What are the causes of balanitis and papules?

Patient's question:

After 34 days of dirty masturbation, small bumps grew on the frenulum. After researching, it seems they might be papules caused by balanitis? It's been a month now, and the frenulum area keeps itching and burning? The hospital prescribed Ciprofloxacin sustained-release tablets and self-purchased Levofloxacin. I also used Compound Dexamethasone Acetate Cream and Huang Pian Cream. Initially, it didn't hurt after applying, but after two days, friction with underwear around the frenulum area became painful? There's redness below the glans and urethral meatus on both sides? The hospital keeps prescribing useless medications—Ciprofloxacin sustained-release tablets, Nobei Shen Shu Granules, and Rishuan An Cleanser! None of them have worked? Recently, even slight touches on the glans area cause pain! What should I do?

Doctor's answer:

Hello friend, your condition is likely caused by balanitis, often resulting from friction of underwear, mental trauma, or local irritation from soap or cleaning agents. It manifests as swelling, redness, exudation, and desquamation. Secondary infection may lead to purulent discharge, easily forming ulcers, accompanied by pain. You can use 3% boric acid solution or 0.05% emodin solution for wet compresses.
Regarding the issue of balanitis, we should promptly follow the principle of symptomatic treatment and avoid delaying medical consultation. If balanitis does not improve with treatment, it is important to promptly reassess and adjust the treatment plan.

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