Question: I have an inflammation of the prepuice, due to some infection. I've gone through a 5 day course of amoxicillin, about 7 days of augmentin, and for the last month or so I've been on doxycycline. About one tablet of doxy-1 keeps the inflammation manageable, but still there. Not taking it increases the inflammation. Is there any approach that can be taken to correct this without circumcision?I should perhaps add a little additional history :

The first symptoms started with a stye in the eye, for which the amoxicillin course was prescribed. The white clumps of material of the head of the penis showed up about 4 days into that course. Inflammation and phimosis quickly followed. The augmentin course was also a 5 day course. The inflammation almost entirely cleared up about 4 days into the course, but was back on the 5th day, dud to which the course was extended for two more days. Doxy-1 produced a similar response, about 3-4 days of 2 per day reduced inflammation significantly, but never completely. Increasing dose to once every 10 hours or so improved the situation, almost clearing up inflammation briefly. Not wanting to continue high-dose antibiotics for such a long time, I've been taking 1 capsule of doxy-1 a day for the last couple of weeks. The inflammation isn't causing any problems during urination. Some mild discomfort in the form of a slight itch, ocassionally, and pain in the foreskin following erections is there.

The infection itself is still present. Circumcision will remove the infection, sure, but an infection in the liver isn't treated by removing the liver. Is is possible to first eliminate the infection, to the point where it can be confirmed as removed by a white cell count? As a lay person, the use of topical antibiotics and/or stronger antibiotics, possibly guided by some sort of susceptibility study of cultures of the infection seems like the more natural first steps to these solutions. Are such things possible in the XXXXXXX medical environment? Where could one expect to get healthcare of that quality.

If the scarring then proves permanent, circumcision may be necessary, I concede, but I would like to be absolutely sure that the phimosis is caused by scarring and not by a still present infection.

Also, are there other, less destructive options instead of circumcision, such as partial removal / surgical alteration of the effected region of the foreskin?

I'm sorry. Thank you for your quick reply, but you misunderstood my question. The infection still persists. There continues to be smegma build-up, the inflammation still responds to the antibiotic (by increasing when antibiotic is not taken), topical corticosteroids reduce the level of inflammation without fail, meaning that there still is inflammation likely due to infection, and not just scarring. I would like to get rid of the infection _BEFORE_ going in for surgery to correct any scarring that may have occurred. I'm willing to try stronger antibiotics, topical antibiotics, or have the infection tested in whatever way possible to determine what the infection is an what the best way to fight it is. To that end, I'd like to be able to do it in a reasonably guided manner instead of randomly selecting antibiotics without knowing about them.
1) Is there anything I can say at a hospital or a path centre to have the infection tested for organism and/or antibiotic susceptibility of the organism
2) Is there an antibiotic stronger than Doxy-1 available that can be tried or is indicated in such infections
3) Is it possible that the infection is, in fact, caused by candida and not by bacteria? Note that the symptoms of the foreskin started 4 days into a course of amoxicillin for an infection in the eye, and a day after the eye itself cleared up fully. Would a course of fluconazole make sense in such a situation?