Ask a doctor on the topic of Urology

Red rash on glans and foreskin

July 30, 2021 | 20,00 EUR | answered by Dr. Med. Thomas Kreutzig

Hello,

for about 5-6 weeks I have had a reddish rash that appears in a spotted form on the glans and foreskin (circled in yellow in the photos). I would like to know what is causing this. As is typical for such a rash, it occasionally itches or feels tight quite unpleasantly. Could this possibly be a type of balanitis that could be treated with cortisone, or am I on the wrong track? I have been applying Clotrimazole to the affected areas 3 times a day for almost three weeks, but it seems to have no effect. When showering, I avoid excessive hygiene and only gently clean in the morning and evening.

Here are the photos:

https://abload.de/img/41a01b31-8603-40ce-8hvkc0.jpeg

https://abload.de/img/235028ce-621f-4b01-a3ej64.jpeg

https://abload.de/img/e6de5dea-d9b7-4ad0-bgbk05.jpeg

...Unfortunately, in my area, I only have one urologist, whom I have lost trust in. Three years ago, I visited him "multiple times" because of the white "something" on the tip of my glans (marked in blue), and he would always prescribe me an expensive ointment that I should diligently apply, which ultimately did not help at all. Perhaps someone could also provide me with a hint regarding what this could be. I have had this for ages. It doesn't really bother me, it just looks unsightly.

Thank you very much in advance for answering my question.

Dr. Med. Thomas Kreutzig

It is a so-called balanitis, which can also have a persistent course.

Treatment for redness: Apply a 1:1 mixture of povidone-containing ointment and panthenol ointment 2-3 times a day (available at the pharmacy). In between, always wash thoroughly (with acidic soaps) and dry very well (with a hairdryer).

For prevention, always take good care. Best with special intimate care products containing microsilver.

Best regards

Dr. T. Kreutzig-Langenfeld