How to treat itchy foreskin of the penis

Patient's question:

Penis skin and foreskin itching Last year, in January, my penis skin and foreskin itched. I went to the hospital and was treated with calamine lotion, which cured it. Now this year, it's itching again. It's lighter during the day but worse at night, like ants crawling. I used calamine lotion again, but the effect was not good. I'm asking how to treat it thoroughly and slow down the treatment. What medicine is good.
Past treatment history and effectiveness: Last December, it started itching again on my penis skin and foreskin. I used ointment, clotrimazole, and took levofloxacin, which worked for over a month. Recently, it started itching again. I've been alternating ointment, clotrimazole, and taking fluconazole for 3 days now, but there's no significant improvement.
What kind of assistance I need: I'm asking how to treat it thoroughly and slow down the treatment. What medicine is good. How to prevent and treat it comprehensively.

Doctor's answer:

Treating the itching of your foreskin and penis requires first identifying the underlying cause. It is generally possible that the issue stems from an overhanging foreskin, leading to the accumulation of dirt and poor hygiene, which in turn causes pain. Given that your medication primarily consists of antifungal drugs and there has been slight improvement after treatment, it is possible that a fungal infection is not ruled out.
Recommendation: First, you can visit the urology department of a local hospital to confirm how the foreskin is overhanging and how the symptoms may be caused by this. Then, based on a thorough examination, determine the next step in treatment. Second, pay attention to maintaining good local hygiene. If a fungal infection is suspected, it may be necessary to undergo fungal testing at the hospital. After identifying the cause, treatment can be more targeted and effective.

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