What methods are there to treat balanitis?

Patient's question:

The glans has red spots without discharge. No ulcers. The foreskin is itchy.

Doctor's answer:

Treatment Methods for Balanitis:
1. Maintain local cleanliness to prevent secondary infection. Local applications of povidone-iodine solution or anti-inflammatory ointments can be used. For allergic balanitis, oral antihistamines and topical corticosteroid ointments are required.
2. For exudation and erosion, 3% boric acid solution or 0.1% phenol wet dressings can be applied.
3. Corticosteroid creams may be used for non-infectious subacute stages.
4. For chronic stages or dry scaling, tetracycline-cortisone ointments can be applied.
5. In cases of significant infection, fever, and lymphadenopathy, systemic antibiotics such as amoxicillin or ciprofloxacin may be used.
6. Circumcision: If phimosis or edema of the prepuce prevents proper cleaning or drainage, and inflammation does not subside with general treatment, preputial incision may be performed to facilitate drainage. Circumcision should be delayed until the inflammation has fully resolved.

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