Patient's question:
Phimosis has been a problem for many years, and I was not aware of it before. I have a foreskin, and there is a lot of smegma inside. Now, I clean it every day and have also used cleaning products like Jieryin, as well as applying antifungal creams like Daktarin. After a month, there has been no significant improvement.Doctor's answer:
1. Symptomatic treatmentMaintain local cleanliness, avoid various irritants, and circumcision should be performed in cases of excessive prepuce.
2. Local treatment
For erosion, exudation, or purulent discharge, apply a 1% solution of ethacridine or a 1:8000 potassium permanganate solution as a wet dressing. For dryness with desquamation, apply topical corticosteroid ointment.
3. Etiological treatment
If the cause is identified, appropriate medication should be administered. For example, for candidal balanitis, topical nystatin ointment, clotrimazole, econazole, or miconazole cream can be used, or systemic antifungal drugs such as itraconazole, fluconazole, miconazole, or ketoconazole can be taken. For trichomoniasis balanitis, metronidazole, tinidazole, or griseofulvin can be selected. For amoebic balanitis, emetine, metronidazole, or tinidazole should be given. If the partner also has candidal or trichomonal vaginitis, both must be treated simultaneously.