How long have you had recurrent balanitis, and how can it be treated?

Patient's question:

For two years, I have been experiencing recurrent balanitis, with small red papules on the glans. The doctor initially prescribed Ciclopirox cream, which worked after applying it for three days, but the condition returned a few days later. Later, the doctor prescribed Bifonazole cream, which improved the condition for a month but then recurred again. This time, I haven't applied any medication for about a month, as shown in the photo. Could you please help me identify the type of balanitis, explain why it keeps recurring, and suggest how to it?

Doctor's answer:

If diagnosed with balanitis, it is generally common in cases of phimosis. In the early stages, topical medications can be used, and it is important to practice regular cleaning and preventive treatment. It is recommended that if the condition recurs and is accompanied by phimosis, circumcision surgery should be considered for treatment. Additionally, daily cleaning should be practiced, usually with mild alkaline soap for frequent washing. Balanitis tends to recur, requiring long-term medication. For male patients, it is crucial to seek medical attention at a professional and reputable hospital. Treatment should be considered based on examination results. Furthermore, proper diet and abstinence from sexual activity should be maintained.

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