question: Hello doctor, I am 36 years old, noncircumcised male. I have a white patch on the inner side of my foreskin and on the tip of the penis. I noticed it when the bridle got very short and I felt pain when retracting the foreskin for washing. It does not itch or pain but it goes around the foreskin. My wife and I are good with the hygiene. The urologist made a biopsy and the pathologist said that there is hyperkeratosis and little inflammation. The urologist advised to use Cortizone cream and watch it. I used it for a couple of weeks now with very little improvement. What can it be and how to treat it with success?