HomeAnswersUrologytopical steroidsIs cracked foreskin a side effect of steroid cream?

Facing problems with foreskin. Are these the side effects of steroid cream?

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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.

Answered by

Dr. Raman Tanwar

Medically reviewed by

iCliniq medical review team

Published At July 12, 2016
Reviewed AtJanuary 13, 2024

Patient's Query

Hi doctor,

I suffered from the worst case of Tinea cruris. I was on medication for almost six months and now it has cured completely. But, I am facing problems with my foreskin. Every now and then I have cuts and cracks when I pull the foreskin back. Also, when the foreskin is too dry it is having some stretch. When I wash it or apply any moisturizer the stretch marks disappear. Along with it, I have smegma formation. I tested for diabetes and it is under normal level. I was suggested to use KZ cream and Onabet cream. Please help.

Answered by Dr. Raman Tanwar

Hi,

Welcome to icliniq.com.

Your foreskin appears to be healthy (attachment removed to protect patient identity) and deserves to be saved. The coconut oil application is a very good way for that. Apply Clobetasol ointment twice a day after bath and evening and retract your foreskin multiple times during the bath. Consult your doctor, discuss with him or her and take the treatment with consent. Four to six weeks would be enough to return the elasticity.

Patient's Query

Thank you doctor,

I am suffering from this problem from quite a long time. Although those cracks and cuts heal within a day or two, they recur. I am already applying coconut oil. I am attaching my other pictures of tinea infections that left me with stretch marks. My doctor told me that they are permanent and cannot be cured. I just want your opinion on the same. Are these the side effects of steroid cream I apply earlier like Fourderm? Any of your suggestions would be appreciated.

Answered by Dr. Raman Tanwar

Hi,

Welcome back to icliniq.com.

If you have applied any steroid creams earlier, then the lesions are probably occurring because your skin has become aplastic and thin due to the steroids. In such case, I would recommend waiting for more time to let the skin regain its structure on its own, else we may have to go ahead with circumcision if the issue is bothersome.

Patient's Query

Thank you doctor

Yes, I applied steroid based prescribed by my local physician. I suffered a lot for almost eight months and after that I got cured. But, still I have stretch marks on my thighs.

Answered by Dr. Raman Tanwar

Hi,

Welcome back to icliniq.com.

As described by you and in the previous history of steroid application I do not think that there is any option, but to wait for the atrophy of the skin to settle (low chances though). The stretch marks are essentially permanent and may fade only with time. There are many creams that claim to remove them, but are rarely successful. I think circumcision would be the best for managing the recurrent trauma you face every time while retracting your foreskin. It is a fairly simple procedure. You can wait for some time and see whether the problem solves on its own, else go for the surgery. Meanwhile, keep using the coconut oil.

Patient's Query

Thank you doctor,

I did not get cracks and cuts every time I pull the foreskin back. It happens once or twice a week. On the internet, I read that it may be a sign of cancer or STD. So, I am a little bit tensed. I will wait for a few months and will go for circumcision. Thanks for the reply. How long should I wait?

Answered by Dr. Raman Tanwar

Hi,

Welcome back to icliniq.com.

Let us wait for about six months. Unfortunately, in my experience the medicines that can improve the situation can also worsen it. You need not worry about cancer at this stage. I wish you a speedy recovery.

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

Dr. Raman Tanwar

Dr. Raman Tanwar

Urology

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