A member asked:

Pls help! been on nizoral (ketoconazole) cream 2percnt for 1 n half weeks now for recurring balanitis. so far little improvment. will it get better? its depressing

4 doctors weighed in across 2 answers

No, its not fungal!: Balanitis can be a generic term for inflammation of the glans penis. If an antifungal cream hasn't worked, the next step is a weak cortisone salve such as Hydrocortisone 1%. If it is to be 'steroid' responsive you will know in 10-14 days. The differential diagnosis can be extensive but most commonly it is psoriasis, lichen planus, or contact dermatitis. See a dermatologist to get a diagnosis!

Answered 5/18/2016

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Dr. James Lin answered

Here are...: = irritating / itchy rashes on glans penis in those having long foreskin usually with poor hygiene; = may be acute or chronically recurring; = key rx is gentle cleaning ; drying the foreskin regularly, especially after each peeing plus timely ; thinly applying antifungal/steroid cream; definite rx is circumcision + good hygiene.

Answered 5/19/2014

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