What are the differential diagnoses for balanitis and balanoposthitis?

Patient's question:

Recently, it seems that due to friction from underwear, I have noticed swelling, redness, discharge, and erosion on my glans. Secondary infection has led to purulent discharge, forming ulcers, accompanied by a feeling of pain. What are the differential diagnoses for balanitis?

Doctor's answer:

Your condition is considered to be candidal balanitis. Common treatment methods include first applying or scrubbing the affected area with a 0.1% solution of povidone-iodine, and then using ointments or creams containing imidazole drugs. For more severe cases, oral itraconazole or intravenous fluconazole can be administered. For patients with balanitis, timely treatment can reduce the likelihood of recurrence. If left untreated, it can affect overall health. Therefore, patients should take oral medication promptly and maintain regular sexual activity in daily life.

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