Patient's question:
Which hospital in Qingdao is good 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 in cases of phimosis or paraphimosis, irritating the foreskin and glans penis, thereby causing 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 applied 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 desquamation, a tetracycline and corticosteroid ointment can be applied.
5. If there is significant infection, fever, and lymph node enlargement, systemic antibiotics should 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 (turning) and irrigation, or if drainage is poor, and inflammation does not subside with general treatment, a dorsal slit of the foreskin may be performed to facilitate drainage. Circumcision should be performed after the inflammation has completely resolved.
2. Traditional Chinese Medicine (TCM) Treatment: TCM typically categorizes this condition into three types: toxic-fire stagnation, damp-heat with parasites, and liver-kidney yin deficiency. Different treatments are prescribed based on the clinical manifestations.