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Can balanitis cause marks on the inner foreskin?

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

Patient's Query

Hi doctor,

I had redness on the inner foreskin diagnosed as balanitis. There is no STI (sexual transmitted infection) or anything like that. My doctor prescribed Locoid steroid cream to treat it but it has stayed persistent. Also, some marks have appeared on my inner foreskin. What could this be? Should I be worried?

Thanks.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome to icliniq.com.

I understand your concern.

It appears to be Balanitis, sexually transmitted infection (syphilis), or steroid-induced dryness.

  1. Apply Fucidin cream twice daily for seven days.
  2. Wash genital area with non-soap cleanser twice daily for two months.
  3. Do not scratch or rub the lesions.
  4. Avoid friction.
  5. Avoid long-term use of steroids.
  6. Maintain proper genital hygiene as hygiene plays important role in avoiding recurrence.
  7. Practice safe sex. Use barriers.
  8. Do you have itching, burning, or tingling sensation?
  9. Was steroid cream used in the past?

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

So this does not look like HPV in any way? There is no itching or burning, but there is a slight discomfort feeling. I have only used steroid cream for two weeks now. I have not tested for syphilis, but does it seem likely it could be that? It does not hurt too much.

Thanks.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

I understand your concern.

No, it is not HPV (human papillomavirus).

  1. Was there high-risk exposure?
  2. Have you had unprotected sex in the last three months?
  3. Any symptoms like headache or joint pain?
  4. Was redness or inflammation present before?

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

I had unprotected sex, so that might be considered high risk. I have got some type of radiating pain going on at the same time through my groin and also down into the testicles. The redness and groin pain started about three months ago. A couple of months after the unprotected sex. Now it has developed into more distinct rashes as the picture shows. Please help.

Thanks.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

I understand your concern.

There are two differential diagnoses. It could be genital herpes or Syphilis.

  1. Take a tablet of Zifi (Cefixime)200 mg twice daily after food for five days.
  2. Wash the area with a non-soap cleanser daily for two months.
  3. Apply Fucidin cream twice daily in the morning and night for seven days.
  4. Keep the area clean and dry.
  5. Do not scratch or rub the lesions.
  6. Maintain proper genital hygiene.
  7. Always wash your genitals after sexual intercourse.
  8. Practice safe sex.
  9. Use barriers.
  10. Get urine routine and culture microscopy done.
  11. Get HSV (herpes simplex virus) 2 and VDRL (venereal disease research laboratory) test done to rule out possible sexually transmitted infection.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

I will go to a dermatologist to take tests from the area. If it is herpes, would not the lesions or areas that you saw burn or sting?

Thanks.

Answered by Dr. Dhepe Snehal Madhav

Hi,

Welcome back to icliniq.com.

I understand your concern.

However, the tingling sensation or radiating pain is seen in herpes. Is there any tingling sensation? Please help.

I hope this information will help you.

Thanks.

Answered byDr. Dhepe Snehal Madhav

Medically reviewed byiCliniq medical review team

Published At August 17, 2024
Reviewed AtAugust 17, 2024

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

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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