What are the causes of phimosis?

Patient's question:

Okay, here is the translation following your instructions:
I have been married to my wife for many years, and we haven't used any contraception, but we have never been able to get pregnant. After checking at the hospital, I found out that I have phimosis and prepuce cracking.

Doctor's answer:

This should be a symptom caused by the transmission of, with severe cases possibly developing shallow small ulcers or erosion, exhibiting purulent discharge. This condition primarily requires anti-inflammatory treatment, with erythromycin and tetracycline being the drugs of choice. For trichomoniasis-induced balanitis, metronidazole is the drug of choice. For Candida-induced balanitis, itraconazole or griseofulvin is commonly used for treatment.
In addition, during the treatment of balanoposthitis, it is crucial not only to receive timely treatment but also to pay special attention to the patient's dietary condition and psychological state. The patient must maintain a positive mood and follow a proper diet to avoid unnecessary interference with the recovery of balanoposthitis.

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