instruction: hello doctor I had this problem for three to four months when I pull back my foreskin it feels strain and kind of ticklish and itchy I have been to the doctor and they just gave me pevisone and it did not work there is also a little white substance on the penis head I do not know if it is smegma or not but it is smelly and I cannot seem to clean it may my foreskin be dry or something I have also done sad and test for urine infection
output: hello are you a diabetic or hypertensive have you ever tried oral medications for this if yes then which one do you have any urinary complaints like frequency urgency poor stream nocturia dribbling burning micturation do you have any history of unprotected sex with a new partner in the recent past