What medications can be used if the treatment for balanitis is not completely effective?

Patient's question:

I got balanitis about two months ago. At first, I didn't pay much attention and just washed it daily. Later, the red spots started to increase again, and wrinkles reappeared, with cracks like seams. I then consulted a doctor. Today marks the third week of applying cream, and in the first two weeks, the red spots and cracks had already disappeared. This week, every morning before going to bed, I notice a patch of redness on the glans and foreskin—sometimes a little, sometimes a bit more. However, I’m still enduring the medication, as it doesn’t hurt or itch, but it reappears every day. This time, I mainly want to ask when this redness will disappear, how serious it is, and whether I should continue applying the cream diligently.

Doctor's answer:

Hypospadias, easy to accumulate dirt and dust, leading to balanitis, which may cause recurrent red spots and papules, and other symptoms. It is related to athlete's foot, so it is recommended to regularly lift the foreskin during showering for cleaning and maintain hygiene. Creams can be applied. If you have athlete's foot, it needs to be thoroughly treated. For patients with balanitis, timely treatment can reduce recurrence. If not treated in time, it may affect fertility. Therefore, patients should receive timely medication and pay more attention to self-care in daily life, avoiding spicy foods.

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