Patient's question:
First, let's start. My glans penis initially appeared with some red spots, but there was no discomfort. However, recently, I noticed the appearance of blisters on it, varying in size, and they are becoming more numerous. This situation doesn't seem normal, does it? Could it be balanitis? Please ask: How can one determine if the itching is due to balanitis?Doctor's answer:
Hello, small red spots on the glans are typical symptoms of balanoposthitis, which refers to inflammation of the inner foreskin and glans. The normal foreskin cavity secretes a lipid substance. When the foreskin is too long or tight, this substance can accumulate as smegma, irritating the foreskin and glans, leading to balanoposthitis. The basic principles of Western medical treatment are anti-inflammatory and antibacterial. Generally, both topical and systemic treatments are used. For acute superficial balanoposthitis and annular purulent balanoposthitis, erythromycin and tetracycline are the first-line treatments. For trichomoniasis-induced balanoposthitis, metronidazole is the preferred treatment. For Candida-induced balanoposthitis, griseofulvin or itraconazole is commonly used.