Patient's question:
Hello doctor!It has been about a year since I've had dampness in my scrotum. I currently have chronic prostatitis, which hasn't fully healed yet. I once asked a doctor, and they said this condition is not closely related to prostatitis. Could you please confirm if that's true? Is there any way to treat it?
First follow-up question: Hello!
Could you please ask again? There don't seem to be any visible issues on the outside of the scrotum, but it looks like there are some white spots under the epidermis. Sometimes it itches, and the scrotum remains persistently damp. Is this caused by a fungal infection?
Doctor's answer:
Hello:First, check if there is any fungus locally. If not, treat it as eczema. You can decoct 10 grams of each of Bupleurum and Sophora to clean the affected area, then apply external medications such as Pramesone. At the same time, keep the area dry. If there is any discharge, you may also need to use zinc oxide paste.
If there is fungus, it is likely tinea cruris. You should apply antifungal medications such as Terbinafine or Miconazole externally. Use the medication for 2-4 weeks while keeping the area dry. After applying the antifungal medication, you can apply zinc oxide paste or talcum powder. Additionally, underwear should be boiled and exposed to sunlight to kill the fungus.
For recurrent cases where external medication is ineffective, you may take oral antifungal medication for one week, followed by 2-3 weeks of external antifungal treatment. For example, Sporanox 100mg twice daily for 7 days, or Terbinafine 250mg daily for 1-2 weeks.