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Have Phomosis. Prominent Phimotic Ring And White Patches Appeared On Foreskin. What Are The Chances Of Penile Cancer Or BXO?

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Posted on Sat, 28 Jul 2012
Question: hi
i have phomosis since i was 19 but at that time it was slow and i vasn't knowing about it but i am 25 now and foreskin has developed a prominent phimotic ring.....white patches have developed on the foreskin whic comes out as flakes or threads of skin when scratched gently........recently ihave seen white patches on my glans just beside the frenulum..........these patches also come out as threads of flake from time to time......though i thought it as smegma retention but now i am thinking that its bit more serious than that ...............
i have consulted a lot of docs but none has given me right advice....please suggest me right doctor for this in the eastern region....i am worried...........two things are intriguing me 1. BXO and next 2.PENILE CANCER
please help
doctor
Answered by Dr. Pavan Kumar Gupta (2 hours later)
Hello XXXXXXX
Thanks or the query.
You seem to be suffering from balanoposthitis.
It is defined  as the inflammation of the foreskin and glans in uncircumcised males. Balanoposthitis  occurs over a wide age range and may have any of multiple bacterial or fungal origins.
 Complex infections have been well documented, often from a poorly retractile foreskin and poor hygiene that leads to colonization and overgrowth.
 Treatment focuses on clearing the acute infection and preventing recurrent inflammation/infection through improved hygiene. Although not as necessary as in the past, circumcision may be considered for refractory or recurrent balanoposthitis. 
Topical antibiotics (metronidazole cream) and antifungals (clotrimazole cream) or low-potency steroid creams for contact dermatitides often lead to clearing of the lesion.[30, 31]
Proper hygiene with frequent washing and drying of the prepuce is an essential preventive measure.
Circumcision may be advocated in recurrent and recalcitrant cases. 
Although circumcision has been advocated for refractory or recurrent cases, this is now primarily used if improved drying and hygiene are not effective.

It is not phimosis as you can retract the skin.
Nobody can retract the foreskin of an erect penis.
Get your blood sugar tested to rule out diabetes

You should consult a general surgeon in medical college of your area or a government hospital in your area for the treatment.
It doesn't look like penis cancer.
I hope to have answered your query however you may revert to me for any further query.
Best of luck.
Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (6 hours later)
ok sir
i have attatched some pics plzz look it once
i ll like to ask you that ....as u said it is not phimosis ...but if u read my querry carefully. u will find thet i mentioned about a ring being formed. My foreskin formed a ring like structure near the head of fore skin ....which make retraction difficult.............u ruled out Penile cancer but what about BXO??
that worries me....as i ll like to tell you that there is no itching and pain is also momentarily and very rare like never

sir i ll be obliged if you can suggest me some aprpriate docs in kolkata so that i can get examined and treated.................................and also can you tell me that if blanoposittihis is curable or not??? i do look after hygine and wash my penis two times aq day
doctor
Answered by Dr. Pavan Kumar Gupta (17 minutes later)
Hello
It may or may not be BXO.
the best would be to go to the medical college in Kolkata and consult a urologist for the proper diagnosis of your condition.
Thanks
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Have Phomosis. Prominent Phimotic Ring And White Patches Appeared On Foreskin. What Are The Chances Of Penile Cancer Or BXO?

Hello XXXXXXX
Thanks or the query.
You seem to be suffering from balanoposthitis.
It is defined  as the inflammation of the foreskin and glans in uncircumcised males. Balanoposthitis  occurs over a wide age range and may have any of multiple bacterial or fungal origins.
 Complex infections have been well documented, often from a poorly retractile foreskin and poor hygiene that leads to colonization and overgrowth.
 Treatment focuses on clearing the acute infection and preventing recurrent inflammation/infection through improved hygiene. Although not as necessary as in the past, circumcision may be considered for refractory or recurrent balanoposthitis. 
Topical antibiotics (metronidazole cream) and antifungals (clotrimazole cream) or low-potency steroid creams for contact dermatitides often lead to clearing of the lesion.[30, 31]
Proper hygiene with frequent washing and drying of the prepuce is an essential preventive measure.
Circumcision may be advocated in recurrent and recalcitrant cases. 
Although circumcision has been advocated for refractory or recurrent cases, this is now primarily used if improved drying and hygiene are not effective.

It is not phimosis as you can retract the skin.
Nobody can retract the foreskin of an erect penis.
Get your blood sugar tested to rule out diabetes

You should consult a general surgeon in medical college of your area or a government hospital in your area for the treatment.
It doesn't look like penis cancer.
I hope to have answered your query however you may revert to me for any further query.
Best of luck.
Thanks