Patient's question:
Which is the best hospital in Qingdao for treating balanitis?Doctor's answer:
Phimosis and balanitis refer to the inflammation of the inner foreskin and glans penis. A lipid substance normally secreted in the foreskin cavity can accumulate as smegma under conditions of phimosis or paraphimosis, irritating the foreskin and glans penis to cause phimosis and balanitis.1. Maintain local hygiene to prevent secondary infection. The affected area can be soaked in a 1/5000 potassium permanganate solution and then treated with an anti-inflammatory ointment. For allergic phimosis and balanitis, oral antihistamines and topical corticosteroid ointments should be used.
2. For exudative and eroded lesions, a 3% boric acid solution or 0.1% rivanol wet dressing can be applied.
3. For non-infectious subacute stages, a corticosteroid cream can be used.
4. For chronic stages or dry scaling, a tetracycline-cortisone ointment can be applied.
5. If there is significant infection, fever, and lymph node enlargement, systemic antibiotics may be administered, such as cephalexin 0.5g, taken orally 3–4 times daily, or ofloxacin 0.2g, taken twice daily.
6. Circumcision: If phimosis or foreskin edema prevents proper repositioning for cleaning or drainage, and inflammation does not subside with standard treatment, a dorsal slit of the foreskin may be performed to improve drainage. Circumcision should then be performed once the inflammation has fully resolved.
2. Traditional Chinese Medicine (TCM) Treatment: TCM typically classifies this condition into three types: toxic-fire stagnation, damp-heat with parasitic infection, and liver-kidney yin deficiency. Different treatments are applied based on the specific clinical manifestations.