Patient's question:
Doctor, hello: I am 27 years old. A while ago, I had a very itchy glans, and I washed it every day, but it still itched after washing. There was a lot of smegma, and when the glans was dry, there was a very thin layer of skin that could be rubbed off. Then I applied erythromycin ointment to the glans and foreskin, and also took oral roxithromycin. After four days, the itching and peeling stopped, so I stopped taking the medication. Two days later, some small red spots started to appear on the glans, which became very clear after the glans became congested. Normally, the skin of the glans, especially the part covered by the foreskin, changes its texture along with the foreskin's lines. I went to the hospital, and the doctor examined it and said it was balanoposthitis, giving me some medication. But now it's almost finished, and there's no improvement. I also know that balanoposthitis comes in many types, but the doctor didn't tell me which type it was.Doctor's answer:
??????? Hello, balanitis initially presents with local redness, a sense of heat and itching. Infection of balanitis is generally caused by infection through unprotected sex or due to excessive foreskin, inadequate hygiene, and irritation of the mucous membrane between the foreskin and the glans caused by unclean substances. Clinically, it primarily manifests as dampness, redness, swelling, heat, and pain on the glans and foreskin, with symptoms worsening after friction, accompanied by symptoms such as urgency and pain during urination. If left untreated, the glans and foreskin may develop erosion and ulcers, accompanied by creamy, foul-smelling purulent discharge. In severe cases, gangrene may occur, and it can also lead to prostatitis and infertility. If you notice any problems, please seek medical attention promptly. After identifying the cause, targeted treatment should be administered to avoid delaying the condition. During treatment, local hygiene should be maintained. Individuals with excessive foreskin should clean it regularly, and sexual activity should be avoided during the illness.