Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion- In the given situation-You seem to suffer from Balanoposthitis with accompanied Herpes.The irritation with white grannules could be from Herpes Virus infection. For to fix exact diagnosis,You would need Consults with Surgeon and PCR test for Herpes and LCr(ligase Chain reaction) test to rule out any accompanied STD with it in the past with current activity. Recurrence with herpes is very common. Post bowel movement hygiene and cleanliness of private parts,is the most common way to prevent its recurrence version. Do s Suggested- Tab Acyclovir x 2 weeks time Add antibiotics-like Oflox with Ornidazole x 1 week. Local good hygiene. Rule out causes weakening body defences,like HIV and others. Cryo Cautery/ Electric fulguratoin of herpes bumps/ would be needed in your case. Further suggestions in this regard would need more information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS