Hello, The sores on penis and pain during retraction of the foreskin indicates balanitis issue following scabies infection. My guidelines at present - Cleansing of local part with antiseptic liquid or soap - Sitz bath with lukewarm water added epsom salt and lavender oil - Try to pull the foreskin for cleansing purpose till the pain threshold permit the same - Avoid masturbation and sexual activities (if involved) - Plenty of liquids to prevent secondary bacterial infection - Continue Permethrin local application - Discuss the role and need of steroids in your case with your doc - Control blood sugar - Consume balanced nutritious diet to combat the condition more faster - Avoid contacts with any other people to prevent contagious spread Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon