Lump of milky white in the foreskin needs surgery?

Patient's question:

Yesterday I noticed some pain when urinating and found milky white bumps the size of beans inside the foreskin. This morning the pain when urinating has gone, and I noticed a thick line around it, the same color as the bumps. I also found another bump.

Doctor's answer:

The treatment is primarily antifungal therapy, which can include oral medications such as fluconazole or itraconazole, combined with topical antifungal creams like terbinafine or bifonazole. Daily personal hygiene should be maintained, and underwear should be washed and changed frequently. Circumcision may be necessary if needed. As everyone knows, phimosis can cause significant harm to men, so it is important to seek treatment as soon as possible. In daily life, dietary issues should be paid attention to, with a focus on a light diet and avoiding irritating foods. Regular follow-up visits may also be necessary when needed.

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