Patient's question:
Initially, the glans was itchy and burning, with excessive smegma. Later, the amount of smegma reduced, but the glans and foreskin became sticky, especially at the coronal sulcus. There has been frequent urination and urgency for over a year. What type of balanitis is this?Doctor's answer:
The following categories can be divided into:1. Pseudopapillomatous balanitis
1. The lesions are characterized by hyperkeratosis or infiltrated thickening, with mica-like scales, poor elasticity in the affected area, and gradual atrophic changes over time.
2. Histopathological changes show hyperkeratosis with pseudopapillomatous fibrosis. Dermal inflammatory cell infiltration. Attention should be paid to local hygiene to prevent various injuries.
2. Candidal balanitis
1. The lesions present as erythema, papules, or papulovesicles, which then progress to patchy desquamation. The surface is covered with adherent white, cottage-cheese-like secretions that are easily scraped off.
2. It can be primary or secondary to diabetes or prolonged use of antibiotics or corticosteroids. Family members of the patient may have candidal vulvitis.