What could cause red spots and inflammation on the penis?

Question

Hi doctor,

I have had these red spots or redness on the tip of my penis for over a year. When my foreskin pulls back, it also is sort of red. It does not itch or hurt, but sometimes it can get inflamed and then it does itch. Sometimes I get peeling on my foreskin too. The tip can be dry as well. I have tried an OTC antifungal, which did not do anything, and got it checked by a urologist and a dermatologist. Urologist told me to see a dermatologist, and the dermatologist told me it was a skin sensitivity. I think it is a bacterial infection of some kind.

How should I treat it? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I do understand your concern.

It appears to be Zoon's balanitis with a minor infection. I suggest you the following treatment.

Apply Clotrimazole cream (candid cream) or 1 percent Miconazole gel twice daily for 10 days(on inflamed lesions of the glans).
Wash the area with Episoft cleanser or No soap cleanser daily for 1 month.
Tablet Zifi (Cefuroxime) 200 mg twice daily after food for five days(if irritation, or STI for bacterial infection, urine culture tests are positive).
Tablet Teczine -M (Levocetirizine) once at night after food for seven days (if itching).
Apply 1 percent Hydrocortisone gel at night for five days to reduce redness.
Avoid harsh soaps or fragrance-based lotions/lubricants.
Do not scratch or rub lesions.
Avoid occlusive tight wear.
Avoid chronic friction.

Check your sugar levels. Get swab tests and urine routine tests done.

Please follow up with the reports.

Thank you.