Damaged penis pt.3.Well I finally went to the doctor(s).A dermatologist and my urologist.I told the derm. about the Lotrisone and he said two weeks would not do any harm.But the nyastatin/triamcinolone that I used had thinned the skin on the left side of my penis.I used it only for three day intervals 6 times over three and a half months.He said it could have possibly permanantly thinned the skin.He said also it is much weaker than the lotrisone but can still have the same side effects.I went to my urologist who prescribed the nyastatin/triamcinolone.He said I see some skin change but dont worry about.The derm. really did not say there was anything to do for thin skin.you say atrophy is temporaryis there a chance of the skin thickness returning even after 6 months.Is there any treatment for strenghthing thin skin.I am only 30.How will this skin stand the test of time.The skin has never torn but it does get abrasions very easy.I only used 1/3 of a 30g tube.Why would urologist have prescribed something that would do this?he even gave me 3 refills.He is also a friend of the family.Help
2014-12-09 03:25:07
Hello Thanks for posting your query. I can understand your concern for the unsightly scars. Well these scars are due to post inflammatory hyperpigmentation. Hyperpigmentation occurs as brown macules or patches often with a poorly defined border irregular in outline and usually with little surface change. It is usually due to inflammatory conditions like infections or acne or trauma both of which were present in your case. It can either be epidermal or dermal melanosis. It is light brown to black with a lighter brown appearance if the pigment is within the epidermis (ie epidermal melanosis) and a darker gray to bluish appearance if lesions contain dermal melanin (ie dermal melanosis). In your case it looks more like epidermal melanosis. Regarding the treatment part it is quite tough for post inflammatory hyperpigmenttaion. Topical treatment is quite effective for epidermal hypermelanosis but none is proven effective for dermal hypermelanosis. Daily use of a broad-spectrum sunscreen (sun protection factor [SPF] 15 or greater) is very useful. Hence considering the topical treatment one is hydroquinone which you have already used. Apart from that tretinoin cream corticosteroids glycolic acid (GA) and azelaic acid are quite useful but please do not use them without medical guidance as they have potential side effects as well. Moreover a combination of topical creams and gels chemical peels and sunscreens may be necessary for significant improvement. Glycolic acid peels in combination with tretinoin and hydroquinone are an effective treatment of postinflammatory hyperpigmentation in dark-complexioned individuals. This is usually followed by topical steroids. But as mentioned before they are useful for epidermal hyperpigmentation. Other treatment options include use of trichloroacetic acid and gentle cryotherapy with liquid nitrogen But they can cause tissue necrosis and hence should be used with caution by a medical specialist. This is quite effective in individuals who are not dark skinned. Lastly fractional photothermolysis may be used after or in conjunction with ablative carbon dioxide laser resurfacing and this is quite effective for dermal melanosis. You can get the topical treatment prescribed by your dermatologist (one of them being hydroquinone which you were using) and if it fails then other treatment options can be tried. But treating post inflammatory hyperpigmentation requires patience and you should regularly follow up with your dermatologist. Hope that this information helps and hope that you get better soon. Wishing you good health. 15:26:24 olive 2014/12/9 15:26:24 As the dermatologist said Lotrisone has a stronger steroid than triamcinolone. Whilie it is in theory true that thriamcinolone can thin the skin 1) 6 times over 3 months wouldn't do it and 2) atrophy is reversible. It seems that the dermatologist is interpreting some whiteness as atrophy while the urologist is interpreting it just as color change. Abrasions can happen on any thickness of skin; atrophy would result in skin breakdown which you say is not happening. Lots of people use triamcinolone or the equivalent on the penis and nothing happens to them. There is in any case nothing to be done for atrophy but wait even if you have atrophy which I believe you do not. If you need added reassurance show the white patch to another dermatologist. But my advice is to keep the skin lubricated to avoid or minimize abrasions and just leave it alone otherwise. You'll be fine if you give yourself a chance. Best.
2014-12-09 03:27:08
