Patient's question:
I've looked for friends to get a ring, now the foreskin and glans have small black spots, and then they gradually turn red and disappear, a little painful and itchy, what should I do?Doctor's answer:
Key points for diagnosing balanitis: Clinical diagnosis is divided into several types.1. Acute Superficial Balanitis
1. Erythema, swelling, desquamation, and exudation in the affected area; subjective pain and itching.
2. Often caused by friction, condoms (medicated), detergents, and other irritants.
2. Candidal Balanitis
1. Early erythema, scattered pinpoint-sized red papules on the surface, covered with pinpoint creamy discharge, pustules; severe cases may develop desquamation and exudation.
2. Direct microscopic examination of the discharge reveals Candida spores and hyphae.
3. Patients often have a history of long-term use of broad-spectrum antibiotics or corticosteroids, or diabetes.
3. Trichomoniasis Balanitis
1. Erythema, papules in the affected area, gradually expanding, with vesicles on the surface, followed by desquamation and exudation.
2. Trichomonads are observed in the discharge.