Dr. Sandhya Narayanan Kutty
Venereology
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Patient's Query
Hello doctor,
I have had dry skin, a color change in the head of the penis, and redness in the urethra for the past several months. It seems like it will come and go sometimes; it will look very normal, then minutes later, it will look very brownish grey and shriveled up. This has been causing me extreme stress and anxiety, I have been to a urologist twice, and nothing was diagnosed, and they suggested putting diaper rash cream. But it still seems like it is not getting better, and I just want to ensure I do not need more treatment. Sexual function, sensation, or urinary function have not been affected. It is mostly just visual changes with occasional discomfort from dry skin. Kindly help.
Hi,
Welcome to icliniq.com.
I read your query and understand your concern.
It appears to be xerosis which means extreme dryness of the penile skin, which may be caused due to eczema. It is not a dangerous condition and is not life-threatening. Due to this fact, I assure you not to worry. Cosmetically they may appear bothersome, but please do not be anxious about them. Xerosis may be genetically transmitted, and it may also appear depending on the climate and hydration. They may also be triggered due to excess cleaning with strong soaps and shampoos. They may appear on and off depending on external and internal factors. They may eventually subside, but even recurrences can be managed.
Anxiety causes the release of stress hormones which may trigger more dryness of the skin. Therefore, control your anxiety. I would suggest the following medicines:
1. Wick and Strom advanced penile moisturizing cream may be used once daily on the affected areas. It may be used at night.
2. Make sure to avoid excess cleansing of the area.
3. Oilatum bath formula or Oilatum emollient may be used for washing the area. Use two caps full of the emollient mixed in normal temperature water and use the solution to wash the area once daily.
4. Lukewarm salt water fomentation for the area for 5 mins daily is also helpful.
5. Glycerin cream may be used for application on the affected area once daily in the afternoon
6. Ketoconazole 2% cream can be applied in the morning for four weeks on the affected area.
7. Fucidin H cream (Hydrocortisone and Fusidic Acid) may be applied in a very small quantity, almost a grain of rice quantity, in a very thin layer on the affected area. Let it absorb for 30 minutes, and then apply penile cream on the affected area at night. Fucidin H is only advised to be used at night. Make sure to use this cream only for four weeks.
8. Make sure to consume at least 12 glasses of water daily.
9. Keep the area moisturized well.
10. Capsule Omega 3 may be consumed once daily after breakfast in the morning for two months.
11. Capsule Vitamin E 400 mg to be taken at night after dinner for two months.
I hope this helps.
Thank you.
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Venereology
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