Patient's question:
I've noticed this condition for over two months. I didn't pay attention before and didn't know how long it had been going on. My main symptoms are redness of the glans and foreskin, along with excessive discharge. There hasn't been a recurrence of urgency or frequent urination. I previously saw a doctor and had tests twice, both of which showed Candida infection. There were no other pathogens like mycoplasma or Gram-positive bacteria. I took several courses of fluconazole orally and applied the medication prescribed by the doctor. However, the redness of the glans and foreskin still hasn't improved. After that, I switched to an external medication. I use Jieryin once a day and Nizoricone twice a day, and have been using them continuously for 10 days. Now, the glans and foreskin are still very red. During these 10 days, I haven't taken any oral antifungal medication. How should I best handle balanoposthitis?Doctor's answer:
It could be balanoposthitis, which may be caused by unsafe sexual practices or phimosis. Staphylococcus, Streptococcus, Escherichia coli, Candida albicans, Trichomonas, Chlamydia, Mycoplasma, fungi, Neisseria gonorrhoeae, or other bacteria can all lead to it; alternatively, due to phimosis and insufficient hygiene, smegma—the accumulation of unclean substances between the foreskin and glans—can irritate the local foreskin and mucosa, causing inflammation again. It is recommended to visit the infectious diseases department for a definitive diagnosis, which will facilitate timely and appropriate treatment.