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Suggest Treatment For Abrasions On Penis Post Intercourse

Posted on Tue, 16 Dec 2014

Question: Hi
I got a slight / wound on my penis vain where the upper skin is connected to inner red stem on the top(due to insufficient lubricant/sharp hair at vaginal area).

How can i heal it?

Answered by Dr. Dr. Kakkar (7 minutes later)

Brief Answer:
Traumatic wound

Detailed Answer:
Hello. Thanks for writing to us at healthcaremagic

I have gone through your query.

You may use an OTC topical antibacterial e.g 2% mupirocin ointment, twice daily.

Regards

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

Follow up: Dr. Dr. Kakkar (8 minutes later)

Can you please prescribe a brand /medicine name for the oinment?

Answered by Dr. Dr. Kakkar (19 minutes later)

Brief Answer:
Topical antibacterial

Detailed Answer:
Hi.

Dear User, I can provide you with generic names only.
I can provide you with a few other options of topical antibacterials that can also be used in your case e.g Fusidic acid, framycetin sulphate, Neomycin etc. You may visit a nearby dug store and inquire for an OTC topical antibacterial brand that is available with them
For a prescription you need to visit your local practitioner for the needful.

Regards
Take care

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

Follow up: Dr. Dr. Kakkar (47 hours later)

Hi
Further to the trailing information,

The mild wound formed persists and the foreskin around the wound is swollen so that the foreskin can't be moved up.

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Candidal balanoposthitis

Detailed Answer:
Hi.

I will keep a possibility of Candidal Balanoposthitis. I guess it would be a little itchy too. However, I would prefer a photograph to be sure.

Is there any history of vaginal discharge/vulval itching in your sexual partner?

For candidal balanoposthtitis, I would suggest a topical antifungal e.g clotrimzole 1% cream twice daily for 7 days.
A single dose of an Oral antifungal e.g Fluconazole will also be curative. Oral antifungals are prescription drugs. I would suggest that you visit a specialist for a confirmatory diagnosis.

Regards

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Dr. Kakkar (23 hours later)

Hi Doctor
I have attached the photos of infected area as on date.

Wound is formed by wear and tear only due to insufficient lubricants and my partner has no history of any inflammation.

I am continuing Mupirocin. Swelling and pus has reduced. Since Wound is on vain as seen in photo, it creates itchy and painful sensation. Also since it is not exposed, thewound remains as it is without getting healed /dried

Answered by Dr. Dr. Kakkar (31 minutes later)

Brief Answer:
Herpes Genitalis; upload another clear photo

Detailed Answer:
Hi.

Thanks for the photographs. Photograph makes a lot of difference in helping with diagnosis.
I can clearly see that there are 2 erosions on the upper side of penis skin and probably there are a few more erosions/ulcers on the undersurface as well but they are not very clear in this photograph.
Can you upload another photograph taken in good light and with good clarity? Make sure the lesions are clearly visible.
Previously I was just speculating about the diagnosis based on your description but I would like to keep another possibility of Herpes Genitalis after having a look at the photograph.
I will now exclude candidal balanoposthitis after having a look at the photograph and i don't think it is because of trauma.
I would suggest that you continue with mupirocin ointment. If this is indeed herpes genitalis, a course of an oral antiviral would be required.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

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