What is the cause of itching inside the foreskin

Patient's question:

For the past two months, there has been persistent itching inside the foreskin. When I retract it and rub to relieve the itching, it feels like the dust from a shower, possibly dead skin cells. It happens every day. The area is slightly red, and sometimes there are mild cracks. There are also two red abrasions on the part of the glans covered by the foreskin. I have not had any unprotected sexual intercourse, but I have showered in public baths. What could this be?

Doctor's answer:

First, consider that balanitis is generally caused by excessive foreskin, which is usually due to bacterial infections in the female vagina, leading to such inflammatory reactions. After cleaning with povidone-iodine, apply erythromycin ointment for antiviral treatment. Generally, symptoms can disappear within three to five days. If the foreskin is excessively long, it is advisable to undergo a circumcision surgery as soon as possible for a more stable solution.

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