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He Medical Clinic

Penile Skin Rashes: Diagnosis and Treatment in Malaysia

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PENILE RASHES

A genital rash is a skin symptom that can occur on any part of the male genital region and can be caused by a variety of health problems. It can be medically termed as balanitis, balanoposthitis, posthitis depending on which area were affected.
 

Rashes are usually reddish in colour, and can be painful or itchy, with bumps or sores.

 

A fungal infection of the penile skin is the most common cause of itch and rash over the penis. STDs such as trichomonas, a parasite, are also potential causes. Redness or itching that does not go away should be taken more seriously to rule out skin cancers of the penis.

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Causes of penile skin rashes

A genital rash can be caused by a variety of things, including These includes sexually transmitted infections (STIs), genital herpes, parasite, fungal and bacterial, allergies, and inflammatory disorders.
 

Sexually Transmitted Infections (STI)

 
1) Genital herpes
The herpes simplex virus (HSV) causes genital herpes, which causes inflammation and itching in the genital region and on the penis. Since the virus can remain dormant in the body for years, some people who are infected with HSV are unaware of their infection. An outbreak can cause tiny clusters of fluid-filled blisters in addition to itching.
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2) Syphilis

Syphilis is a bacterial infection that is passed from person to person via sexual contact. It causes a rash that may appear on any part of the body. The rash is not always itchy.
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3) Genital Warts

Genital warts are small growths that develop around the genitals such as penis or anus. They are also known as venereal warts, or condylomata acuminata. The warts form separately or in clusters. They may be small, at 5 mm or less, though in some cases they develop into large masses.
 

Other Causes Of Penile Skin Rashes

1) Balanitis

 

Balanitis is the swelling and inflammation of the glans (head) of the penis. This region is hidden by a flap of skin called the foreskin in men who are not circumcised.

 
  • Fungal balanitis / Inflammation balanitis

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A yeast infection, also known as fungal balanitis, is the most common cause of penile skin rashes. During sexual activity, you could be exposed to the fungus, which may lead to a penis infection.

 

Symptoms include itchiness and redness over the penis, thick white substance collection in skin folds, painful penis and foreskin, burning sensation while urinating, discomfort during sexual intercourse and a repulsive odour over the genital area.

 

2) Jock’s itch

A fungal infection in the groin region, also known as ringworm infection. The rash is red, itchy, scaly, and may form blisters.
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3) Molluscum contagiosum

A viral infection that causes firm, isolated, round bumps on the skin. They may be itchy and swollen.

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4) Parasite infection

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Pubic lice may lay their eggs in the genital region and are distributed most widely by sexual contact. Teenagers are the most likely victims. Itching and sores are common symptoms of a pubic lice infestation.

 

Scabies is an itchy skin rash brought on by tiny mites. They burrow into the skin, causing severe itching, especially at night.

 

5) Allergies and autoimmune disorders

A common form of rash that occurs when skin comes into contact with an allergen or an irritant such as a harsh chemical substance is called contact dermatitis. Latex, which is widely used in condoms, is an allergen that can cause a rash in the genital region.
 

Psoriasis is a skin disease that affects many people. Although the cause is unclear, doctors believe it is caused by an autoimmune condition. It can cause a rash that is pinkish, scaly, and itchy anywhere on the body. Psoriasis can also cause rashes in the genital area in men.

 

Treatments for penile skin rashes

The type of treatment for a genital rash is determined by the underlying cause.
 

If you’re feeling extreme irritation that won’t go away, you should see a doctor. Many conditions that cause rashes on the penis are easy to manage.

 

In addition to treating the underlying condition, your doctor can prescribe a cream to alleviate the symptoms.

 

If the infected area is kept clean and dry, certain skin infections may recover without treatment.

Some of the treatment options are listed below:

 
  • Creams

 
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Topical creams or lotions may be prescribed to be applied to the affected area a couple of times a day. They may be antifungal, antibacterial or steroid creams, depending on the underlying cause of your genital rash. Asking your doctor will determine which one is the most suitable for your conditions.
 
  • Oral tablets

 
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Some rashes are treated with prescription oral medications like antibiotics or antifungal. Your doctor may also prescribe medications that can help ease the itchiness like antihistamines.
 
  • Drying agents

 
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With your doctor’s approval, potassium permanganate solution can be used to minimise excessive moisture over the penis head and foreskin. Extreme moisture promotes fungal growth and this procedure can help prevent such conditions.
 
  • Circumcision

 
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In certain conditions especially if it’s recurrent and chronic, you may want to consider removing the foreskin. Please click below if you want to know more about circumcision
 
  • Others

 

Lice may be treated with a medicated wash that is applied directly to the infected area, left on for the specified time period, and then washed away.

 

Clothing and bedding should be washed in hot water to avoid reinfection.

 

What is the outcome of penile skin rashes?

The prognosis for most rashes is excellent.
 

The underlying cause can usually be treated, and the rash will go away once treatment is completed. Parasites and diseases that aren’t sexually transmitted infections (STIs) can be treated and avoided with proper treatment and hygiene.

 

Throughout this scenario, if the symptoms don’t go away on their own, you should see the doctor.

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Penile Skin Rashes

A genital rash is a skin symptom that can occur on any part of the male genital region and can be caused by a variety of health problems. These includes sexually transmitted infections (STIs), genital herpes, parasite, fungal and bacterial, allergies, and inflammatory disorders.

Symptoms ranging from itchiness with redness over the penis, thick white substance collection in skin folds, painful penis and foreskin, burning sensation while urinating, discomfort during sexual intercourse and a repulsive odour over the genital area.

With the RIGHT diagnosis, a proper treatment to treat the ROOT CAUSED to prevent recurrent problems.

Causes Of Penile Skin Rashes

Sexually Transmitted Infection (STIs)

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The herpes simplex virus (HSV) causes genital herpes, which causes inflammation and itching in the genital region and on the penis. Since the virus can remain dormant in the body for years, some people who are infected with HSV are unaware of their infection. An outbreak can cause tiny clusters of fluid-filled blisters in addition to itching.

images
warts
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Genital warts are small growths that develop around the genitals such as penis or anus. They are also known as venereal warts, or condylomata acuminata. The warts form separately or in clusters. They may be small, at 5 mm or less, though in some cases they develop into large masses.

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illustration symptoms syphilis affected
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Syphilis is a bacterial infection that is passed from person to person via sexual contact. It causes a rash that may appear on any part of the body. The rash is not always itchy.

 
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Balanitis is the swelling and inflammation of the glans (head) of the penis. This region is hidden by a flap of skin called the foreskin in men who are not circumcised.

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A yeast infection, also known as fungal balanitis, is the most common cause of penile skin rashes. During sexual activity, you could be exposed to the fungus, which may lead to a penis infection.

There’s a risk your rash is more than a simple infection if it’s chronic, recurring, and triggers semi-permanent changes to your penis. Lichen Scleroses, for example, is an inflammatory skin disease. Bacterial infection could also caused inflammations and infections.

 

Other Causes of Penile Skin Rashes

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Jock Itch / Fungal rashes

A fungal infection in the groin region, also known as ringworm infection. The rash is red, itchy, scaly, and may form blisters.

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Molluscum Contagiosum

A viral infection that causes firm, isolated, round bumps on the skin. They may be itchy and swollen.

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Scabies

Scabies is an itchy skin rash brought on by tiny mites. They burrow into the skin, causing severe itching, especially at night

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Genital Psoriasis

Psoriasis is a skin disease that is caused by an autoimmune condition. It can cause a rash that is pinkish, scaly, and itchiness.

Treatments for Penile Skin Rashes

The type of treatment for a genital rash is determined by the UNDERLYING CAUSED.

If you’re feeling extreme irritation that won’t go away, you should see a doctor. Many conditions that cause rashes on the penis are easy to manage.

In addition to treating the underlying condition, your doctor can prescribe a cream to alleviate the symptoms.

If the infected area is kept clean and dry, certain skin infections may recover without treatment.

Some of the treatment options are listed below:

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Creams

Topical creams or lotions may be prescribed to be applied to the affected area a couple of times a day. They may be antifungal, antibacterial or steroid creams, depending on the underlying cause of your genital rash.

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Oral Medications

Some rashes are treated with prescription oral medications like antibiotics or antifungal. Your doctor may also prescribe medications that can help ease the itchiness like antihistamines.

circumcision

Circumcision

In certain conditions especially if it's recurrent and chronic, you may want to consider removing the foreskin.

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Others

Lice may be treated with a medicated wash that is applied directly to the infected area, left on for the specified time period, and then washed away.Clothing and bedding should be washed in hot water to avoid reinfection.

FAQs on Penile Skin Rashes

These factors may put you at a greater risk of developing fungal balanitis:

  • Uncircumcised penis

  • Poor practice of hygiene

  • Prolonged intake of antibiotics

  • Have diabetes or high blood sugar

  • Being overweight or obese

Balanitis is perhaps one of the first signs of diabetes. Request a diabetes screening from your doctor, particularly if your fungal infections are recurring and you have other risk factors such as a strong family history of diabetes.

 
 

Frenulectomy does not affect your foreskin and you will remain uncircumcised. Frenulectomy only involves releasing the tight band of tissue underneath the penis and your foreskin will be preserved. However, circumcision can be done together with the frenectomy procedure.

 

You may have an inflammatory skin disorder called Lichen Sclerosus if the symptoms are chronic, recurring, and never fully disappear

Yes, it may lead to long-term skin changes that prevent the foreskin from functioning normally. The foreskin loses its smoothness and retractability, and even some hardening, thickening, discoloration, and cuts may occur

The cause of a genital rash will play a major role in preventing it, particularly recurrent genital rashes.

To prevent rashes that are due to sexually-transmitted infections, you can:

  • Always use STI-protective barrier measures such as condoms and dental dams.

  • Treat pre-existing conditions promptly by seeking help from the doctor as soon as possible once an infection is suspected.

Maintaining a balanced diet and lifestyle will keep you in the best shape possible, potentially boosting your immune system and aiding in the battle against infections that can lead to genital rashes

There are several measures that may help in reducing any discomfort that you may experience from having the rashes. These includes:

  • Wash the region with a non-irritating, soap-free cleanser on a regular basis.

  • Before putting on clothes, dry the top of your penis.

  • Wash your hands before and after using the bathroom.

  • After intercourse or masturbation, wash and dry your penis.

  • Pull back your foreskin and wash around the head of your penis and under the foreskin at least once a day if you’re not circumcised.

The prognosis for most rashes is excellent.

The underlying cause can usually be treated, and the rash will go away once treatment is completed. Parasites and diseases that aren’t sexually transmitted infections (STIs) can be treated and avoided with proper treatment and hygiene.

Throughout this scenario, if the symptoms don’t go away on their own, you should see the doctor

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