How to use medication for acute superficial balanitis?

Patient's question:

Doctor, hello. I think I have developed acute superficial balanitis, and the symptoms match. Could you please tell me if taking erythromycin alone can completely cure it? Will this medication cause reproductive harm? Are there any other side effects? Also, is this medication simply called erythromycin or is it called XX erythromycin? Thank you very much.

Doctor's answer:

During balanitis, a 1/5000 potassium permanganate solution can be used for local soaking, followed by applying an anti-inflammatory ointment. For allergic balanitis, oral antihistamines and topical corticosteroid ointments should be used. If phimosis or edema of the prepuce prevents repositioning for soaking or adequate drainage, and if inflammation does not subside with standard treatment, preputial dorsal slit surgery may be performed to facilitate drainage. Circumcision should be performed only after the inflammation has completely resolved.
Maintain local hygiene to prevent secondary infection; ② For exudative and erosive lesions, a 3% boric acid solution or 0.1% rivanol wet dressing can be used; ③ In non-infectious subacute stages, corticosteroid cream may be applied; ④ In chronic stages or with dry scaling, a tetracycline-cortisone ointment can be used; ⑤ If infection is significant, with fever and lymphadenopathy, systemic antibiotics such as cephalexin (0.5g, 3–4 times daily) or ofloxacin (0.2g, twice daily) may be prescribed. ③ For individuals with excessive preputial length, circumcision should be performed after the inflammation subsides.
Buy a tube of compound ketoconazole ointment and a tube of Fucic cream. Apply the compound ketoconazole ointment first to relieve itching, then apply Fucic cream. Alternating use in the morning and evening yields the best results! Treatment must be persisted with for a period of time!

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