Patient's question:
The problem began two years ago when a red, itchy patch appeared on my foreskin. Later, it developed into a small white sore with pain, which subsided approximately two weeks later on its own. Recently, the condition has recurred with the same symptoms in the same location, forming a sore that is adjacent to the glans. (My foreskin normally covers about half of the glans, and it becomes fully exposed during erection.) In the past, I have used dexamethasone cream topically, but it was not very effective. Could you please tell me what this condition might be, and which over-the-counter medications would be suitable? Thank you.Doctor's answer:
Hello: In clinical diagnosis, common forms of balanoposthitis include the appearance of small white bumps on the glans, which have the following symptoms:(1) Acute superficial balanoposthitis initially presents with local redness, redness and swelling of the penile skin, and a sensation of burning and itching in the glans. When retracting the foreskin, it is evident that the inner surface of the foreskin and the glans are congested and discolored, with exudate and even cracked skin. Secondary infection may lead to small ulcers and foul-smelling, creamy purulent discharge. Friction with underwear causes pain, and patients often experience difficulty in movement. It may be accompanied by swelling and tenderness of the inguinal lymph nodes.
(2) Circumferential purulent balanoposthitis presents with erythema on the glans and foreskin, which gradually expands in a ring-like pattern, forming superficial ulcers.