What Causes Small Bumps And Cracks On Penis Head?

Posted on Mon, 15 Jun 2015

Question: I have small bumps and cracks in my penis head. This is 100% not an std. It started out as an abrasion from sexual intercourse. It turned red and ultimately infected my prostate. Every test they ran was negative for an std which i told them it would be. Was put on 21 days of levaquin which made me sicker than a dog. I ended up with a minor case of thrush. Prostate is still sore hoping the levaquin took care of any infection. Now I still have these bumps and crack in penis. Told by doctors it was nothing. However, just convinced my medical doc to give me some antifungal meds. He put me on the generic brand of lamisil tablets for two weeks. 250 mg. I tried some antifungal topicals for a few days before with zero luck. Wondering if it had to do with the antibiotics. Just started using miconazole cream today. My question is lamisil tablets effective for yeast infection and will this two step process take care of what is going on.

Answered by Dr. Dr. P. T. Patil (33 minutes later)

Brief Answer:
Read detail answer below.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have small bumps and cracks o glans of your penis since one month.

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Are you diabetic?
2) Do you have any urinary symptoms associated with this lesion ?
3) Do you have any urethral discharge?
4) Was is a unprotected sex ?
5) Do you have itching of the foreskin or glans penis?
6) Is it possible to upload photographs of your glans penis?

Please consult qualified Urologist or Dermatologiist for clinical examination and get following basic test done to establish diagnosis.
1) Swab test and culture of a discharge from the lesion .
2) PCR test to rule out herpes 2 infection .

In the mean while take antibiotic like Augmentin with topical antibiotic ointment Neosporin for ocal application.

Ensure to wash your genitals with warm water twice daily.

Ensure to avoid sexual encounters till it heals up completely.

Hope I have answered your query ,please feel free to ask if you have more questions I shall be happy to help you
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (10 minutes later)

This is not an STD. Had blood test done for herpes, HIV, and everything. With the same woman for 20 years. This is not an std. I am not a diabetic. There are NO open lesions and there is no discharge. These are very tiny bumps and cracks in head of penis, top portion only where injured penis initially. The intitial round of antibiotics appeared to take care of the redness.

I already took levaquin for 3 weeks. Would that have not killed any bacterial infection?

My question is does this appear to be a fungal infection and will the lamisil tablets and miconazole take care of it?

Answered by Dr. Dr. P. T. Patil (14 minutes later)

Brief Answer:
Need to do swab est to confirm fungal infection.

Detailed Answer:
Hello
Thanks for follow up and feedback.

Fungal infection has to be confirmed by Swab test of a fluid (secretion ) from the lesion .

Taking Levaquin may not necessarily cure infection bacteria are resistant to Livaquin.Hence doing a culture of secretion is the proper way to find out sensitivity pattern of organisms so that one can take appropriate antibiotic to combat infection rather than taking antibiotics for months together
.
Take treatment suggested in my reply earlier and switch on to appropriate antibiotic as per culture report..

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (12 minutes later)

Sorry, but there are no lesions. Cracking with lines. Several small bumps that are so microscopic and hard to see. Does that make things more clear. Appearance is cracks and lines in head of penis. Only when you look very close and you see what appears to very tiny bumps barely visible to the human eye. My general practitioner said this does not appear to him to be bacterial. I feel like i have to push to get someone to look at this. The only way to get a sample from what I am seeing would be to do a biopsy since there is nothing to swab. Sorry if I didnt make that clear.

Does this sound fungal in nature and if so would the miconazole and lamisil tablets take care of it?

Answered by Dr. Dr. P. T. Patil (5 minutes later)

Brief Answer:
It is better to consult qualified Dermatologist.

Detailed Answer:
Hello.
Thanks for follow up.
It is very difficult to make precise comments only on statements .It is better to consult qualified Dermatologist for clinical examination and inspection of the genitals in person to establish a proper diagnosis and take appropriate treatment .
Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

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