Why do I have itching and burning sensation on my penis?

Question

Hello doctor,

I was taking Oxra 5 mg tablet for diabetes, and due to this I had excessive urination. I got a fungal infection on the skin of my penis with a burning sensation and itching. I got this problem two weeks ago when I was on Oxra. I consulted a skin specialist and he prescribed Itraconazole 200 mg for five days and Lulifin cream to apply twice a day. I took the whole course, and it all cleared up two weeks ago when I had sex with my wife. I started getting the burning sensation and by the next morning, it was itching badly. I then applied the Lulifin cream. Should I go back on the course of tablets too? Why has it recurred? I stopped the Oxra completely when I started the course. Currently, I am on Carbophage G 1 for diabetes. How can I be helped?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Candidal balanoposthitis is a very common fungal infection of the glans and prepuce of the penis. It is usually seen in poorly-controlled diabetics. Also, the treatment course you have taken is incomplete. Usually, the antifungal cream needs to be applied daily for at least two weeks, including strict sexual abstinence. The partner, too, would need treatment in case of any existing vaginal discharge. Kindly upload appropriate images of the present clinical lesions so that we can suggest treatment for you accordingly.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have gone through the photos (attachment removed to protect patient identity). The infection seems to be resolving. You could still take a single dose of Forcan (Fluconazole) 200 mg and would suggest a dose to your partner, too, unless she is pregnant. Consult your specialist doctor, discuss with him or her, and with their consent, take the medicines. You can also apply the Candid cream twice daily for two weeks. Avoid intercourse for up to two weeks. Avoid washing the area with any antiseptic soaps or lotions. And most important of all, maintain your sugar levels under control, failing which such episodes can recur.

Thank you.