<\/span><\/h2>\nMale genital dysesthesia is a form of cutaneous<\/span> dysesthesia and describes a burning sensation, heat, irritation, discomfort or increased sensitivity to touch of the penis, foreskin or scrotum. Some men with genital dysesthesia also find it difficult to wear underpants or sit. Symptoms can be very stressful and interrupt sexual function and \/ or sleep. The affected areas may appear redder than normal.<\/p>\nGenital dysesthesia generally does not itch (the desire to scratch). If the itch coexists with genital dysesthesia, it may be explained by the development of irritating<\/span> Contact dermatitis<\/span> due to various applications in the affected area, including soaps and creams.<\/p>\nOther names for male genital dysesthesia include:<\/p>\n
\n- The burning scrotum syndrome<\/span>\n<\/li>\n
- Peno-scroto-dynia (penile and scrotal pain) or scrotodynia, in which there is no redness.<\/li>\n
- Red scrotum syndrome, in which genital dysesthesia is accompanied by redness.<\/li>\n<\/ul>\n
Both men and women with genital dysesthesia may experience similar symptoms of burning, irritability, or discomfort in their genital region. In women, these symptoms are often called vulvodynia, which describes vulvar pain in the absence of primary<\/span> eruption<\/span>.<\/p>\n<\/span>Which men have genital dysesthesia?<\/span><\/h2>\nMost men with genital dysesthesia are over 60 years of age, light-skinned and of Caucasian ("European") descent. However, genital dysesthesia sometimes affects younger or darker-skinned men. They are generally healthy.<\/p>\n
Genital dysesthesia associated with redness and vascular<\/span> Hyperresponsiveness of the scrotum may be associated with rosacea, a common disorder in which facial redness causes persistent facial redness.<\/p>\n\n
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<\/span>What are the test results?<\/span><\/h2>\nIn many men with genital dysesthesia, the affected areas appear completely normal on close examination. However, the results sometimes include:<\/p>\n
\n- Red skin, particularly of the scrotum, often with sharp edges.<\/li>\n
- Broken blood vessels<\/span> (telangiectasia<\/span>)<\/li>\n
- Extreme tenderness<\/li>\n
- Pain sensation when lightly touched, e.g. with cotton swab (hyperesthesia or hyperalgesia)<\/li>\n<\/ul>\n
<\/span>What is the cause of genital dysesthesia?<\/span><\/h2>\nThe cause or causes of genital dysesthesia are often difficult to identify.<\/p>\n
\n- The sensations are due to hyperactivity. nerves<\/span> on the affected skin<\/li>\n
- Symptoms due to compression of nerve fibers on their way from the spine cable<\/span> It may be similar, for example, pudendal nerve entrapment. In this case, other symptoms may appear, such as urinary symptoms or disorders of sexual function.<\/li>\n
- Redness is caused by vascular hyperreactivity, perhaps due to the release of vascular activating substances from the nerve endings of the skin.<\/li>\n
- Redness may also arise as a consequence of long-term application of strong corticosteroid creams to genital tissue; On the face, this is called rosacea steroid.<\/li>\n
- Genital dysesthesia can be a condition similar to erythromelalgia, a condition in which there is burning and redness that affects the feet, or less frequently, the hands.<\/li>\n<\/ul>\n
Chronic<\/span> Genital dysesthesia is not caused by Cancer<\/span>. But to make sure this is the case, the affected skin, prostate, and spine must be carefully examined.<\/p>\nGenital dysesthesia is not due to infection<\/span>. However, blood tests and skin smears can be arranged to exclude sexually transmitted diseases (STDs), for example, genital herpes, which can cause fairly similar symptoms.<\/p>\nFactors that contribute to genital dysesthesia may include:<\/p>\n
\n- \nGenetic<\/span> trend<\/li>\n
- Back injury or spinal disease<\/li>\n
- Excessive use of strong current<\/span> corticosteroid creams.<\/li>\n<\/ul>\n
<\/span>Are special tests or investigations needed?<\/span><\/h2>\nWhen symptoms and signs are typical, an experienced doctor can make the diagnosis of genital dysesthesia without requiring special tests. However, the following investigations are sometimes organized.<\/p>\n
\n- \nPatch<\/span> tests to exclude allergic corticosteroid contact dermatitis cream<\/span>, preservative or other product that may have touched the affected area. The results are usually negative in genital dysesthesia.<\/li>\n
- Images of the back and pelvis (for example, X-rays, Connecticut<\/span> scan, Magnetic resonance<\/span> scan)<\/li>\n
- Prostate exam (PSA blood test, digital exam)<\/li>\n<\/ul>\n
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<\/span>How is male genital dysesthesia treated?<\/span><\/h2>\nMany men are relieved to have their symptoms explained to them when diagnosed with male genital dysesthesia.<\/p>\n
Many treatments may have already been tried before making the correct diagnosis. Unfortunately, no treatment works all the time, always.<\/p>\n
General measures for a hypersensitive genital area may include:<\/p>\n
\n- Replace the soap with a soap-free cleaner.<\/li>\n
- Wear cool, loose-fitting underwear (eg, underpants).<\/li>\n
- Do not use antiseptic washes, wipes, or deodorants in the genital region (penis, scrotum) or around the anus.<\/li>\n
- Apply a low-irritation moisturizer after showering to the genital region and all over the body (for example, nonionic cream or sorbolen cream)<\/li>\n
- Stop all other creams, especially corticosteroid creams; steroid creams are prescribed for dermatitis \/eczema<\/span>, and are generally effective for this in a few days. They are not effective for genital dysesthesia, and when used for prolonged periods can worsen the feeling of redness and burning.<\/li>\n
- Cold compresses can be temporarily relaxing, such as a facial flannel moistened with cold or cold water and placed on the penis and \/ or scrotum.<\/li>\n<\/ul>\n
Specific prescription treatments reported as beneficial include:<\/p>\n