What are the symptoms of balanoposthitis?

Patient's question:

On the last day of my wife's sexual activity, it was done, and it might not have been clean. A few days later, when it was done again, there was a sense of pain, apart from the itch of the foreskin.

Doctor's answer:

1. Acute superficial balanitis, characterized by edema, erythema, exudation, and erosion, may lead to secondary infection with purulent discharge, easily forming ulcers, accompanied by pain.
2. Circumferential erosive balanitis, presenting as ring-shaped lesions, or ring-shaped lesions with cheesy smegma, may break down over time into superficial ulcers.
3. Plasma cell balanitis, with plaques as the primary lesion, may have a smooth surface or scaling or be moist, with significant infiltration.
4. Mica-like and keratotic pseudopapillomatous balanitis, where the glans is infiltrated and thickened, with hyperkeratosis and mica-like crusts, the affected area loses normal elasticity and may atrophy over time.

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