Hello dear Understand your concern. I think you are suffering from chronic genital dysaesthesia. In which burning pain heat and irritation like feelings in the scrotum and penis area occur. On examination there is redness and tenderness. Exact cause is not known but following factors are associated: Genetic tendancy Vascular hyperactivity Nerve compression and over activity chronic use of steroid ointment So consult the dermatologist for diagnosis Advice: Use non soap cleaner Use liquid based lotion that contain mineral and viatamins Do not use antiseptics and deodrents Wear loose pure cotton garments Cold compression by using pad 1 % methanol based ointment application Pimecromilus cream Antibiotics: doxycycline For pain : amitryptaline anf gabapentine Avoid use of steroid based cream Hope this may help you Best regards Dr. Sagar