Penile Rash/Balanitis Not Responding to Treatment

This all began when it started to burn while I urinated. I went to the doctors because I thought it was a UTI, but the test came back negative. Got tested for STD's, the tests also came back negative. Ok no big deal, I thought. Maybe this will go away on its own. I then started developing a rash on the tip of the penis and along the base that burned post urination and during ejaculation. I did some research online and thought it was probably a yeast infection. Bought some Canesten and tried applying it twice a day for a week. I also took the pill (Fluconazole). This resulted in no change in the symptoms. Went back to the doc, who then prescribed Fucidin H cream (Hydrocortisone 1% Fusidic Acid 2%). I rubbed it on twice a day for a week, no change. Went to a Urologist who did an examination (but no further tests) and told me I could get circumcised, but apart from that offered no further solutions. Told me it could be prostatitis. I then went to a Dermatologist, who looked at it and prescribed me Loprox anti-fungal cream with hydrocortisone (1%) told me to use it twice daily on the area for one month. I then switched to just Loprox because it appeared as though hydrocortisone was making the irritation worse. The Dermatologist told me to go see the urologist again if symptons don't improve. I'm still applying Loprox two weeks into treatment, and the changes are minimal if any. The rash goes down at the tip and expands at the base, almost triangular in shape. There are small scales (or maybe cracks) in the skin, and the area is red, almost as if inflamed. I have no discharge from the penis. Any kind of friction (i.e. masturbation) makes the redness and burning much, much worse. I have been abstaining from that for now and only washing the area with warm water. I have thrown out all my heavily scented soaps. I am in the process of attempting to get an appointment with another urologist in order to get a second opinion. Topical creams don't seem to be doing much, but I am going to keep putting Loprox on it for now. I feel like the Docs have been kind of brushing me off/don't want or don't know how to deal with balanitis. Nothing I am really doing is working, so I'm wondering if anyone else has any solutions. The following links I will attach contain some photos of the condition I'm experiencing: https://imgur.com/a/Pu6PKu7 https://ibb.co/icNeLq https://ibb.co/cNmTDA

imageimage image image

some images attached

It could be a serious case of yeast infections. You should consider taking oral fluconazole (Diflucan) combined with using a hydrocortisone cream or Fugacil cream, which may take one to two weeks for healing. Avoid having sex until the infection is fully healed. Practice good hygiene. Always keep your penis and genitals clean and dry. Eat natural yogurt or consume probiotic supplements for relief.

Hi, have I not responded to you on this issue that you have posted elsewhere on this site? The term Balanitis is a generic term for redness and irritation at the end of the penis. From your experience with Doctors it sounds like you are wasting your time going back to them. Your best hope is that Urology will find the solution for you. You could have one of several things actually causing this - keep to washing the head of your penis with water only. When taking a shower draw your foreskin as far forward as you can to protect the head / glans of penis, then when you have fully rinsed everything off, expose the head of your penis and rub with the inside of your hand. Washing is the first part - you must then 100% dry your entire penis immediately after washing it - always do this first, then elsewhere on your body after a shower. Do not apply anything such as a Lube, Skin Cream / Lotion - in short, anything that is chemical based.
The Loprox is an antifungal - you may need to move to a Steroidal ointment, such as Clobetasol, at least until you start getting positive results .... you need to work with a urologist until you find a solution to what you have

HI .. i am interested in this as a male friend has similar looking. Forget abt the creams (esp cortisone) as (in his case at least) any type of cream causes instant irritaion etc. May i ask - does it "get better" if left to dry and does the redness and inflammation settle down if there is no activity?

Approx how long this going on and was there any previous history of hydrocortisone / antifungal or topical anti viral or anti bacterial as suspicion these "trigger the inflammation" Jenny

Hi Jenny, of course any masturbation or sexual activity will not help with inflammation, particularly anything of a prolonged nature. It is usually the friction part - particularly if he is uncircumcised. In terms of will it get better - that is all dependent on the underlying cause, a Urologist or an Dermatologist may be useful in getting to the bottom of what is going on. One simple thing he can do is to avoid applying anything at all to the penis .... here is some advice I have just posted for someone else - if you can get him to do ALL of this, hopefully that will produce a positive reaction and a lessening of symptoms. BE AWARE, if he is not treating the cause the symptoms will always return ....... GENERAL ADVICE

In the mean time abstain from applying anything at all to your penis - wash the head / glans with water only, dry 100% immediately afterwards, draw your foreskin as far forward as you can each time you shower to protect the head, once you have thoroughly rinsed everything off, expose the head of your penis and rub with the inside of your hand only. Don't apply any Lubes, Baby Oil, Moisturiser or Skin Creams / Lotions to it. If you are sexually active, or Masturbate, clear away any fluids from the entire surface of the head of your penis as soon as you can. If you use condoms regularly try doing without the need to use them for a few weeks. By doing all these things hopefully you will get a positive reaction. If you use any of the things I have listed to avoid, on a regular basis at the moment, you can reintroduce them one at a time and see if symptoms return to discover what the potential cause was ... As ever, if it worsens considerably seek Professional Medical advice .....

hi. i have the same problem too. ive been to the men specialist several times and prescribed me with antibiotics and cream. i went urologist too. urologist mentioned that my penis skin is too thick and need to cut the skin. i refused it. any idea what is it? men specialist said yeast infections but the urologist said its due of too long penis skin. *Jack. how is yours doing? any good progress?

I already took oral Fluconazole, and combined that with Canesten cream twice a day for a week, did nothing. I also applied Loprox for almost 4 weeks, and that did nothing. I have been trying to stay as clean as possible, bathing at least once a day.

This is my first time posting on this site, but it looks like there are many men that are dealing with this issue and not able to find any solutions.

I have an appointment with another Urologist in February. The first one I went to was useless and offered no solutions. He didn't really know what was going on.

I have tried hydrocortisone steroid creams, and they only seemed to aggravate things further. I am currently applying Loprox but I am going to stop because it's been almost four weeks and there has been next to no change and it burns on application.

So right now I am just going to put nothing on it, and wash it with warm water in the shower daily and make sure its dry, see if that helps.

Hello Jenny,

It seemed like hydrocortisone creams for me caused further irritation, so I stopped using them. The redness does seem to go down if there's no activity or friction but it always seems to be there in some form or another.

This has been going on for 3 months now, it started in August and it is now November.

I wasn't using any anti-biotics, but I was using an anti-fungal for jock itch in the groin area on occasion. I have been applied two different anti fungal creams to the gland but they haven't done anything so I am going to stop.

Hi Lee,

Not much progress to report on my end. I've been using an anti-fungal cream for almost 4 weeks on the area and it hasn't helped much so I'm stopping that. I went to a Urologist and he said there was basically nothing he could do for me. I have another appointment with a different urologist in a few months.

Right now I am just going to leave it alone and wash it with warm water, make sure its dry afterwards. The creams I've been prescribed haven't helped much at all.

Try Vagisil cream (purple tube). Can be purchased from amazon or walmart. Should help. Even if there is no itching the formulas used will help with the redness/rash. Should be able to see a difference within 3 days. Reply on this forum with an update. So far it has helped with another person will similar images.

bumping this up, 5 weeks later its still here...

im dealing with similar issues. went to my doctor and he gave me ketoconazole ointment. did not help. Then i went to a urologist who said it didnt seem like anything to be worried about. i have tried coconut oil, cortizone, vitamin e. dermatologist i saw advised aquaphor. it is still red and a little discolored. wish we could all finally get to the bottom of this and get some peace of mind!

Haven't tried Vagisil Cream but i have tried calamine and neosporin, those are the two things that seem to provide symptom relief for me

I hear you. Does it burn or sting when you ejaculate or urinate by any chance?

bumping this discussion up again to see if someone has any insight...

i have the same problem as well. Done possible tests for stis and came back negative. it occurred 7 days after i had sex protected, but the condom broke therefore had myself checked for the stis. I started to use canestan clotrimazole antifungal cream today. Hope it goes away. Below is a picture before i stared using the cream. If anybody has any idea what this could be please help. I am constantly thinking about this and is affecting my work and lifestyle. Would be really grateful as to if someone could suggest what this could be and a possible solution for it.image

also it doesnt hurt when touched or when peeing.

Jack, are you still due to see a Urologist in February? Whatever the case - may I suggest you start a new forum post and specify what it is that has helped since you started dealing with this issue? It is difficult to follow just what has gone of for you with all the different replies ........