How is it better to treat balanitis?

Patient's question:

Gonococcal urethritis was cured with a topical solution. It will recur after a period of time. How can it not recur if the foreskin is not removed?

Doctor's answer:

1. Symptomatic treatment
Maintain local cleanliness, avoid various irritants, and circumcision should be performed in cases of excessive prepuce.
2. Local treatment
For erosion, exudation, or purulent discharge, apply a 1% ethidium solution or a 1:8000 potassium permanganate solution as a wet dressing. For dryness with desquamation, apply topical corticosteroid ointment.
3. Etiological treatment
If the cause is identified, appropriate medication should be administered. For example, for candidal balanitis, topical nystatin ointment, clotrimazole, econazole, or miconazole cream can be used, or systemic antifungal drugs such as itraconazole, fluconazole, miconazole, or ketoconazole can be taken. For trichomoniasis balanitis, metronidazole, tinidazole, or griseofulvin can be selected. For amoebic balanitis, emetine, metronidazole, or tinidazole should be given. If the partner also has candidal or trichomonal vaginitis, both must be treated simultaneously.