How to Confirm the Diagnosis of Balanitis

Patient's question:

Recently, I noticed several small red spots on my glans, and there's a bit of pain. I feel too embarrassed to tell my wife, so I searched online. It said it might be balanitis. How is balanitis diagnosed? Will it affect my future sex life? I'm so afraid I'll develop premature ejaculation. That would be so embarrassing.

Doctor's answer:

Phimosis is primarily caused by inflammation and bacterial infection of the prepuce, leading to symptoms such as localized red spots, itching, and a bad odor. Local topical medications can be applied, such as clotrimazole cream or ketoconazole cream. It is essential to maintain good hygiene in the affected area, washing it before and after sexual activity. For those with phimosis, surgical treatment can be considered to prevent recurring episodes, which generally has no significant impact on sexual life. In addition to active treatment, patients with balanitis should also pay attention to maintaining a positive mood in daily life, as a good mood is very helpful for the complete recovery of the disease.

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