How to treat itchy glans with epidermal shedding?

Patient's question:

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Doctor's answer:

nHello;
Since you have not provided any specific information, it is difficult to give an accurate response. Below is some content that may help you determine if you have phimosis or any history of unclean sexual activity.
Balanoposthitis is the most common type of infection affecting the glans and foreskin. Nearly all patients have phimosis or excessive foreskin. Between the glans and the overhanging foreskin, a warm, moist bacterial culture is formed due to shed epithelial cells, glandular secretions, and the presence of Staphylococcus aureus. Once bacteria enter, inflammation can occur. In the early stages of balanoposthitis, the glans and foreskin may appear swollen and red, with redness and sores around the urethral opening, which can develop into superficial ulcers with purulent discharge. Patients may experience itching or a burning sensation in the glans, followed by pain. After ulceration, pus and a foul odor may be present. Severe cases may also cause fatigue, low-grade fever, swollen and painful inguinal lymph nodes.
Additionally, if the balanoposthitis is caused by fungal infections (e.g., Candida), it often presents as redness of the glans mucosa, localized swelling, a smooth surface with mild scaling at the edges, and the formation of small vesicles that expand outward, leading to glans erosion. Repeated episodes of fungal balanoposthitis can cause dryness and cracking of the foreskin, fibrosis, and hardening of the glans.
  Treatment for balanoposthitis: Locally, the glans can be soaked in a high-manganese potassium permanganate solution (1:5000) once in the morning and once in the evening. Alternatively, cotton swabs can be used to gently wipe away exudate or pus with a solution of 1:1000 povidone-iodine. Avoid using various ointments and powders, as they may worsen the condition. For severe systemic reactions, antibiotics may be added to the treatment.

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