Patient's question:
I have a condition of excessive foreskin, which often causes itching on my glans. Recently, I have had a history of 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:
A small red spot on the glans is a typical symptom of balanoposthitis, which refers to inflammation of the inner foreskin and glans. A lipid substance normally secreted in the foreskin cavity can accumulate as smegma under conditions of phimosis or excessive foreskin, irritating the foreskin and glans to cause balanoposthitis. The basic principle of Western medicine treatment is anti-inflammatory and antibacterial. Generally, it involves both topical and systemic treatments. For acute superficial balanoposthitis and annular erosive balanoposthitis, erythromycin and tetracycline are the first-line treatments. For trichomoniasis-induced balanoposthitis, metronidazole is the preferred treatment. For Candida-induced balanoposthitis, griseofulvin or itraconazole is commonly used.