Dr. Saurabh Subhash Pandya
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I had smegma since 1.5 years which resulted into balanitis (that is what I think as per symptoms like difficulties in pulling foreskin, cuts, pain, rash swelling, etc.) and recently I applied Candid cream (non steroidal) twice a day for 10 days and smegma seems to be gone and also balanitis seems to be fine. But my foreskin and glans still becomes red and I can see small red spots after rubbing penis to clean. Also just saw a blister at the opening of urethra (it is little inside and need to spread the opening to see it). What could be the reason?
Hi,
Welcome to icliniq.com.
Can you tell me if there is any burning, pain, discharge, itching or difficulty in passing urine? Are you able to retract your foreskin up completely? Is there history of sexual exposure? Are you married? When we rub on penis head or foreskin, it can become red as the skin is very thin and sensitive. The skin lining the urethral opening is usually pink or red. Sometimes what we think is a blister may be normal mucosal skin. If there is a blister or ulcer, see your doctor or a urologist. Let me know answers to the above questions.
Patient's Query
Thank you doctor,
There is mild pain sometimes, 3 days back there was severe burning while urinating at night around 3 AM, after that sometimes it burns (but very rare and mild) while passing urine, other than that no difficulties in passing urine as such. I can retract foreskin completely. Yes, I am married. Unable to identify whether it is blister or ulcer or mucosal. Can I send you pictures to identify the same?
Hi,
Welcome back to icliniq.com.
Yes, you may send pictures.
Patient's Query
Thank you doctor,
I think there is some change in looks after 1.5 years of suffering (smegma / balanitis) and after treating with candid cream, it is full of wrinkles. Also please let me know what is the brown spot on top of the glans, unable to figure out. Please suggest if every thing is normal or do I still need treatment. I was unable to take picture of blisters or mucosal as it is little inside. But anyways please suggest regarding above.
Hi,
Welcome back to icliniq.com.
From the pictures (attachment removed to protect patient identity) it seems there is no active lesion, there is wrinkling possibly due to dryness, you can use moisturizing cream like nivea once daily for some time. The brown spot is just pigmentation in the skin. We only have to watch for any change in color, size or thickness of the brown spot, maybe once in two to three months. No treatment is needed at present unless the lesions recur or burning in urine occurs. Sometimes when urine is very concentrated, it may burn just a wee bit, like when we come back after exercise or outdoor activity and have not taken enough fluids.
Patient's Query
Hi doctor,
Thank you for your reply, sorry to bother you again. I found some red spots on glans on foreskin which was not visible day before yesterday when I sent you previous pictures. Please suggest what it is and do I need to be concerned. Do I need treat both issues or it will subside with time?
Hi,
Welcome back to icliniq.com.
Sudden onset of skin redness seems more like allergic or post-rubbing in already thin skin. I would still go for moisturizing cream. For the tip ulcer, you can take capsule Doxycycline 100 mg twice daily for 14 days. Let me know the results.
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Urology
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