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Expert: Stephen W. Leslie, MD - 11/6/2009


Question
My boyfriend has been complaining about his stinging penis. the tip burns during and just after urination and ejaculation. He also had a small "ring" of white flakiness at the tip which now looks more crusty or scab-like. he's been on an oral antibiotic and was told to put a fusidin cream on by his dr. it seemed to clear but the stinging and scab-like appearance are back. is this just a bad bacterial infection that needs more antibiotics or could it be something else, more serious? we have both been tested negative for HIV but I dis get vaginal thrush quite severely a few months ago. is it possible we're passing on the fungus back and forth? although we've both taken an oral anti-fungal and stopped using vaseline for lubrication.

Answer
Nadia:

While a fungal infection is possible, some other infection seems more likely.  Vaseline is not a good lubricant because it persists much too long and remains greasy.  A water soluble lubricant like K-Y jelly or Surgilube would be preferred for lubrication.  Consider a consult with a urologist or infectious disease specialist to sort this out for you.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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