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Suggest Remedies For Scarring On The Penis Caused By Fungal Infections

Posted on Mon, 24 Oct 2016

Question: hi, I am a 53 year old man with what my urologist calls scarring from fungal infections on my penis. Are there any ways to improve appearance?

Answered by Dr. Dr. Kakkar (26 minutes later)

Brief Answer:
Kindly upload an Image

Detailed Answer:
Hello. Thank you for writing to us.

I am dr.kakkar(dermatologist and venereologist). I have gone through your query and i have noted your concern.

Fungal infections usually do not lead to scaring.

I request you to kindly upload an Image of the affected area so that I am able to guide you better. You may upload an Image in "Reports Section"

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Kakkar (7 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Dr. Kakkar (17 hours later)

Brief Answer:
Lichen Sclerosis et Atrophicus

Detailed Answer:
Hi.

Thank you. I have reviewed the Images.
I would keep a possibility of lichen sclerosis et atrophicus (LSeA) rather than a consequence of fungal infection.
I suggest you to use a moderately potent topical steroid e.g mometasone furoate 0.1% cream, twice daily.

Regards

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

Follow up: Dr. Dr. Kakkar (1 hour later)

Will this improve the appearance? My urologist will not reconsider his diagnosis. Have called him twice in the past two weeks.
Do I need a prescription for this steroid cream?

Answered by Dr. Dr. Kakkar (16 hours later)

Brief Answer:
Mometasone furoate is a prescription steroid

Detailed Answer:
Hi

Yes. This cream should help.
Mometasone furoate is a prescription topical steroid. You should contact a dermatologist for a prescription.
An alternative to topical steroid is topical tacrolimus ointment. It is also a prescription product.

Regards

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

Follow up: Dr. Dr. Kakkar (2 days later)

Is it common for the skin to turn white over such a large area in lichen sclerosis?

Answered by Dr. Dr. Kakkar (11 hours later)

Brief Answer:
LSeA can be extensive

Detailed Answer:
Hi.

Yes, LSeA can involve a large part of genital mucosa. LSeA can also involve extragenital skin. Involvement varies from individual to individual.
You may use either mometasone furoate 0.1% ointment or tacrolimus 0.1% ointment, 2x daily for a few weeks.

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