Is the redness and swelling behind the foreskin of the glans indicative of balanitis?

Patient's question:

Recently, my glans has been a bit uncomfortable, feeling very painful. I'm afraid of friction with my underwear and can't touch it. The sensation feels itchy, but it's not really itchy; it feels painful, but it's not really painful. I'm seeking help from a doctor to see how I should resolve this. Should I use a topical ointment or take medication?

Doctor's answer:

You clearly have balanitis, which is likely related to unsafe sexual contact and excessive foreskin. You can use topical mupirocin ointment and take azithromycin tablets orally. You can also use potassium permanganate diluted at a 1:5000 ratio. Wash once the day before, then twice a day on the third day. It should be healed within a week. Change your underwear daily. Balanitis can be relieved, but the treatment period is usually long, and it is prone to recurrence after treatment. Therefore, during treatment, medication should be used according to symptoms. Additionally, during treatment, it is recommended to maintain a healthy lifestyle and have a proper diet.

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