Patient's question:
Treated with levofloxacin for three days and fluconazole for two days, with little effect. Then treated with cefuroxime sodium and tinidazole for two more days, but the ulcer hasn't healed, and there's a dull pain in the glans. SOS!! Do I have glans edema, dark red scrotal ulcer?Doctor's answer:
According to your description, considering the possibility of balanitis, balanitis initially presents with local redness, a sense of heat and itching. Contagious balanitis is generally caused by transmission through unprotected sexual intercourse or due to excessive foreskin, insufficient 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 on the glans and foreskin, with symptoms worsening after friction, accompanied by symptoms such as urgency and pain during urination. If left untreated, the glans and foreskin may develop secondary erosion and ulcers, accompanied by creamy, foul-smelling purulent discharge. In severe cases, gangrene may occur, along with conditions like prostatitis and infertility. If you notice any issues, please seek medical attention promptly. After confirming the cause, targeted treatment should be administered to avoid delaying the condition. The medication treatment should be determined, and during the course of treatment, attention should be paid to local hygiene. Excessive foreskin...