What are the clinical symptoms of balanitis and phimosis?

Patient's question:

I recently noticed it again on the inner side of my thigh near the base, near the scrotum, with scaling and redness, sometimes itchy. Occasionally, there's white discharge on the glans, and it hurts when touched. Now I'm almost taking a bath every day, but the symptoms haven't improved. Today I bought anti-inflammatory medicine, probably because the inflammation keeps recurring.

Doctor's answer:

Balanoposthitis is very common in clinical diagnosis.
1. Acute superficial balanitis: It presents with edema, erythema, exudation, and desquamation. Secondary infection may lead to purulent discharge, easily forming ulcers, and causing pain.
2. Circumferential erosive balanitis: The inflammation of the glans and foreskin appears in a ring shape, or there may be cheesy smegma in the ring. Over time, it may break down into shallow ulcers.
3. Plasma cell balanitis: More common in middle-aged individuals, it is a single or multiple chronic inflammatory lesions that persist for a long time. The affected area appears as plaques with smooth or scaled or moist surfaces, with significant infiltration. The borders are clear and not easily ruptured, with fine, chili pepper-like spots visible on the surface. It is difficult to distinguish from proliferative erythema of the glans.
Sexually transmitted diseases are not terrifying. Believing that you can overcome the illness is key. As long as symptoms are detected early and treated appropriately, the chances of controlling the condition and recovering are very high.

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