What are the reasons for the long red foreskin?

Patient's question:

Duration of illness and persistence: One month
After having sex with a female, I noticed several small red spots on the external part of the foreskin (i.e., the external part of the penis) a few days later. They itch frequently, and there are also a few small red spots on my scrotum, which are only visible with careful observation. It has been more than a month now, and the condition has remained the same—just itching, with no other symptoms. I used Jieryin for washing, but it seems to have no effect—the red spots are still there. Please ask the doctor what this condition is and how it should be treated.

Doctor's answer:

Based on the situation you described, it may be balanoposthitis. Balanoposthitis is caused by excessive foreskin, as the secretions cannot be cleared promptly due to the overhanging foreskin, allowing pathogens to grow and multiply, leading to local inflammation. Symptoms include: redness, blisters, red spots, discharge, smegma, itching, and a bad odor. If it is mild, you can clean it frequently with plain water; if it is severe, it is recommended to use potassium permanganate solution for external cleaning, and take levofloxacin and azithromycin orally. Avoid spicy and irritating foods, quit smoking and alcohol, clean the external genitalia daily, and refrain from sexual activity during treatment. It is also important to clean before and after sexual activity.

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