The glans has red spots and erosion, like peeling, is it candidal balanitis?

Patient's question:

Detailed medical condition and consultation purpose: Red spots and erosion on the glans, similar to peeling
Sometimes, the urethral meatus is congested, with white discharge, the inner surface of the prepuce is flushed, and there is a sensation of itching
No pain, and when the prepuce is retracted, large areas of peeling-like erosion can be seen, with a bad odor.
I want to know if it is candidal balanoposthitis? Why is it not getting better?
History of previous diagnosis and treatment, as well as effectiveness:
Treated with oral Sporanox,
The initial effect was significant, but it stopped working after a few days. Later, topical Pramesine was applied, and the symptoms were relieved, but it just

Doctor's answer:

Hello: Based on the situation you described, determining the specific type of balanitis requires a local secretion examination at the hospital to confirm it. Clinically, the common types of balanitis include the following, with their symptoms:
(1) Acute superficial balanitis: Initially, the local area becomes red, with the penis skin turning red and swollen. A burning and itchy sensation is felt on the glans. When the foreskin is retracted, the inner surface of the foreskin and the glans appear congested, with erosion, exudate, and even bleeding. Secondary infection may lead to small ulcers and foul-smelling, creamy purulent discharge. Friction with underwear causes pain, and patients often experience difficulty in movement. It may be accompanied by swollen and painful inguinal lymph nodes.
(2) Annular erosive balanitis: On the glans and foreskin, red patches can be seen, gradually expanding into a ring shape, which may form superficial ulcers.
(3) Candidal balanitis: Red patches can be observed on the foreskin and glans, with a smooth surface and small vesicles. The edges of the red patches are relatively clear, and during acute episodes, erosion and exudate may occur.
(4) Trichomoniasis balanitis: The glans develops papules and red patches, which gradually expand with clear edges. Tiny vesicles the size of needles can be seen on the red patches, eventually forming eroded areas.
The basic principle of Western medicine treatment is anti-inflammatory and antibacterial. It is usually a combination of internal and external treatment. For acute superficial balanitis and annular erosive balanitis, erythromycin and tetracycline are the first-line treatments, typically taken at 0.5g per dose, four times daily. For trichomoniasis balanitis, the treatment...