Patient's question:
I have phimosis, which often causes itching on my glans. Recently, I had unprotected sex. Now there are some red spots on my glans, protruding from the surface, needle-sized, painless and itchy. Is this a sexually transmitted disease? What is the disease? Can it be treated? Urgent! Urgent! Urgent!Doctor's answer:
Red spots on the glans are a typical symptom of balanitis, which refers to inflammation of the inner foreskin and glans. A lipid substance normally secreted in the foreskin cavity can accumulate as smegma in cases of phimosis or excessive foreskin, irritating the foreskin and glans to cause balanitis. The basic principle of Western medical treatment is anti-inflammatory and antibacterial. It usually involves both topical and systemic treatments. For acute superficial balanitis and annular erosive balanitis, erythromycin and tetracycline are the first-line treatments. For trichomoniasis-induced balanitis, metronidazole is the preferred treatment. For Candida-induced balanitis, griseofulvin or itraconazole is commonly used.