Patient's question:
During puberty, I noticed many small pearl-like bumps in my urethral groove. Examination revealed it was caused by granuloma venereum. It has been 10 years since then, but now the surrounding bumps are swollen and red, with a burning sensation. I sought treatment at the Third People's Hospital of Chongqing, but there was no improvement. They spent 1,300 yuan on me in just three days, claiming it was granuloma venereum. Later, I abandoned Western medicine treatment and tried Chinese medicine, which showed some effectiveness for a while. However, recently, the condition has worsened, and I also developed testicular inflammation and pain. Headache medicine was ineffective. [During treatment, I continued to clean the external genitalia with medication], and I underwent tests that showed no Candida. Please advise! Is thereDoctor's answer:
Hello: Based on your condition, it is likely caused by poor hygiene leading to balanoposthitis.Treatment for Balanoposthitis:
Many patients notice redness or small papules on the glans penis and suspect they have a sexually transmitted disease. After seeing a doctor, they learn it is balanoposthitis (posthitis balanitis), in fact, balanoposthitis is a common condition. It is divided into balanitis and posthitis, and is often referred to as balanoposthitis because they frequently occur simultaneously. This inflammation can be infectious or non-infectious, with infectious cases being more common in clinical practice. Infectious balanoposthitis is usually caused by unclean sexual intercourse, infections with Candida albicans, Trichomonas vaginalis, Chlamydia trachomatis, Mycoplasma genitalium, Neisseria gonorrhoeae, or other bacteria. Non-infectious factors are often due to excessive foreskin, inadequate hygiene, or the accumulation of unclean substances between the foreskin and glans, known as smegma, which can irritate the foreskin and mucosa, leading to inflammation.
The following are common types of balanoposthitis and their symptoms:
(1) Acute superficial balanoposthitis
Initially, the affected area becomes red, the glans penis skin becomes red and swollen, and a burning or itchy sensation is felt. When the foreskin is retracted, redness, erosion, and exudation can be seen on the inner surface of the foreskin and glans, 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 moving. It may be accompanied by swollen and painful inguinal lymph nodes.
(2) Circumferential necrotizing balanoposthitis
On the glans penis and foreskin, red patches can be observed,