Patient's question:
The doctor didn't find anything significant, but after the third day of washing, there were white discharge, a bad odor, and dampness. The condition has been going on for a year. Is this balanitis? I visited a doctor for the first time, who prescribed chitosan spray and ointment, but it didn't work after using it for a while. The second time, I went to a different hospital, and they said it was caused by a yeast infection, prescribing terbinafine hydrochloride, but it still didn't work after using it for a while?Doctor's answer:
It may have mixed infections (candida accompanied by other bacteria) causing balanitis or accompanied by urethritis. If accompanied by athlete's foot, hand ringworm, or if the partner has candidal vaginitis, with the continuous increase of local white membrane-like or curd-like secretions, localized intermittent itching, burning sensation, and other symptoms, the possibility is greater. It is necessary to examine the local secretions with microscopy, bacterial culture, and drug sensitivity tests to identify the cause. Then, based on the type of bacteria and drug sensitivity tests, determine the bacteria-sensitive antibiotics. The condition of balanitis tends to recur, requiring long-term oral medication.