Patient's question:
Recently, I've been experiencing redness and swelling of the glans, itching, and discomfort during bowel movements. I went to the hospital for a thorough examination, and the doctor said I had balanitis, which was caused by my excessive prepuce. The doctor asked me to visit the hospital once a week for treatment, and after the treatment was completed, I should undergo a prepuce removal surgery.Doctor's answer:
Balanoposthitis can be treated with a 1/5000 potassium permanganate solution for soaking and applying anti-inflammatory ointment. For allergic balanoposthitis, oral antihistamines and topical corticosteroid ointments are required. If phimosis or edema of the prepuce prevents movement for soaking or drainage is poor, and the inflammation does not subside after general treatment, preputial dorsal slit surgery may be performed to facilitate drainage. should be performed after the inflammation has completely resolved. Maintain local cleanliness to prevent secondary infection; ② For exudative and purulent discharge, use a 3% boric acid solution or 0.1% rivanol wet dressing; ③ For non-infectious subacute stages, corticosteroid cream can be used; ④ In chronic stages or with dry scaling, tetracycline-corticosteroid ointment is suitable; ⑤ If there is significant infection, fever, and lymph node enlargement, systemic antibiotics such as can be used.