For some time I have symptoms of inflammation, chapped and redness of the skin of the penis. It is very annoying and I urinate normally, but perhaps more annoying when I have sex. What may be due? It’s very serious? What type of treatment should I follow?
From what I can tell, the affected skin is the foreskin and is a lichen sclerosus.
Atrophic lichen sclerosus and is an inflammatory disease of unknown cause, most likely autoimmune basis, which mainly affects the papillary dermis and is characterized by the development of papules and plaques with whitish scar appearance, which often have areas of ecchymosis.
In the male usually affects the glans and coronal sulcus, there may be involvement of the foreskin with formation of a sclerotic ring and inability to retract the foreskin (it is the most common cause of acquired phimosis in boys). These affecting the glans and foreskin lesions are termed xerotica and balanitis obliterans.
In women there may be involvement of the labia majora, labia and perineal region, resulting in scars and vulvar introitus. Skin involvement is less common and is characterized by the development of whitish papules a few millimeters.
Treatment includes topical or intralesional corticosteroids. In males you can perform a circumcision.
For the final diagnosis can be performed taking a skin biopsy it can also be performed bacterial and fungal culture to rule out infection.