Patient's question:
The glans has red spots without discharge. No ulcers. The foreskin is itchy.Doctor's answer:
Treatment Methods for Balanitis:1. Maintain local hygiene to prevent secondary infection. Local applications can include iodine-fluoride solution or anti-inflammatory ointment. For allergic balanitis, oral antihistamines and topical corticosteroid ointments are required.
2. For exudation and erosion, 3% boric acid solution or 0.1% rivanol wet dressings can be used.
3. Corticosteroid creams may be applied during the non-infectious subacute phase.
4. For chronic or dry, scaly conditions, tetracycline-cortisone ointment can be used.
5. In cases of significant infection, fever, and lymph node enlargement, systemic antibiotics such as cephalexin or ofloxacin may be administered.
6. Circumcision: If phimosis or edema of the prepuce prevents proper cleaning or drainage, and inflammation does not subside with standard treatment, preputial incision may be performed to facilitate drainage. Circumcision should be delayed until the inflammation is completely resolved.