Can balanitis be caused by friction from underwear?

Patient's question:

Phimosis balanitis may be caused by friction from underwear, leading to severe edema in the outer few circles of the foreskin, which swells significantly. Currently, the color appears grayish-brown, and notably, the penile ligament has also turned grayish-brown. I have seen a doctor and been prescribed clarithromycin capsules and a solution. Several days have passed, but there is still no sign of swelling subsiding. I am quite anxious. How should the medication regimen be adjusted? Currently, the swelling causes pain even when walking. How can bed rest be more beneficial for a full recovery? If IV infusion is used, how can inflammation be reduced more quickly?

Doctor's answer:

This is the manifestation of balanitis, which requires bed rest and avoiding friction to promote complete recovery. Oral medication should be preferred over intravenous treatment, as topical antibiotic creams like erythromycin ointment, chlortetracycline ointment, and neomycin ointment can be used in conjunction. Balanitis tends to recur, so long-term oral medication may be necessary. For male patients, it is essential to seek treatment at a professional and reputable hospital immediately, and treatment should be based on thorough examination results. Additionally, proper diet and abstinence from sexual activity should be maintained.

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