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Dermatology (Expert Forum)
Accutane and broken urethral lining
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
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Accutane and broken urethral lining
by xman, Oct 14, 2001 12:00AM
I started taking 40 mg of Accutane about 8 weeks ago. I started getting the regular side-effects such as dry lips and nose etc.
After about 4 weeks I noticed that at the tip of my penis at the urethral opening the skin had gone red and it seemed broken. As a result the opening often gets sort of sealed (because the broken skin sticks together). This causes problems when urinating because the urin has to break the sealed opening which is occasionally is painful and which sometimes has caused it to bleed a bit. Recently I noticed that when urinating, the tip of the penis around the urethral opening is raised a bit, as if the pressure of the urin flowing was too great. I believe this is a side-effect of Accutane, because its side-effects include dry mucous etc. and nothing suggests that I have an infection (it's about 4 weeks since I noticed the problem) in the urethra (no bleeding other than from the urehtral opening, no discharge or pain while urinating apart from when the sealed opening is forced open.)
After about 4 weeks I noticed that at the tip of my penis at the urethral opening the skin had gone red and it seemed broken. As a result the opening often gets sort of sealed (because the broken skin sticks together). This causes problems when urinating because the urin has to break the sealed opening which is occasionally is painful and which sometimes has caused it to bleed a bit. Recently I noticed that when urinating, the tip of the penis around the urethral opening is raised a bit, as if the pressure of the urin flowing was too great. I believe this is a side-effect of Accutane, because its side-effects include dry mucous etc. and nothing suggests that I have an infection (it's about 4 weeks since I noticed the problem) in the urethra (no bleeding other than from the urehtral opening, no discharge or pain while urinating apart from when the sealed opening is forced open.)
Doctor's Answer
by Alan Rockoff, MD, Oct 16, 2001 12:00AM
, Oct 16, 2001 12:00AM
I have seen lots of dry lips from Accutane, some mild involvement of the nose and eyes, but never dryness of the penis. On the other hand, the penile opening can get irritated by itself sometimes. I advise you to keep the area moisturized (e.g. vaseline), and show your doctor if the irritation isn't gone in 10 days. You might need something medicated (e.g. hydrocortisone.)
Best.
Dr. Rockoff
Best.
Dr. Rockoff
Thanks.