Can herpes zoster (shingles) affect the penis?

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From the Research

Yes, shingles can affect the penis, and treatment typically involves antiviral medications like valacyclovir, which is the most effective option when started within 72 hours of rash onset, as shown in a study published in 2011 1.

Symptoms and Treatment

Shingles (herpes zoster) is caused by the reactivation of the varicella-zoster virus, which remains dormant in nerve tissues after a chickenpox infection. When shingles affects the genital area, including the penis, it's typically due to involvement of the sacral dermatomes. Symptoms include a painful, blistering rash that follows the distribution of affected nerves, often accompanied by burning, tingling, or itching sensations before the rash appears.

  • Treatment options include:
    • Antiviral medications like acyclovir (800 mg five times daily for 7-10 days)
    • Valacyclovir (1000 mg three times daily for 7 days)
    • Famciclovir (500 mg three times daily for 7 days)
  • Pain management with acetaminophen, NSAIDs, or in severe cases, prescription pain medications may be necessary, as discussed in a study published in 2008 2.
  • Keeping the affected area clean and dry helps prevent secondary bacterial infections.

Prevention and Management

Anyone experiencing genital shingles should avoid sexual contact until the lesions have completely healed to prevent potential transmission of the virus to partners.

  • A study published in 2002 3 highlights the importance of oral antiviral agents in the treatment of herpes zoster, and their ability to reduce the duration and intensity of zoster-associated pain.
  • The varicella zoster vaccine may also help prevent shingles, as mentioned in a study published in 1996 4.

References

Research

Penile herpes zoster: an unusual location for a common disease.

The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases, 2011

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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