question-icon

What causes vertical fissures all round the circumference of foreskin?

default
Posted on Tue, 11 Aug 2015
Question: I ve getting these fissure or crack like appearings which are quite itchy or fiery when touched or washed with water.
The infection was cured after treated by doc by medicines listed below .. but after few days it reappears ..

first my penis foreskin n underskin starts to get white dead skin like layers .. then when I get erections the foreskin kind of ruptures and the fissures are formed as shown in the pic attached..

What is this exactly?
What is the name of this disease..?

(I have not had sexual contact since last 6 months still this is happening again and again

But I do mastrubate once a day and about 4 times a week

I am DIABETIC)


Is it a symptom of HIV AIDS ????


What should I do ?? I am so irritatted from the reoccurance of this disease...

will surgically removing my forskin stop the problem from reappearing in any other form??
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Candidal Balanoposthitis; Oral and Topical Antifungals

Detailed Answer:
Hello. Thank you for writing to us

I have gone through your query and I have also reviewed the Image.

I can see vertical cracks, fissures all round the circumference of prepuce/ foreskin. This is classical of Candidal Balanoposthitis.

Repeated candidal infections of glans and prepuce are common in diabetes patients and since you are a known diabetic therefore probably this is the reason for recurrence of candidal infection. This condition is usually itchy.

No, this i not a sign of HIV/ AIDS. This is not related to masturbation.

If I was the treating doctor I would treat this with a single dose of an Oral antifungal e.g Tablet Fluconazole.
Topically I would ask you to apply an antifungal cream e.g clotrimazole 1% cream preferably which also contains a mild topical steroid e.g beclomethasone dipropionate 0.025%, twice daily for 7 days.
You may clean this area with plain water. Avoid soap in this area.

The underlying cause i.e raised blood sugar must be regulated to levels within normal range Or else candidal balanoposthitis may recur.
Therefore I suggest that you get your blood sugar levels checked and take appropriate treatment if your sugar levels are raised above the normal range.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Kakkar (6 minutes later)
Yes very thanks for your explanation ..

But a query I have is ..

what is the white dead skin layer like peeloffs before fissures??

and


should I use only PLAIN cool or XXXXXXX warm water (without any kind of soap not even DOVE) even when the infection is cured for 365 days .. or only till the fissures are visible ??
doctor
Answered by Dr. Dr. Kakkar (38 minutes later)
Brief Answer:
Always use lukewarm plain water to clean delicate genital skin

Detailed Answer:
Hi.

Dead skin that peels off is exfoliated epidermis that gets accumulated.
Use lukewarm plain water on all 365 days to clean this area. None of the soaps are not meant to be used on the delicate genital skin.

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

Dermatologist

Practicing since :2002

Answered : 9628 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes vertical fissures all round the circumference of foreskin?

Brief Answer: Candidal Balanoposthitis; Oral and Topical Antifungals Detailed Answer: Hello. Thank you for writing to us I have gone through your query and I have also reviewed the Image. I can see vertical cracks, fissures all round the circumference of prepuce/ foreskin. This is classical of Candidal Balanoposthitis. Repeated candidal infections of glans and prepuce are common in diabetes patients and since you are a known diabetic therefore probably this is the reason for recurrence of candidal infection. This condition is usually itchy. No, this i not a sign of HIV/ AIDS. This is not related to masturbation. If I was the treating doctor I would treat this with a single dose of an Oral antifungal e.g Tablet Fluconazole. Topically I would ask you to apply an antifungal cream e.g clotrimazole 1% cream preferably which also contains a mild topical steroid e.g beclomethasone dipropionate 0.025%, twice daily for 7 days. You may clean this area with plain water. Avoid soap in this area. The underlying cause i.e raised blood sugar must be regulated to levels within normal range Or else candidal balanoposthitis may recur. Therefore I suggest that you get your blood sugar levels checked and take appropriate treatment if your sugar levels are raised above the normal range. Regards