HomeAnswersDermatologylichen simplex chronicusI have white patches on the foreskin and penis tip. Why?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

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Published At March 4, 2018
Reviewed AtFebruary 18, 2024

Patient's Query

Hello doctor,

I am 36 years old, noncircumcised 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 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.

Answered by Dr. Sushil Kakkar

Hello,

Welcome to icliniq.com.

I have noted your concern.

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

I hope this helps.

Thank you.

Patient's Query

Thank you doctor,

After using antibiotic cream and Cortizone most (not all) the roughness went away, but the white patches are still present.

Answered by Dr. Sushil Kakkar

Hello,

Welcome back to icliniq.com.

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.

I hope this helps.

Thank you.

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

Dr. Sushil Kakkar
Dr. Sushil Kakkar

Dermatology

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