if it interferes with intercourse).

I hope that you get your answer.

Please let me know if you want some help.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 24, 2024
Reviewed At September 24, 2024

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Madhav Tiwari is a skilled Urologist and General Surgeon who is an expert and has a special interest in urological oncology. He specialises in performing complex robotic and minimally invasive surgeries. He is renowned for his precise surgical techniques and a patient-first approach that prioritizes both effective treatment and patient comfort. He is dedicated to providing high-quality care for a range of urological and surgical conditions. He has treated thousands of patients and remains committed to delivering personalized, compassionate care and exceptional outcomes.

This doctor is not available for online consultations on the platform anymore.

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