What Causes Itching Sensation And Inflammation On Foreskin?

Posted on Sun, 23 Aug 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 23 Aug 2015 Answered on

Mon, 14 Sep 2015 Last reviewed on

Question : a few years ago some moles over foreskin and tip of the penis had developed, which were removed by surgery. but the mole on tip of penis could not be removed. now the operated area has created a tight band around penis and the head is reddened with itching and inflammation. under the foreskin white dirt is also generated which if not washed ,starts coming out at the tip of foreskin. during sex the foreskin is cracked and gets very painful to push back. is it due to STD/HIV or infection due to unsafe sex/annul or oral sex as I usually practice all type of sex.

Answered by Dr. Dr. Kakkar (-4 hours later)

Brief Answer:
Candidal balanoposthitis; oral fluconazole and topical antifungal cream

Detailed Answer:
Hello. Thank you for writing to us.

I have taken note of your query and I have understood it.

You seem to have developed candidal/ yeast infection of glans and foreskin i.e candidal balanoposthitis. It usually presents with edema of prepuce making it difficult to retract and fissuring/ cracking all around the prepucial opening. There will redness of glans and deposition of whitish, creamy material under prepuce.
Patients usually complain of itching and pain on retraction of prepuce.
Candidal balanoposthitis may be acquired sexually from a sexual partner with candidal/ yeast infection of the vulva though it is not considered as an STD.

I treat my patients of candidal balanoposthitis with a Single dose of Fluconazole tablet. A single dose is usually curative.

In addition I also suggest my patients to apply an otc topical antifungal e.g clotrimazole 1% cream Or miconazole 2%cream, twice daily for a week.

I suggest that you visit a dermatologist in your vicinity for a confirmatory diagnosis and for the needful.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar