Patient's question:
What should I do if I get balanitis?？？？Medical history and treatment outcomes: I visited the hospital in June, but there was no significant improvement. It just stopped itching. However, starting from November, I started feeling a bit itchy again, along with some redness, and it seemed like a few small red spots, not very noticeable. Thank you!!!
Additional tests: The doctor recommended getting circumcised. Do you think it's necessary?？？？
Doctor's answer:
Acute superficial balanoposthitis initially presents with local erythema, redness and swelling of the penis, accompanied by a sensation of heat and itching in the glans. When the foreskin is retracted, the inner surface of the foreskin and the glans appear congested, eroded, with exudate, and even bleeding. Secondary infection may lead to the formation of small ulcers with foul-smelling creamy purulent discharge. Friction with underwear causes pain, and patients often experience difficulty in movement. It may be accompanied by swollen and tender inguinal lymph nodes. The combined use of antibiotics and chemical drugs yields better efficacy. Recently, the combination of ciprofloxacin and sulfonamide drugs has shown satisfactory clinical results.Systemic treatment should focus on rest and adequate fluid supplementation. During the acute phase, sexual activity should be avoided to prevent prolonging the course of the disease. In chronic cases, if stricture occurs at the external urethral orifice or within the urethra, urethral dilation or external urethral orifice splitting surgery may be necessary.