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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.

Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.

Organizations
American Medical Association, American Urological Association, American College of Surgeons

 
   

You are here:  Experts > Health/Fitness > Urology > Urology > Itching/No sign of Rash

Urology - Itching/No sign of Rash


Expert: Arthur Goldstein, M.D. - 3/9/2007

Question
(Males, 18, Jock Itch SPray, Cortizone, Chicago, Il) For 2 weeks, I have felt like I have had an overall itchy and irritated genital area. I went to the doctor (not a urologist or dermatologist) for her to check out the are and she found no rash or signs of anything.  I was wondering if anything could be causing itching of the scrotum and penis area and I even have felt my penis is seemlingly somewhat colder than normal.

Answer
Zach, the most common cause of scrotal itching is a fungal infection, so called “jock itch”.  It typically involves the creases of the groin and the lateral walls of the scrotum.  The area is usually red and can show a circular pattern (”ring worm”).  This is best treated with an anti-fungal cream such as Lotrimin,   Itch in this area without a rash is also common.  It is often caused by a chemical your skin is contacting that it is very sensitive to.  It requires a bit of trial and error to find the offending agent.  Such items might include your laundry detergent, shower soap, or chemical residue on your hands from work, etc.  Agents such as the laundry detergent Tide Free for Sensitive Skin and Dove soap for showering should be considered.  Another frequent etiology of genital itch, especially in the winter months is drying of the skin.  Talcum powder may help.  Cortisone creams or sprays may provide temporary relief as they are anti-inflammatory but long term use is not advised. The use of Cetaphil Gentle Skin Cleanser  on the genital area at the end of showering often re-lubricates the skin and relieves symptoms of itching. the sensation of coolness to the penis is quite subjective and unrelated.  I doubt this is due to any disease and is noticed because the itch is focusing your attention to the area.  It will go away when your itch disappears.  If you try these options and are no better, consultation with a urologist or dermatologist is suggested.  Good luck.

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