I have a white patch on the inner side of my foreskin. What is it and how to treat?

Question

Hello doctor,

I am 36 years old, non-circumcised male. I have a white patch on the inner side of my foreskin. and on the tip of the penis. I noticed it when the bridle got very short, and I felt pain when retracting the foreskin for washing. It does not itch or pain, but it goes around the foreskin. My wife and I are good with the hygiene. The urologist made a biopsy, and the pathologist said that there is hyperkeratosis and little inflammation. The urologist advised to use Cortizone cream (cortisol) and watch it. I used it for a couple of weeks now with very little improvement. What can it be and how to treat it with success?

Kindly advise.

Answer 1

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

Perhaps you have lichen simplex et atrophicus. I request you to kindly upload a few images of the affected area so that I am able to confirm and guide you better.

Thank you for consulting me.

You can always reach me at icliniq.com.

Answer 2

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have viewed the images (attachment removed to protect patient identity). The patch seems depigmented and atrophied. I can appreciate the wrinkles due to thinning of the skin in that area. It is most likely LSeA. LSeA commonly manifests as ivory-white atrophic genital patches on the foreskin and glans and difficulty in retracting prepuce/phimosis. There might be itching, erosions, and pain. I suggest you apply a moderately potent topical steroid, either Mometasone Furoate 0.1 % cream or Triamcinolone Acetonide 0.1 % cream, twice daily. Consult your specialist doctor, discuss with him or her, and start using the medicines with their consent.

Looking forward to your response in order to help you.

Thank you.