How should fungal balanitis with redness, swelling, and itching of the foreskin be treated?

Patient's question:

There are several red dots above, and recently I've noticed swelling around the foreskin, and it's also very itchy

Doctor's answer:

Gonococcal urethritis initially presents with local redness, a sensation of heat and itching. Gonococcal urethritis is usually transmitted through unprotected sexual contact or caused by excessive foreskin, inadequate hygiene, and the irritation of dirty substances between the foreskin and the glans leading to inflammation. Clinical diagnosis primarily manifests as dampness, redness, swelling, heat, and pain in the glans and foreskin, with symptoms worsening after friction, accompanied by symptoms such as urgency and dysuria. If not treated promptly, the glans and foreskin may develop secondary necrosis and ulcers, accompanied by creamy, foul-smelling purulent discharge. In severe cases, gangrene may occur, along with conditions such as prostatitis and infertility. If you notice any issues, please seek medical attention promptly. After identifying the cause, targeted treatment should be administered to avoid delaying the condition.

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