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How to get rid of red scratch at urethral opening?

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Posted on Wed, 2 Jul 2014
Question: I've had a red mark/scratch at opening of my urethra ever since I passed a kidney stone 2 years ago
Wondering how to get rid of it. I uploaded a picture today when I asked the question to you guys there. He said I should see a dermatologist
doctor
Answered by Dr. Dr. Kakkar (36 minutes later)
Brief Answer:
Need more information

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query. I have also looked at the Image.

I would keep a possibility of either Lichen planus Or Erythroplasia of queyart.

I would suggest a Biopsy for confirmatory diagnosis.

I would like to gather some more information from you in order to be able to guide you better.

-Has it never healed ever since you noticed it?OR does it recur after healing?Was it at the same spot since you noticed it?
-What are the symptoms?Any itching/pain/burning sensation/bleeding/crusting etc?
-Are you sexually active?How many sexual partners do you have?
-What was the response to the topical medication?Did it regress?
-Can you upload a few more Digital Images with good clarity?

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (42 minutes later)
It got better after using the BACTROBAN
But when I stop using it the problem comes back after awhile. The hydrocortisone seemed to help a bit but not much.
There is no itching or burning or pus or blood. Just discomfort every once in awhile
It seems to get better for awhile then I start having the discomfort again
It has been at same spot since I noticed it
Only been with my wife since we were married 7 years ago
I don't have any better pictures but I can sure try and get some

f I have that querat thing I think I'll just shoot myself now. Just looked at some pictures and that's nasty stuff
Just to help put my mind at ease
....... If I did have that wouldn't my very small red /scratch have blown up to more then it has in the 2 years since I notices it?

I'm also concerned about your mention of a biopsy How exactly would that be done on something so small. And what kind of scare might that leave?
doctor
Answered by Dr. Dr. Kakkar (51 minutes later)
Brief Answer:
Upload a few more good clarity digital Images

Detailed Answer:
Hi.

Erythroplasia of Queyrat manifests itself by single or multiple asymptomatic papules or plaques on the glans penis, or periurethrally, predominantly in uncircumcised men, age range from twenty to eighty years of age. The disease progresses slowly, and the interval between onset and diagnosis may be years.

It can only be confirmed by histopathology which should be done for such a long standing lesion of unknown etiology. The biopsy would be done under local anesthesia. Might leave a very small scar.

Kindly upload more Digital good clarity pictures

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (1 hour later)
I uploaded another photo. I hope you can see more detail on it. But I'm not sure if it's going to be good enough. If not I'll keep trying
doctor
Answered by Dr. Dr. Kakkar (8 hours later)
Brief Answer:
Try uploading again

Detailed Answer:
Hi.

Sorry, I did'nt receive your recent Image. Try uploading it again in the reports section OR you can email me on YYYY@YYYY

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (30 hours later)
I've uploaded another picture hope you can see it
doctor
Answered by Dr. Dr. Kakkar (19 hours later)
Brief Answer:
Apply topical moderately potent steroid

Detailed Answer:
Hi.

Thanks for the picture, this is a much better one. Of course it is not classical erythroplasia since it is just a small spot.

I would suggest that rather than using hydrocortisone, you may first be try empirical treatment with a topical moderately potent topical steroid e.g mometasone propionate,, twice daily for 2 weeks and then follow it up.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9628 Questions

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How to get rid of red scratch at urethral opening?

Brief Answer: Need more information Detailed Answer: Hello and welcome to healthcaremagic I am Dr. Kakkar. I have gone through your query. I have also looked at the Image. I would keep a possibility of either Lichen planus Or Erythroplasia of queyart. I would suggest a Biopsy for confirmatory diagnosis. I would like to gather some more information from you in order to be able to guide you better. -Has it never healed ever since you noticed it?OR does it recur after healing?Was it at the same spot since you noticed it? -What are the symptoms?Any itching/pain/burning sensation/bleeding/crusting etc? -Are you sexually active?How many sexual partners do you have? -What was the response to the topical medication?Did it regress? -Can you upload a few more Digital Images with good clarity? Regards