Patient's question:
Expert, I am 16 years old this year. Why do I feel my foreskin is red and swollen? Besides the discharge leaking out, am I sick? What should I do? Should I tell my parents?Doctor's answer:
Phimosis and balanitis are caused by local uncleanliness and the long-term accumulation of smegma, leading to secondary infections. They often recur in cases of phimosis or excessive prepuce. The main symptoms include local pain, which intensifies during urination, and the possibility of purulent discharge. Examination reveals congestion and edema in the preputial area, with purulent discharge when the prepuce is pushed. In severe cases, there may be skin erosion and ulcers. Treatment requires the administration of appropriate antibiotics; local cleansing, followed by the application of antibiotic ointment. After the inflammation subsides, those with phimosis or excessive prepuce may undergo circumcision to prevent recurrent episodes of phimosis and balanitis.