Redness, swelling, and pain are symptoms of inflammation. Penile rash or redness over penis can signify inflammation over the region. Inflammation over the penile head is called ‘Balanitis’.

In summary, balanitis can be due to ordinary skin pathogens (for example bacteria or fungus), or even due to sexually transmitted disease.

Common sign and symptoms of Penile Rash?

  • Increased urinary frequency 
  • Painful urination 
  • Fever 
  • Redness over penile head 
  • Swollen inguinal lymph nodes

The treatment of balanitis depends heavily on the cause. Different causes would require different treatment, for example antibiotics would be indicated for bacterial infection, while antivirals would be indicated for viral infection.

Please consult your healthcare provider before deciding the suitable treatment. 

In cases of recurrent balanitis, circumcision may be advised. Circumcision has been proven to reduce risks of balanitis in the long run as bacterias are less trapped within the foreskin to cause infection. 

Grade 1

Penis is larger but not hard

Grade 2

Penis is hard but not enough for penetration

Grade 3

Penis is hard enough for penetration but not completely hard

Grade 4

Penis is completely hard
Our Recommendation

The treatment of Penile Rash depends heavily on the cause. Please consult your healthcare provider before deciding the suitable treatment. 

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Skin Swab Test

To look for pathogen causing superficial skin infection

STD test recommended will depend on symptoms

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Urine FEME, Culture and Sensitivity

To look for urinary infection if urinary symptoms are present

Health conditions such as Diabetes may cause recurrent posthitis

Medication

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

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Injection

The frequency of injection depends on type of Testosterone. Short acting testosterone could be administered weekly to bi-weekly while long acting testosterone could be administered three monthly.

 

Pro: 

• Infrequent dosing 

• Easy to discontinue 

• Cost efficient 

 

Con: 

• Pain at site of injection 

• T levels may fluctuate 

• Frequent office visits
(
If self administered, proper disposal is required)

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Gel

Frequency of application - to be applied on a daily basis

 

Pro: 

• Easy to apply 

• Easy to discontinue 

• Generic brands available 

 

Con: 

• Risk of exposure to others (possible of absorption by others via touch) 

• Possible skin irritation 

• T levels may need to be measured frequently to ensure adequate absorption

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Pellet

Frequency of application - Every 3-6 months

 

Pro: 

• Quick Onset

• Infrequent dosing 

• No transference 

 

Con: 

• Cannot easily adjust dosage 

• Risk of fibrosis at injection site 

• Requires physician and surgically approved site

Treatment

Surgery

Circumcision

Principle of therapy:
Circumcision is a procedure that removes the foreskin from the human penis. In the most common form of the operation, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised.

Duration of Surgery:
45 minutes to 1 hour

Pre-procedure preparation: Advisable to come with a family member/friend. Prior topical anaesthesia will be given to be applied over penile shaft and base to reduce pain during surgery and nerve block injection.

Post-procedure care:
Minimal bleeding is normal post circumcision. Compression bandage and bed rest may be advised during first day post procedure. Wound would be bandaged for at least 3 days. Wound inspection would be done on day 3 after surgery, after which bandage would be removed and further follow up usually not required unless further complications should happen. Wound should be kept dry at all times after surgery. Make sure to dry/ blow dry with hair dryer after shower. Sutures used are usually absorbable suture – no need for removal.

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