Patient's question:
The glans of the penis has redness and swelling with white discharge. The glans of the penis is red and swollen, a bit itchy. I have excessive foreskin, and there is white discharge.Doctor's answer:
It could be balanitis, which can be divided into:1. Acute superficial balanitis; (Erythema, swelling, erosion, and exudation at the affected area; subjective pain and itching. Often caused by friction, condoms (medicated), detergents, etc.)
2. Candidal balanitis; (Early erythema, scattered pinpoint-sized red papules on the surface, covered with point-like cheesy secretions, pustules. Severe cases may develop erosion and exudation. Direct microscopic examination of the discharge reveals Candida spores and hyphae. Patients often have a history of long-term use of broad-spectrum antibiotics or corticosteroids, or diabetes).
3. Trichomoniasis balanitis; (Erythema, papules at the affected area, gradually expanding, with vesicles on the surface, followed by erosion and exudation. Trichomonads are observed in the discharge).
It is recommended to undergo examination for a definitive diagnosis and treat the underlying cause.