What should I do if the foreskin is red, swollen, painful, itchy, and has a bad odor?

Patient's question:

Doctor, the inside of the foreskin is red, swollen, painful, itchy, and has a bad odor with white milky discharge. What should I do? I'm so upset about future fertility issues. Should I go to the hospital for a thorough examination? I don't know if surgery is needed, and how much it will cost?

Doctor's answer:

The inner part of the male foreskin has again developed redness, swelling, pain, itching, and a bad odor, along with creamy white discharge. This is a relatively severe case of balanoposthitis. Of course, if there has been unprotected sex or sharing of personal hygiene items with others, the possibility of an STI infection cannot be ruled out. If left untreated, it could spread to the urinary tract, leading to urinary tract infections. It is essential to undergo a thorough examination to identify the specific pathogen causing the infection so that appropriate treatment can be determined.

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