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Have Painless Red Patch On Foreskin. What Could It Be?

Posted on Sat, 13 Oct 2012

Question: Hi Doc,

I am 24 ,male
I am really worried because there is a painless red patch on my foreskin, what could it be? ( i am really worried it is a cancer)
Here are the images
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Ok now, if I touch it with mild scrubbing pressure, i can feel a slight skin irritation pain-like

Answered by Dr. Praveen Rodrigues (4 hours later)

Hi there.
i note the patch & request a little history therof.
How long ago did this patch start? Are you sexually active?
Last sexual act before noticing this patch? details please ..unprotected?
Any similar patches in past?
Any history of drug reactions/allergies?
Any family history or any cancer history in recent past? Why the fear of cancer?
Any recent blood tests or STD check-up's?
Please revert with answers to the above & would be better placed to answer your queries..cheers!
Dr Praveen Rodrigues MD
Dermatologist & Venereologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen Rodrigues (16 hours later)

I think this patch started about a week ago, i am not sexually active at all.I think this is my first red patch.
No drugs taken only vitamins and no allergies, and my family has no history of cancer.
I haven't done any STD checkup .I am scared that it is cancer because of google images when i typed this type of problem on penis =(
I put some antifungal cream/gel-like yesterday, it felt painful for the first 3 seconds when the cream touched the red patch and it seems like the redness is a better (not as vivid red color as before),any thought on this doc?

Thanks Doc

Answered by Dr. Praveen Rodrigues (8 hours later)

Hi there.
At the outset was going to suggest it does not look anything like a cancerous lesion. Now given your subsequent history, my belief is further re-inforced that there is no chance of any cancer. Dont go by google images.
Keep using your antifungal cream. You may mix it with a mild hydrocortisone cream 1:1 for some 2-3 days & then stop the hydrocortisone cream & continue the plain antifungal cream for a week. I dont know what cream you are using; but, i would go with topical Nizoral (2% ketoconazole) cream. Add a one time tablet of fluconazole 200mg one tablet (single one time dose) if this can be got over the counter in your part of the world!
Cheers & Relax. It is a simple matter, easily sorted. Please do close this query if all well & do send in your feedback/ratings if time permits. Wish you a continued good health!
Dr Praveen Rodrigues MD

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar