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How can the symptomless ulcer at the back of penile shaft be treated?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Small painless itchless ucler at the back of penile shaft with no other symptoms.

Answered by Dr. Shanza Ikram

Hi,

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

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

I have gone through your case. According to your description and clinical picture (attachment removed to protect patient identity), this ulcer could be a manifestation of primary chancre of syphilis (one of the sexually transmitted diseases, if there is a history of sexual contact as well at least 3 to 4 weeks ago).

Thank you for consulting me.

You can always reach me at icliniq.com.

The Probable causes

The probable cause is a sexually transmitted infection syphilis.

Investigations to be done

The investigations to be done are VDRL, TPHA, and tests for other STDs like hepatitis B and C, and HIV (human immunodeficiency viruses).

Probable diagnosis

The probable diagnosis is primary chancre of syphilis.

Treatment plan

The treatment plan is to take Benzathine penicillin 1.2 MU I/M on each buttock stat dose. If tests are normal then only Fucidin acid cream two times a day.

Patient's Query

Thank you doctor,

Could it be something that is not an STD like from friction or something else?

Answered by Dr. Shanza Ikram

Hi,

Welcome back to icliniq.com.

Yes, that is the second differential. As I have already told you that it could be traumatic as well. Trauma means friction or a sharp nail or anything which have broken the skin. In that case, apply Fucidin acid cream two times a day for seven days. But try to exclude STDs first.

Answered byDr. Shanza Ikram

Medically reviewed byDr. Divya Banu M

Published At April 18, 2019
Reviewed AtNovember 22, 2024

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

Dr. Shanza Ikram
Dr. Shanza Ikram

Dermatology

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