Patient's question:
Which hospital in Qingdao is the best for treating balanitis?Doctor's answer:
Phimosis and balanitis refer to the inflammation of the inner foreskin and glans penis. A lipoidal substance secreted normally 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 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 a 0.1% rivanol wet dressing can be applied.
3. For non-infectious subacute stages, a corticosteroid cream can be used.
4. During chronic stages or when dry and scaly, a tetracycline-cortisone ointment can be applied.
5. If there is significant infection, fever, and lymph node enlargement, systemic antibiotics can be administered, such as cephalexin 0.5g, taken 3–4 times daily orally, or ofloxacin 0.2g, taken twice daily.
6. Circumcision: If phimosis or foreskin edema prevents immersion and drainage, and inflammation does not subside with general treatment, a dorsal slit of the foreskin may be performed to facilitate drainage. Circumcision should then be performed once the inflammation has completely 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 administered based on the clinical manifestations.