What ointment helps with balanoposthitis. Effective treatment of balanoposthitis in men with drugs. Ointment Levomekol from balanoposthitis

Balanoposthitis(from Greek balanos - “acorn”, “head of the penis”, posthe - “ foreskin”, and itis - “inflammatory process”) is an inflammation of the glans penis (balanitis) and foreskin (postitis).

Anatomical features of the glans and foreskin of the penis

The human penis consists of a body and a head, between which there is a narrowed part - the neck (coronal sulcus).

The head of the penis has an acorn-like shape, on it is the external opening of the urethra, which serves both for urination and for ejaculation.

The head of the penis is covered with thin pink skin, in which there are many glands that secrete a lubricant - smegma. It performs a protective and bactericidal function.

Normally, the head is completely or partially covered by the foreskin - a fold of skin that covers its body in the upper part of the penis and passes into the skin of the pubis, and in the lower part - into the skin of the scrotum. In the lower part, between the foreskin and the head in the longitudinal direction, another skin fold passes - the frenulum of the penis.

Smegma, which is produced by the skin glands, accumulates between the skin and the head of the penis.

Causes of balanoposthitis

The causes of balanoposthitis are divided into infectious and non-infectious.

Causes of infectious balanoposthitis(mostly sexually transmitted infections):

Gonorrhea- sexually transmitted infection STI) caused by gonococcus.
Trichomoniasis- a sexually transmitted infection that occurs in 10% of the world's population. It ranks first in prevalence among both STIs and diseases of the genitourinary system.
Candidiasis- a fungal disease that develops mainly with a decrease in immunity.
Genital herpes- a viral infection that mainly affects the skin and genitals.
Syphilis - Balanoposthitis may be the first sign of primary syphilis.
Gardnerellosis - in women it occurs as a result of a violation of the normal biocenosis (composition of microflora) of the vagina, and in men it manifests itself in the form of balanoposthitis.
HPV (human papillomavirus) - a common viral disease that affects the skin and mucous membranes, which often manifests itself in men in the form of balanitis, postitis, balanoposthitis.
non-specific pathogens among them, streptococci and staphylococci are the most common.

Non-infectious causes of balanoposthitis:

Irritative balanoposthitis - associated with mechanical or other irritation of the skin of the head and foreskin of the penis.
Diabetes - complicated by balanoposthitis as a result of damage to the small vessels of the penis, a decrease in protective functions.
Psoriasis - dermatological disease, which is mainly of an autoimmune nature.
Lichen planus - non-infectious chronic skin disease.
Rarely occurring diseases: Keyr's erythroplasia, Behcet's disease, xerotic obliterans balanoposthitis, Zoon's plasma cell balanitis.

Factors that contribute to the development of balanoposthitis:

Non-compliance with the rules of personal hygiene: while dirt and smegma, which accumulate between the foreskin and the head of the penis, are an excellent breeding ground for the reproduction of pathogens.
Phimosis: a disease in which the foreskin is so narrowed that it is impossible to expose the glans penis. In this case, the implementation of personal hygiene is difficult.
Allergic diseases and immune disorders.
Chronic infections in the body: pathogens enter the skin of the glans penis with the blood stream.
Promiscuous sexual relations: high risk of contracting sexually transmitted infections.
Infections of the genitourinary system: cystitis, prostatitis, urethritis, etc.

Symptoms of balanoposthitis

Most often, balanoposthitis develops with a banal violation of the rules of personal hygiene and is accompanied by typical symptoms. Dominant signs depend on the stage of the disease.

Symptoms of balanoposthitis at different stages of the disease

Simple balanoposthitis

The mildest form of inflammation of the glans penis and foreskin. Most often, balanoposthitis proceeds in this way, complete recovery occurs after 5 to 7 days.

Symptoms of simple balanoposthitis:

Itching and burning. They are often the first symptoms of the disease. These sensations are aggravated by touching the head of the penis and its foreskin, by rubbing underwear, during urination.
Discomfort when opening the head of the penis.
Redness of the glans penis and foreskin. characteristic feature inflammatory process.
puffiness
Maceration of the skin of the foreskin and glans penis. Maceration is swelling due to the fact that the skin is impregnated with edematous fluid.
Erosion on the skin- superficial defects that are especially painful.
Purulent discharge from the external opening of the urethra.

Erosive balanoposthitis

A characteristic feature of this form of balanoposthitis is the formation of erosions on the skin of the head and foreskin of the penis. First on a certain small area a white thin film appears, which consists of a superficial dead layer of cells. Then it falls off, and in its place a very painful, itchy red spot forms. After the erosion heals, no trace remains in their place.

Often, erosive balanoposthitis is accompanied by an increase and soreness of the lymph nodes in the groin.

Gangrenous balanoposthitis

The most severe form of the disease.

Signs of gangrenous balanoposthitis:

violation of the general condition of the patient: malaise, fever, weakness;
ulcers: occur on the glans penis and its foreskin, are red in color, blood and pus appear in them, they are very painful;
phimosis(inability to expose the glans penis): occurs as a result of swelling of the glans and foreskin;
scarring: remain in place of healed ulcers and can also lead to the development of phimosis;
perforations (holes) in the foreskin, which are also the result of the formation of ulcers.

Symptoms of balanoposthitis caused by certain sexually transmitted infections

Type of balanoposthitis	signs
Gonorrheal	It is accompanied by classic signs of balanoposthitis, almost always combined with urethritis - a lesion of the urethra.
Chlamydial	Most often occurs in the form of balanitis - inflammation of the glans penis. Lesions in the form of red spots have clear contours.
Trichomonas	Most often occurs as a complication of urethritis, but can develop independently. Accumulates between the glans penis and the foreskin a large number of pus that has a yellow or white color, frothy texture, an unpleasant odor. The head of the penis is either completely swollen and red in color, or it is affected in the form of many spots.
candida	The disease begins with itching and burning of the skin of the penis, then pain occurs. In the future, a white coating appears on the head of the penis, which is easily removed and forms lumps similar to cottage cheese.
herpetic	On the skin of the glans penis and foreskin, a large number of vesicles appear, filled with transparent watery contents. When they open, erosions of a red-pink color remain in their place, in place of which then remain dark spots. Herpetic balanoposthitis most often occurs in a chronic form.
Syphilitic	With syphilis, balanoposthitis is associated with the formation of a primary chancre on the skin of the glans penis and foreskin.
Balanoposthitis with gardnerellosis	Symptoms resemble simple balanoposthitis, but very poor. If the immune system of a man is normal, then the disease goes away on its own within 2 to 3 days.
Papillomavirus balanoposthitis	It manifests itself, like papillomavirus infection in other areas - in the form of genital warts.

Specific symptoms of some types of balanoposthitis caused by non-infectious causes

Type of balanoposthitis	Symptoms
With diabetes	The severity of symptoms depends on the age of the patient, the duration of the course diabetes, comorbidities: redness of the head of the penis; increased pain sensitivity of the skin of the head and foreskin, bleeding; cracks and ulcers on the skin; after the cracks and ulcerations pass, scars remain in their place.
Psoriatic	In most cases, balanoposthitis in psoriasis is combined with skin lesions in other places. In this case, small red nodules appear, covered with scales.
With lichen planus	On the skin of the penis, mainly in the area of the transition of the body to the head (in the area of \u200b\u200bthe neck of the penis), flat nodules of irregular shape appear. On their surface are white scales. The skin itself in these places is slightly reddish. Individual nodules may merge with each other. They are found not only on the penis, but also in other places.

Features of balanoposthitis in children

Balanoposthitis is one of the most common reasons for parents of boys to contact pediatricians and pediatric surgeons. Most often it is a simple infectious or irritative balanoposthitis, which lasts for 5 days and then disappears.

Sexually transmitted infections are almost non-existent in childhood.

The most common causes of balanoposthitis in childhood:

the release of a large amount of smegma and its accumulation between the glans penis and the foreskin;
overdeveloped foreskin, which hangs down in front of the head of the penis and moves back with difficulty - hypertrophic phimosis;
phimosis - a condition when the foreskin is narrowed so much that the exposure of the head of the penis becomes impossible;
non-compliance with the rules of personal hygiene, a rare change of underwear.

Diagnosis of balanoposthitis

Diagnostic techniques that are used for balanoposthitis:

General analysis blood – routine research which is performed in all patients. An increase in the content of leukocytes and an acceleration of ESR (erythrocyte sedimentation rate) indicate the presence of an inflammatory process in the body.
General urine analysis- a routine study that is assigned to all patients. An increase in the number of leukocytes in the urine indicates the presence of an inflammatory process.
Bacteriological examination of urine and determination of the sensitivity of microorganisms to antibiotics. It makes it possible to identify the causative agent of the disease and prescribe the correct antibiotic therapy.
PCR– polymerase chain reaction. A laboratory study that makes it possible to isolate the DNA of a pathogen and clarify its type.
Examination of scrapings from the urethra (urethra) for pale treponema- the causative agent of syphilis. This test should be performed in all adult patients in order to exclude the presence of syphilis.

If balanoposthitis is caused by sexually transmitted infections, then the sexual partner must be examined.

Balanoposthitis treatment

Local procedures for balanoposthitis

Procedure	Efficacy and indications	Method of application and duration of the course
Baths with potassium permanganate (potassium permanganate).	Potassium permanganate is a powerful antiseptic that kills most pathogens. It is sold in pharmacies in the form of a powder, which is intended for dilution in water.	For kids younger age : Dilute a small amount of potassium permanganate in the bath so that the water is slightly tinted. To carry out the usual bathing in this water, during which to open the head of the penis. For older children and adults: Dilute potassium permanganate powder in a glass so that the solution has a pale pink color. Dip the penis with the open head into the glass for about 5 to 10 minutes. Repeat the procedure 1-3 times a day, as prescribed by the doctor.
Baths with furatsilin.	Furacilin is a medicinal substance with antimicrobial and antiseptic action. Sold either in the form of a ready-made solution in vials, or in the form of tablets.	When used in a vial: Pour the solution from the vial into a glass. When using tablets: Dissolve 2 tablets in a glass of water (250 ml). Dip the penis with the naked head into a glass of solution for 10 minutes. Repeat the procedure 1-3 times a day, depending on the doctor's prescription.
Baths with chamomile, sage, plantain, succession, St. John's wort, oak bark (one of the plants to choose from).	These medicinal plants have anti-inflammatory and antiseptic effects. They are able to relieve inflammation and destroy pathogens that caused balanoposthitis.	Take 2 - 3 tablespoons of the medicinal plant. Dilute in 1 cup (200 ml) boiling water. Cool down. Immerse the penis with a naked head in the infusion for 15 to 20 minutes. Repeat the procedure 4-6 times a day for 3-5 days.

The use of therapeutic ointments for balanoposthitis
Levomekol	Ointment, which includes two active ingredients: Chloramphenicol (levomycetin): a strong broad-spectrum antibiotic that destroys different kinds pathogenic microorganisms. Methyluracil - a substance that stimulates the nutrition and regeneration of the skin of the head and foreskin of the penis. Levomekol ointment is prescribed for all forms of balanoposthitis.	Before applying the ointment, you need to conduct a thorough hygiene of the external genitalia. In order to treat balanoposthitis, bandages with levomekol are applied to the penis, which are left overnight. The procedure is repeated for 3-5 days.
Xeroform ointment	Xeroform ointment consists of two active ingredients: Xeroform is a medicinal substance that has an antiseptic, anti-inflammatory and drying effect. Petrolatum.	Before applying xeroform ointment, thorough hygiene of the external genitalia is carried out. In order to treat balanoposthitis, bandages with xeroform ointment are applied to the penis, which are left overnight. The procedure is repeated for 3-5 days. Source: Vidal Handbook, 2008
Ointments based flumatasone pivalata: Locacorten; Lorinden; Localized.	Flumatasone Pivalate is a medicinal substance that has pronounced anti-allergic and anti-inflammatory properties. Refers to drugs of hormones of the adrenal cortex. It is most effective for balanoposthitis caused by autoimmune reactions, with severe pain, itching, inflammation.	Before applying ointments based on Flumatasone Pivalat, thorough hygiene of the penis is carried out. Take a small amount of ointment and rub into the affected skin. The procedure is repeated 2-3 times a day. Source: Vidal Handbook, 2008
Other ointments based on hormones of the adrenal cortex: Prednisolone ointment Locoid Advantan Elidel	Preparations of hormones of the adrenal cortex have a strong anti-inflammatory and anti-allergic effect. Ointments based on them are especially effective for inflammation of an autoimmune nature, when balanoposthitis is accompanied by severe itching and burning, pain, swelling and redness of the glans penis and foreskin.	Ointments should only be applied to cleansed skin before careful personal hygiene. Usually, ointments based on preparations of hormones of the adrenal cortex are applied to the skin of the penis 1 time per day at night (sometimes 2 to 3 times.) You need to take a small amount of ointment and rub it into the affected skin. The course of treatment for balanoposthitis lasts 3 to 7 days. Source: Vidal Handbook, 2008
Ointments with antibiotics with infectious balanoposthitis.	There are a large number of ointments, the active ingredients of which are antibacterial drugs.	The ointment is selected for each patient individually and only by the attending physician. It is necessary to take into account the type of pathogens, their sensitivity to various antibiotics.
Ointments based on antifungal drugs: Clotrimazole; Omoconazole; Candide; Miconazole; Mikogal; Terbinafine.	They have an antifungal effect and are prescribed in cases where it is proved that balanoposthitis is caused by Candida or other fungi.	Usually the ointment is applied to the skin 2 times a day. It is rubbed into the skin. Before this, you need to thoroughly wash the genitals. Treatment in most cases lasts for 2 to 4 weeks, more specific terms are determined by the attending physician.

Antibacterial therapy for balanoposthitis

The appointment of antibiotics for balanoposthitis is carried out only in severe cases, when inflammation is accompanied by a pronounced violation of the general condition of the patient, with an ulcerative and gangrenous form, as well as with all types of balanoposthitis, which are caused by sexually transmitted infections. Antibacterial drugs for balanoposthitis, as with other diseases, must be used in strict accordance with certain rules:

the antibiotic should be prescribed only by the attending physician, taking into account the type of microorganism and its sensitivity to antibacterial drugs;

self-administration of these medicines, especially in mild forms of balanoposthitis, is strictly contraindicated;

antibacterial drugs should be used only in the dosages in which they were prescribed;

antibiotics are always used strictly on time, otherwise they will not bring an effect and are able to have side effect.

Antibiotics that are prescribed for balanoposthitis:

Preparations	Mechanism of action	Dosage and administration
Broad-spectrum antibiotics for balanoposthitis caused by non-specific pathogens
Cefazolin	An antibacterial drug that destroys many types of pathogens. Available in tablets, as well as in powder for intramuscular injection. The most preferred is the injection form, as it has a more effective effect.	Use in adults: 0.5 - 1.0 g of powder diluted in distilled water or saline intramuscularly, 6 - 8 times a day, depending on the doctor's prescription. Use in children: At the rate of 20 - 50 mg per kilogram of body weight, the total dose is divided into 3 - 4 doses during the day. Contraindications: Cefazolin should not be used in pregnant and breastfeeding women, in people who are allergic to this group of drugs. Source: M. D. Mashkovsky
Ceftriaxone	A broad-spectrum antibiotic that can destroy many types of pathogenic microorganisms. Belongs to the group of antibiotics cephalosporins. Ceftriaxone is available in tablets and as a powder for intramuscular injection. The most preferred injectable form, as it is more effective.	Use in adults and children over 12 years of age: 1 - 2 grams of ceftriaxone powder is dissolved in distilled water or saline and injected once a day. The dosage is selected by the attending physician. Use in children under 12 years of age: The dosage of the powder is selected by the attending physician at the rate of 20 - 100 mg per kilogram of the child's weight. Contraindications: Ceftriaxone should not be used in pregnant and breastfeeding women, in people with bleeding and enterocolitis (inflammation of the small intestine and colon), in people allergic to cephalosporins and in children under 2.5 years of age. Source: M. D. Mashkovsky “Medications. A guide for doctors.” 15th edition, revised and enlarged, Moscow, New Wave, 2005.
Azithromycin (Zimaks, Azitrocin, Azivox, Sumamed, Zitrolid, Sumazid).	An antibiotic from the macrolide group, which acts on a wide range of pathogens. It is prescribed in the form of tablets. Most pharmacies distribute a branded drug called Sumamed.	Take 1 g (2-4 tablets, depending on the dosage) once at the onset of illness before meals. Contraindications: Azithromycin is contraindicated in diseases that are accompanied by severe disorders of the kidneys and liver. With arrhythmias (heart rhythm disturbances), the drug is prescribed with caution. Source: M. D. Mashkovsky “Medications. A guide for doctors.” 15th edition, revised and enlarged, Moscow, New Wave, 2005.
Antibacterial drugs that are used for gonorrheal balanoposthitis
Cefixime	An antibacterial drug that belongs to the group of beta-lactam antibiotics and is effective against gonococci. Available in the form of tablets of 200 or 400 mg.	Use in adults and children over 12 years of age weighing more than 50 kg: Take 1 (400 mg) or 2 (200 mg) tablets per day at regular intervals. Use in children under 12 years of age weighing less than 50 kg: 8 mg or 4 mg per kilogram of the child's body weight every 12 hours. The duration of treatment is determined by the doctor individually, depending on the severity of the disease. Contraindications: allergic reactions to antibiotics from this group.
Ciprofloxacin	An antibacterial drug from the group of fluoroquinolones, which are active against most pathogens of infections of the genitourinary system, including gonococci. Produced in the form of tablets.	With gonorrhea, adults are shown taking ciprofloxacin once at a dose of 500 mg. In the future, treatment continues in accordance with the doctor's prescriptions. Contraindications: Ciprofloxacin is contraindicated in children and adolescents under 15 years of age. In the elderly, the dosage should be reduced. You can enter a solution of ciprofloxacin for intravenous use at a dosage of 100 mg of the active substance. Source: M. D. Mashkovsky “Medications. A guide for doctors.” 15th edition, revised and enlarged, Moscow, New Wave, 2005.
Ofloxacin	An antibiotic from the fluoroquinolone group, which serves as an alternative to ciprofloxacin.	For gonorrhea, take 400 mg of ofloxacin in the form of tablets once. In the future, treatment is continued in accordance with the doctor's prescriptions. Contraindications: Epilepsy, children and adolescents under the age of 15, pregnant and breastfeeding women. Source: M. D. Mashkovsky “Medications. A guide for doctors.” 15th edition, revised and enlarged, Moscow, New Wave, 2005.
Antibacterial drugs that are used for balanoposthitis caused by Trichomonas
Metronidazole (Metrogil, Trichopolum)	An antibacterial drug that is effective against protozoa, including Trichomonas.	Use in adults: 2 grams orally once or for 5 days, 0.5 g 2 times a day. In men, trichomonas are usually not detected during re-examination after 1 day from the start of treatment. Approximate dosages for children: 1 - 5 years - 250 mg; 6 - 10 years - 375 mg; 11-15 years - 500 mg. These doses are divided into 3 doses. Contraindications: Pregnant and breastfeeding women, diseases of the hematopoietic organs, severe pathologies nervous system. Source: M. D. Mashkovsky “Medications. A guide for doctors.” 15th edition, revised and enlarged, Moscow, New Wave, 2005.
Antibacterial drugs that are used for candidiasis
Fluconazole (Diflucan, Flucostat)	An antifungal drug that is effective against fungi of the genus Candida. Available in capsules	In the treatment of candidal balanoposthitis and urethritis, 0.2 - 0.4 g of the drug is prescribed per day. Take 1 time. The duration of treatment depends on the severity of the disease and is determined by the doctor. Contraindications Key words: pregnancy, breastfeeding, child under 1 year of age. Source: M. D. Mashkovsky “Medications. A guide for doctors.” 15th edition, revised and enlarged, Moscow, New Wave, 2005.
Antiviral drugs that are prescribed for balanoposthitis caused by the herpes virus
Aciclovir (Aciclovir-Acri, Acivir, Aciclovir BMS, Cyclovax, Gerperax, Aciclovir Virolex, Lizavir, Herpesin, Zovirax, Lovir, Cevirin, Medovir, Supraviran, Cyclovir, Geksal)	An antiviral drug that is active against herpes viruses.	With balanoposthitis, adults should take acyclovir at a dosage of 0.2 g 5 times a day. There is a break for the night. The duration of treatment is determined by the attending physician. Contraindications: During pregnancy and breastfeeding the drug can be used, but this should be done only for health reasons. Source: M. D. Mashkovsky “Medications. A guide for doctors.” 15th edition, revised and enlarged, Moscow, New Wave, 2005.

Surgical treatment for balanoposthitis

In an uncomplicated course of balanoposthitis, most often surgical treatment not required.

Indications for the operation of circumcision (circumcision) with balanoposthitis:

Frequent relapses, chronic course, in which conservative methods do not allow to get rid of balanoposthitis. Before performing surgery, it is necessary to achieve a subsidence of the inflammatory process.

Complication in the form of cicatricial phimosis. As a result of pronounced frequent inflammatory processes, scars form on the foreskin, it narrows strongly, exposing the glans penis becomes difficult or impossible.

Prevention of balanoposthitis:

meticulous personal hygiene;
frequent washing, frequent change of underwear;
exclusion of frequent promiscuity;
partner's health: she must also carry out thorough intimate hygiene of the genital organs, appear in a timely manner for examinations to the gynecologist;
it is advisable to bathe young children in water to which a small amount of potassium permanganate has been added;
if the boy’s penis head does not open well, then he needs to sit in warm water for a while, after which the head will open easily, better hygiene can be performed;
boys need to be brought to the scheduled examinations to the pediatric surgeon in a timely manner.

Why does balanoposthitis develop in boys? How to recognize and how to help?

Balanoposthitis in boys is the main reason for referrals to pediatric urologist. Redness of the foreskin and head is especially often noticed by parents of children under one year old.

Causes of balanoposthitis in children not quite the same as in adults:

Hygiene of the foreskin. In boys, the foreskin is narrowed physiologically. For most of them, it is possible to completely pull it off and expose the head of the penis only by 3-5 years, which is considered the norm. But many parents are too zealous with hygiene, and when washing, they pull and injure the foreskin. Through the resulting microcracks, bacteria penetrate the skin, which can cause inflammation.
Injuries. Urinary irritation causes genital itching. Combing this area, the child injures the skin and introduces an infection. Although at an early age, other injuries cannot be ruled out.
Overheating. Wearing a diaper or warm clothes increases the moisture in the genital area and promotes the growth of bacteria.
Candidiasis. After a course of antibiotic treatment, fungi of the genus begin to multiply intensively. Candida causing candidiasis or thrush. In babies, it often appears in the mouth, and sometimes on the genitals.
Inflammation of the urinary system. In children, inflammation of the urinary tract occurs more often than in adults. This is due to the age-related features of the development of the urinary, immune and nervous systems. Often the bladder does not empty completely, and the remaining urine serves as a reservoir for bacteria to multiply.
Allergic reaction. Redness of the glans and foreskin may be an allergy, which is associated with:
- diapers;
- the use of drugs;
- skin care products - powder, baby oil;
- washing powder, which washed children's things;
- sweets, berries or other foods.

Symptoms of balanoposthitis in children

Redness and swelling at the end of the penis, sometimes throughout the organ.
The foreskin does not retract well(provided that before she moved away well).
White-yellow discharge on the head, linen or diaper.
Baby crying while urinating. Older children refuse to sit on the potty.
Itching. The child is restless, constantly scratching or pulling the penis. She often cries because the touch causes pain.
Frequent painful urination- indicates that the inflammation has spread to the opening of the urethra.
Lack of urination, although the child complains that he wants to go to the toilet - it may be due to irritation and swelling of the urethra and bladder.

The urologist is engaged in the treatment of balanoposthitis in boys. The specialist will prescribe treatment based on the symptoms and test results. But If you have not made an appointment with a doctor, you can alleviate the condition of the child yourself:

Put your baby in a warm bath. Warm (not hot) water reduces discomfort. Wash the outside of the genitals with neutral baby soap, without additives or fragrances, so as not to aggravate allergic reaction, if any.
Pull the skin of the penis up without exposing the head. Using a syringe without a needle, inject 10 ml of a warm solution of furacilin or an ectericide into the gap formed. The liquid under pressure washes out the smegma that has accumulated between the head and the foreskin.
You can immerse the penis in a container with a warm solution of furacilin, a slightly pink solution of potassium permanganate or chamomile decoction for 5-10 minutes.
Put a few drops of oil solution A, E, vaseline or olive oil into the slot or on the head. Boiled and chilled sunflower oil will do.

Show your child to a specialist as soon as possible! It is better not to start the disease, as it can cause phimosis (narrowing of the foreskin), which will require surgical treatment.

Prevention of balanoposthitis in children is based on the observance of hygiene rules. Every day, the genitals are washed with warm water with baby soap or neutral shower gel. If there is no redness, and nothing bothers the baby, then it is not recommended to move the foreskin during washing.

What is dangerous balanoposthitis and urethritis?

Balanoposthitis and urethritis often occur together. The fact is that bacteria and fungi from the head quickly spread up the urethra. At the same time, the mucous membrane of its walls becomes inflamed. This usually occurs 3-7 days after the onset of symptoms of balanoposthitis.

Symptoms of balanoposthitis and urethritis

Changes appearance head and foreskin - redness, white bloom, erosion, spots, fine blistering rash;
Pain and burning when urinating;
Purulent or mucous discharge from the opening of the urethra;
Swelling of the tissues surrounding the opening of the urethra;
The initial portion of urine is cloudy, contains mucus, pus, leukocytes, while the residual portion is transparent;
It is possible to increase the temperature up to 38°C.

The doctor makes the diagnosis based on the symptoms of the disease, the results of a urinalysis and a microscopic examination of a smear from the urethra.

Balanoposthitis and urethritis are treated with antibiotics and nitrofuran drugs (Furagin, Furamag), which penetrate the mucous membrane of the urinary tract and destroy the pathogen.

Additionally carry out local treatment:

baths with potassium permanganate, 2 times a day for 2 weeks;
clotrimazole 1% cream, 2 times a day for 2 weeks on the affected area.

What are the complications of balanoposthitis?

Complications of balanoposthitis develop in weakened patients, as well as in men who do not follow the doctor's instructions and ignore the rules of hygiene.

Why does chronic balanoposthitis develop and how is it treated in men?

Chronic balanoposthitis in men is not uncommon. Its symptoms are not as pronounced as in the acute form of the disease, but rashes on the head and itching bring a lot of anxiety. Often men complain that the symptoms subside only for the duration of treatment. But as soon as they stop using ointments and drinking pills, the signs of the disease return.

Symptoms of chronic balanoposthitis

Itching and burning on the skin of the head, aggravated during an erection or after intercourse.
Unpleasant sensations occur with high humidity and physical activity.
Periodically, the skin of the head and foreskin turns red or becomes covered with spots with clear edges.
The skin of the head is moist, impregnated with interstitial fluid.
White plaque (sometimes grains), accumulating in the region of the coronal sulcus.
Rashes in the form of small pink papules.
Increased dryness and painful cracks.

Treatment of chronic balanoposthitis was developed by specialists of the Moscow State University of Medicine and Dentistry. It effectively eliminates relapses in 97% of men.

1. Lamisil spray is applied to the washed and dried skin of the genital organs 2 times a day for 2 weeks.
2. Laserophoresis with Lamisil spray. Lamisil spray is applied to the skin of the genital organs. After that, a laser is applied to the affected area through a sterile tube. The duration of the procedure is 5 minutes. Course 7 sessions, every other day.

Balanoposthitis (ICD code 10 N48.1) is an inflammatory disease, as a result of which the foreskin and glans of the male penis are affected. According to statistics, about 11% of men have this diagnosis. But there are cases of detection of the disease in women and children. How to treat balanoposthitis can be prompted by a doctor after an examination and some tests. The main therapy is to use local preparations(creams, ointments, etc.).

Treatment of pathology can be quite long and continues until the symptoms and cause of balanoposthitis are completely eliminated. The duration of the course of therapy is affected by the form of the disease, the severity of the symptoms and the type of pathogen. Acute balanoposthitis is treated within 2-3 weeks.

The urologist Junker Oleg Alexandrovich will tell about the disease:

Before starting treatment, the patient needs to review the correctness of hygiene procedures and, together with the sexual partner, be examined for possible STDs. Only after that, the doctor (urologist and venereologist) will be able to prescribe the correct treatment.

If you do not pay attention to the problem in time, the disease can become chronic. Chronic balanoposthitis is much more difficult to treat.

Causes of the disease

All causes that can lead to the appearance of balanoposthitis are infectious and not infectious nature.

Infectious causes include:

Candidiasis.
Human papillomavirus.
Trichomoniasis.

Genital herpes is a viral lesion of the genital mucosa, characterized by the appearance of a group of vesicles, and then erosions and sores.

Herpes genital.
Streptococci.
Staphylococci.
Syphilis.
Gardnerellosis.

Non-infectious causes include:

Psoriasis.
Irritative balanoposthitis.
Lichen flat.
Diabetes.

Risk factors that contribute to inflammation are:

Non-compliance with hygiene rules.
Decreased body defenses.
Allergic diseases.

The presence of a chronic infection in the body.
Infections of the genitourinary system (urethritis, etc.).
Promiscuous sexual relations.

Symptoms of the disease

The main cause of balanoposthitis is the patient's failure to follow the rules of personal hygiene. Symptoms of the disease depend on the stage of the pathological process.

Simple balanoposthitis

This is the mildest form of the disease. Its manifestations include:

Feeling of burning and itching. This symptom is considered the very first. While touching the head of the penis, when urinating or rubbing against clothes, the discomfort intensifies.
Discomfort at the time of opening the head of the penis.
Redness of the affected area. Thus, the inflammatory process makes itself felt.

The table shows general and local symptoms, as well as complications of the disease.

Swelling of tissues.
The formation of painful cracks and erosions (erosive balanoposthitis).
Discharge of pus from the urethra. Thus, purulent balanoposthitis manifests itself.

Gangrenous balanoposthitis

This form of the disease is considered the most severe. Its features are:

Phimosis.
Ulcers.
Violation of the patient's condition.
The appearance of scars.
Perforation of the foreskin.

Balanoposthitis caused by STIs

Symptoms of the disease will depend on the type of pathogen:

The gonorrheal appearance, in addition to the classic signs of balanoposthitis, is accompanied.
Chlamydial - characterized by clear spots of red color.
Trichomonas - pus accumulates under the foreskin. The head swells and becomes red.

Candidiasis is accompanied by itching, burning and pain in the head area. After a while, curdled discharge from the urethra appears.
Herpetic. Vesicles with a clear liquid inside can be noted on the foreskin. After opening them, red sores appear in this place. Often this type of disease is chronic.

Immunologist Ermakov Georgy Aleksandrovich will talk about the symptoms and treatment of the disease:

Syphilitic - diagnosed in the presence of a primary chancre on the skin.
Papillomavirus is accompanied by the occurrence of genital warts.
Balanoposthitis with gardnerellosis occurs with virtually no symptoms. If the patient's immune system works well, then after a few days, the disease goes away on its own.
Circinar balanoposthitis is manifested by clear red spots on the head of the penis.

The disease is caused by non-specific causes

In this case, the signs of balanoposthitis will depend on the primary disease:

With diabetes in a man, the head of the penis turns red, its sensitivity increases, pain, cracks are possible, in place of which scars remain.
Psoriatic balanoposthitis is manifested by the appearance of red scales.
With lichen planus, irregularly shaped nodules appear on the head, covered with white scales. The skin becomes red.

Features of the disease in a child

Sometimes small children can also be affected. As a rule, they are diagnosed with irritative or simple infectious balanoposthitis, which lasts for 5-6 days, after which it disappears.

Among the reasons for its appearance in children, there are:

Developed foreskin, hanging down and moving with difficulty.
Phimosis.

Profuse discharge of semen, which accumulates in the fold between the foreskin and the glans penis.
Failure to comply with simple hygiene rules.

Diagnostics

To make a diagnosis and prescribe treatment, the doctor will examine the patient and prescribe some tests for him:

A general blood test, in which you can see the presence of an inflammatory process by the number of leukocytes and the ESR index.
A general urine test, in which an increased number of leukocytes will indicate the presence of inflammation.

A blood test for ESR is a non-specific indicator that makes it possible to detect inflammation of various origins.

A bacterial urine test to identify the pathogen and its sensitivity to antibacterial drugs.
PCR will make it possible to isolate the DNA of the pathogen and determine its type.
Scraping from the urethra for the presence of pale treponema.

If a sexual infection has led to the appearance of inflammation, then it is necessary to examine the partner as well.

Complications

In patients whose immune system is weakened, as well as those who do not follow the rules of personal hygiene and do not carry out treatment, complications may develop:

Chronic balanoposthitis may occur if treatment is not started on time or completed ahead of schedule. In this case, remission is possible at first, but later the symptoms of the disease will worsen again. It is much more difficult to treat chronic pathology.
Decreased sexual function. The inflammatory process can lead to receptor atrophy and decreased sensitivity. This reduces the potency.
Cystitis, prostatitis and other diseases of the genitourinary system. Pathogenic bacteria that caused balanoposthitis can rise up the urethra and cause these diseases. As a rule, this occurs in people with reduced immunity and those who did not follow the principles of treatment.

Symptoms and complications of prostatitis

Lymphoangitis - the transition of the inflammatory process to the inguinal lymph nodes.
Paraphimosis - clamping the head of the foreskin. In this case, there is a violation of the blood circulation of the organ, lymph flow and an increase in the size of the head of the penis, which becomes red and painful. This condition requires immediate medical attention, otherwise gangrene is possible.
Gangrene of the penis is characterized by the death of tissues that turn black. The disease begins suddenly for a man. As a result, his general condition worsens, the temperature rises and foci of necrosis appear.

Treatment

How to cure balanoposthitis? This question will be answered by the doctor after the examination and passing the necessary tests that can identify the causes of the inflammatory process.

Each patient must follow certain rules:

Observe the hygiene of the penis.
Eliminate the causative agent of inflammation. For this, antiseptic solutions, herbal tinctures, etc. can be used.
Carry out antibacterial and antiviral therapy using drugs. Only the attending physician can prescribe an individual treatment regimen.

Solovyov Nikolai Konstantinovich, urologist-andrologist at the Moscow Doctor Medical Center, will tell you what caused the disease and how to treat it:

The main methods of treatment:

Taking medications (tablets, ointments, solutions) prescribed by a doctor. So "Levomekol" with balanoposthitis is considered a fairly effective drug.
In case of complications, drugs are used that can increase the body's defenses.
The fungal type of the disease is treated with antifungal agents (ointments "Nizoral", "Clotrimazole", etc.).
In the anaerobic form, antibiotics are indicated ("Azithromycin", etc.).
Surgical intervention, which involves the excision of the foreskin. In such cases, the patient should not try to open the head on his own, as this can lead to microcracks and further aggravate the inflammatory process.
It is possible to treat balanoposthitis in men with folk remedies. Decoctions and infusions of medicinal herbs can alleviate the general condition of the patient and reduce the manifestations of the inflammatory process. Doctors recommend taking baths, compresses and wiping the penis with such drugs.

Use of antibacterial drugs

Very often, pathogens become the cause of inflammation, including: E. coli, staphylococci, streptococci and other aerobic and anaerobic bacteria. In such cases, the doctor will prescribe a course of antibiotic therapy to the patient. Depending on what has become the causative agent, broad-spectrum antibiotics are prescribed:

Antibacterial drugs are prescribed only in case of severe forms of the disease or when balanoposthitis is caused by sexual infections.
Antibacterial therapy is not prescribed when allergic, viral or fungal balanoposthitis is established.
Antibiotics for balanoposthitis, which are considered the most effective - tablets "Doxycycline" and "Levomycetin".
Often prescribed drugs: "Erythromycin", "Roxithromycin" and "Oletetrin", derivatives of quinol "Nevigramon", nitrofuran "Furagin" or oxyquinoline "Nitroxoline".

Azithromycin is an effective antibacterial agent. Price in pharmacies from 32 rubles.

Anaerobic balanoposthitis is treated with Azithromycin.
When diagnosing a specific infection, penicillins and cephalosporins ("Tsiprolet") are prescribed.
Treatment of candidal balanoposthitis in men is carried out with Fluconazole or Clotrimazole.
Chlamydial and ureaplasmic types of balanoposthitis are treated with metronidazole derivatives.

Along with pills for systemic treatment, injections and intravenous infusions of medications are used, depending on the symptoms and severity of the disease.

If balanoposthitis is bacterial in nature, then both partners should take antibacterial drugs. During treatment, it is necessary to exclude the use of alcoholic beverages and unprotected sex.

The use of ointments

For local treatment of balanoposthitis, various ointments are widely used:

With the fungal nature of the disease, the ointment should have an antifungal effect. These drugs include: "Fluconazole", "Candide", etc. "Clotrimazole" for balanoposthitis is the most popular of this group of drugs. Pimafucort ointment, which absorbed the properties of antifungal and hormonal drugs, was recognized as no less effective. It is often prescribed if it is necessary to cure chronic candidal balanoposthitis.
In the case of an allergic or autoimmune nature of inflammation, doctors recommend using hormonal ointments "Oxycort", "Lamisil", "Locacorten", etc.

Dressings with ointment are applied to the damaged areas at night after thorough hygiene of the genital organs. This procedure is done within 5 days. Treatment must be carried out under medical supervision.

"Triderm" with balanoposthitis is advised to use when a mixed type of infection is detected in a patient. The ointment has antibacterial, antifungal and hormonal effects.
With a nonspecific bacterial infection, the combined ointment "Levomekol" is used. It contains levomycetin, which has an antibacterial effect, and methyluracil, which is able to restore damaged tissues.
A powerful antibacterial effect has an ointment from balanoposthitis "Baneocin". Its constituent bacitracin and neomycin are able to cope with the infection and relieve the inflammation process.

Ointments should be used for a long period of time. At the same time, they are applied to the affected area several times a day.

It is impossible to use ointments for the treatment of balanoposthitis if the patient has:

Malignant neoplasms.
Trophic ulcers.
Skin tuberculosis.
Necrosis.
Allergy to individual components of the drug.

What ointments are used for the disease? The venereologist, urologist Lenkin Sergey Gennadievich will tell:

Before you start using any drug, you need to conduct a test. To do this, a small amount of ointment is applied to the back of the hand or near the elbow. If after a while, redness, itching, rash or burning occurs in this place, then you can not use this remedy.

If you use the ointment in large quantities, overdose symptoms may occur: redness, swelling, rash. Periodically, any drug must be changed, since prolonged use can reduce its effectiveness.

Use of antiseptic solutions

Various antiseptic solutions are often used for local therapy of the disease. They are allowed to be used at home. The most popular are:

Solution "Chlorophyllipt" on a water basis. It has anti-inflammatory and antibacterial action.
Erosive balanoposthitis, accompanied by the formation of ulcers and erosions, is treated with "Fukortsin" (Castellani liquid), which is able to cope not only with pathogenic bacteria, but also with fungi.
Chlorhexidine is used to disinfect and treat inflammation. The solution is used for washing, lotions, baths and applications. Similar action has "Miramistin". But when using these solutions, you need to be careful, as there is a possibility of damage to the mucous membrane and dryness on the skin.

Bath use

If the disease does not have complications in the form of phimosis, the doctor may recommend therapeutic baths. For their preparation, you can use Furacilin, Dioxidin or Miramistin. The duration of the procedure should not exceed 15 minutes. To achieve the maximum effect, the penis should be gently moistened with a solution. After the bath, the site of inflammation is gently wiped with a sterile napkin and treated with any antiseptic preparation.

Baths from chamomile decoction are prepared as follows: add about 20 grams of chamomile flowers to a liter of hot water. The resulting solution is used for disinfectant lotions.

The doctor may recommend such baths:

If yeast-like fungi are detected in the test results, it is worth using baking soda, which dissolves in warm water.
If there is phimosis, then after the operation, baths with decoctions of medicinal herbs (chamomile, calendula or sage) should be used.
When balanoposthitis has become chronic, the patient is prescribed baths with Miramistin. Additionally, it is necessary to use corticosteroids (ointment "Prednisolone", "Oxycort", etc.).

The use of folk remedies

Treatment of balanoposthitis at home can be supplemented with folk remedies. It has been proven that some medicinal herbs able to relieve inflammation, eliminate burning sensation and other signs of the disease. To the most popular means traditional medicine include:

Aloe leaves with anti-inflammatory action. They are applied to the affected area, previously cleared of the skin.
Compresses with a decoction of chamomile. For its preparation, dried flowers are poured with boiling water and kept in a water bath for 5-10 minutes. After cooling, the broth is filtered and used to prepare compresses.

Preparation of olive oil and calendula tincture

Treatment of erosive balanoposthitis involves the use of olive oil and tincture prepared from calendula. To prepare the remedy, one spoonful of dried calendula flowers is poured into 70 ml of olive oil. You need to insist the drug for 3 weeks, putting it in the sun. When the tincture is ready, all the sores and cracks are wiped with it.
Plantain is considered an excellent anti-inflammatory agent. The leaf of the plant should be washed well and applied to the sore spot, secured with a gauze bandage. Every half an hour, the bandage with the sheet should be changed to a new one.

Dear readers, from the video below you will learn some tips on how to treat pathology at home:

A good remedy is sage, which is used to prepare baths. To do this, a few tablespoons of dried herbs are poured into 500 ml of boiling water and kept in a water bath for 5-10 minutes. After complete cooling, the broth is filtered and used for baths, rubdowns or lotions.
St. John's wort has medicinal properties. A decoction from it is prepared and used in the same way as a sage remedy.

Treatment of balanoposthitis with folk remedies will be effective only if they are used regularly for a long period of time. It is important to pay attention to the characteristics of your body and the possible individual intolerance of traditional medicine.

List of popular medicines

Treatment of balanoposthitis is inextricably linked with the use of drugs. A special place is given to local preparations:

Miramistin is the best ointment for treatment, which has a bactericidal effect. Due to a wide spectrum of action, it is prescribed in the treatment of any type of balanoposthitis. The ointment has one side effect - a burning sensation, which disappears on its own after a few minutes. The medicine is not prescribed to people with individual intolerance to its individual components.
"Levomekol" - helps to speed up the healing process. The ointment has proven its effectiveness against many bacteria (aerobes and anaerobes). In case of individual intolerance to its components, an allergic reaction is possible.
"Triderm" is able to treat balanoposthitis not only at the initial stage, but also when the disease has managed to become chronic. The active components of the ointment are able to relieve inflammation, have antiallergic, antifungal, and antibacterial effects. You need to use the drug several times a day for 2-4 weeks. In case of intolerance to the components of the drug, irritation, itching, dry skin, and a rash may occur. "Triderm" can not be used for skin tuberculosis, chickenpox or skin reactions that have occurred as a result of vaccination.
"Furacilin" is used for the preparation of baths or lotions. The drug has a broad antimicrobial activity. Possible skin reactions in the form of rashes and dermatitis. With prolonged use, inflammation of the nerve is possible. Caution should be taken by people with kidney disease.

A very effective remedy. Its price is low, within 100 rubles

"Chlorhexidine" is an antiseptic that can be used for washing, lotions, baths or compresses. Its introduction into the urethra is allowed. Adverse reactions are extremely rare and manifest as itching, rash or dry skin. Overdose "Chlorhexidine" does not cause.
Hydrogen peroxide is used for disinfection. To do this, it treats the affected areas of the skin. Among the shortcomings of the remedy is a temporary effect, which completely disappears a few hours after use. It is recommended to use peroxide when the first signs of balanoposthitis occur. It is not used if the patient has phimosis.
"Clotrimazole" is known for its antimicrobial action. The medicine is prescribed for candidal balanoposthitis. To do this, the ointment is applied to the skin after hygiene procedures. The duration of use depends on the degree of the disease. In some cases, adverse reactions (redness and burning of the skin) were noted. In this case, the drug should be discontinued and reused only after the disappearance of side symptoms. "Clotrimazole" is not prescribed for children and people with hypersensitivity to its components.
Potassium permanganate has excellent antiseptic properties and accelerates the healing process of wounds. It can be used on different stages pathology. But this must be done carefully, since undissolved grains of potassium permanganate can cause severe burns. She has no contraindications for use.

In addition to the treatment of inflammation, potassium permanganate baths can be prescribed as additional hygiene measures for patients.

"Fluconazole" is effective only in the case of candidal balanoposthitis. It is quickly absorbed into the skin and acts for a long period of time. An analogue of the drug are the ointments "Flucostat" and "Diflucan".
"Bepanten" is used to speed up the healing process of wounds. The ointment has an anti-inflammatory, moisturizing and regenerating effect. The cream is prescribed for the prevention and treatment of balanoposthitis. It is applied to clean and dry skin several times a day. The duration of use depends on the degree of damage and the individual characteristics of the patient. In some cases, a reaction on the skin may occur, so it is better not to use it for people with high sensitivity to the active components of the drug.
"Pimafucort" has a powerful anti-inflammatory, antifungal and antibacterial action and is effective against many pathogens. With prolonged use, stretch marks may appear at the site of its application. The medicine is not prescribed for babies under 1 year old and for those who are allergic to certain components of the ointment.
"Fukortsin" is prescribed as an antimicrobial and antifungal agent. It is used for the preparation of baths, compresses and applications. After it dries on the skin, the treated area must be lubricated with cream. A side effect in the form of a burning sensation is possible. "Fukortsin" is not used in case of high sensitivity of the patient's body to its components. It is not advised to treat them with large areas of skin, since the active ingredients are able to penetrate into the bloodstream and have a toxic effect.

Fucorcin is an antiseptic solution with high bactericidal and disinfectant properties. The average price in pharmacies is from 75 rubles.

"Synthomycin ointment" for balanoposthitis is a broad-spectrum antibiotic. It is active against many pathogenic bacteria. It is applied to the affected areas with a thin layer several times a day for 3-5 days. With prolonged use, the medicine may cause side effects in the form of itching, burning and redness of the skin.
Tetracycline ointment has an antibacterial effect and is able to stop the reproduction of pathogenic microflora.

Is balanoposthitis contagious?

This disease with untimely treatment can cause a lot of unpleasant consequences. Therefore, many men are interested in the question: “Is balanoposthitis contagious and can they get infected from a partner”? Urologists assure that this disease is not contagious. However, there are a number of sexually transmitted infections that can cause inflammation of the foreskin and glans penis.

Another question that often arises in men is: “Is it possible to go to the sauna or bath with balanoposthitis”?

Water procedures are well reflected in the patient's condition, however, in this case, the sauna will not the best option. This is due to the fact that:

In such places, there is a risk of catching various infections, which will negatively affect the patient's condition.
In conditions elevated temperature existing bacteria will develop more rapidly.

Therefore, until complete recovery, it is better to refuse to visit such places.

At first glance, balanoposthitis is a harmless disease. But if you do not pay attention to it in time, the consequences can be extremely unpleasant. The course of treatment should be prescribed by a doctor after identifying the causes of the disease.

In case of balanoposthitis, treatment should be aimed at eliminating the etiological factor in the first place.

Primary balanoposthitis often develops as a result of hygiene violations, therefore, first of all, you need to think about hygiene measures.
Secondary balanoposthitis requires treatment of the underlying disease. For example, syphilitic or gonorrheal requires specific antibacterial treatment. Known forms of balanoposthitis in systemic and endocrine diseases. Balanoposthitis often develops in diabetes mellitus, it is treated difficult and long and depends on the compensation of the underlying disease.

For all types of balanoposthitis, treatment methods are divided into general, which act systemically, and local, which are aimed directly at the glans penis and foreskin.

To general methods of treatment include antibiotic therapy and the use of drugs to stimulate the immune system.
To local medicines include ointments, creams, gels and antiseptic solutions. Ointments and gels vary in composition and may have antibacterial, anti-inflammatory, antiallergic, antifungal and other effects.

In order to eliminate phimosis, which provokes balanoposthitis, after the signs of inflammation are eliminated, an operation is performed.

What are the terms of treatment for balanoposthitis?
In case of balanoposthitis, treatment continues until the symptoms disappear completely and the cause is eliminated. The terms of treatment depend on the form, severity of the disease and the type of pathogen, and in acute balanoposthitis, on average, they range from two to three weeks.
Tortured balanoposthitis - what to do?
First of all, you need to pay attention to hygiene and conduct a complete examination of yourself and your sexual partner in order to identify the cause. After that, according to the doctor's prescription, it will be necessary to undergo a course of treatment.
How to treat balanoposthitis so as to cure forever?
To do this, you need to apply all the recommendations of the doctor. If balanoposthitis has become chronic, then it is quite difficult to cure it. Immunity to balanoposthitis is not developed. To prevent relapse and re-disease, hygiene rules must be observed and casual sexual intercourse should be avoided.
Found balanoposthitis - which doctor should I contact?
Balanoposthitis is treated by specialists in the field of urology and venereology.
What is the treatment for balanoposthitis in diabetes mellitus?
In diabetes mellitus, the treatment of balanoposthitis should be primarily directed to the treatment of the underlying disease, which consists in the selection of antidiabetic drugs. It is combined with local and systemic antibiotic treatment.

The main list of antibiotics in tablets for balanoposthitis

Antibiotics for balanoposthitis are often taken in tablets, and they are prescribed taking into account the etiology. Since balanitis and balanoposthitis can be caused by any microorganisms, including E. coli, streptococci, staphylococci, neisseria, as well as Koch's bacillus, clostridia and other microorganisms, both aerobic and anaerobic, the treatment is first carried out with antibiotics with the widest spectrum of action, and then adjusted for sensitivity.

Antibiotics are not taken orally for mild forms of balanoposthitis. Systemic antibiotic therapy is connected either in severe cases, for example, with a purulent form, or in sexually transmitted diseases.
Antibiotics are not used for fungal infection, allergies and viral diseases.
Of the drugs with a wide spectrum of action, antibiotics from the group Levomycetin and doxycycline.
macrolides are used Erythromycin, Oletetrin, Roxithromycin.
Quinolone derivatives are also used, for example Nalidixic acid or Nevigramone, derivatives of nitrofuran ( Furagin) and oxyquinoline derivatives ( Nitroxoline).
With anaerobic infection, good results were shown Azithromycin.
Sulfonamides can be used Biseptol.
In the case of a specific infection, penicillin preparations, cephalosporins, for example Tsiprolet.
With candidal balanoposthitis, antifungal drugs are used, such as clotrimazole or flucanosole.
For chlamydia and ureaplasma infections, drugs from the metronidazole group.

The medicine for balanoposthitis for systemic action can be taken not only in the form of tablets. An effective effect is exerted by drugs in the form of intramuscular injections and intravenous infusions, which are carried out depending on the nature of the symptoms of balanoposthitis and the severity of the condition.

Both partners should be treated with antibiotics. During the period of antibiotic treatment, there are restrictions on the intake of alcohol.

Ointment from balanoposthitis Levomekol and its analogues

Local treatment for balanoposthitis is carried out with the help of ointments. In case of balanoposthitis, the ointment for treatment should correspond to the cause of the disease.

In fungal diseases, creams and ointments based on antifungal drugs are prescribed - this is Clotrimazole, Miconazole, Candide, Fluconazole. combination of antifungal and hormonal drugs contained in the ointment Pimafukort.
To suppress the autoimmune reaction, inflammation and allergies, hormone-based ointments are used, for example Oxycort or Locacorten, Lorindel, Lamisil, Dermozolon and others.
Triderm is a combined preparation consisting of an antifungal agent, an antibiotic Gentamycin and hormone. It is used for allergies, eczema, neurodermatitis and ringworm. With balanoposthitis Triderm indicated as a local remedy in the presence of mixed infection.

Ointment Levomekol from balanoposthitis

The combined drug Levomekol has a wide spectrum of action. Levomekol is prescribed for balanoposthitis in case of a proven non-specific bacterial infection.

It consists of two components - antibacterial chloramphenicol and methyluracil, which stimulates tissue repair. The combined use of these medicinal substances in Levomekol ointment has a pronounced antimicrobial, anti-inflammatory and wound healing effect.

Ointment Baneocin from Balanoposthitis

Baneocin has strong antibacterial activity, which can also be used in the form of ointments. It consists of neomycin and bacitracin, two powerful antibiotics that together have a wide spectrum of action. It can be used when microorganisms are sensitive to it with limited and superficial inflammation.

Antiseptic and drying ointments are also actively used, for example, with zinc oxide.

Given the different etiologies of the disease, only with the help of a specialist can you choose the best balanoposthitis ointment. The use of ointments is carried out for a long time, it is applied to the affected area from two to three times a day.

Miramistin, Chlorhexidine and other solutions for balanoposthitis

Local treatment for balanoposthitis is also performed using solutions containing antiseptics. A man can carry out these activities on his own, at home.

The widely recommended solutions of potassium permanganate, or potassium permanganate, should be taken with caution. This is due to the fact that the dissolution of potassium permanganate crystals in water is not complete, and chemical trauma to the skin or mucous membrane on which this solution is applied can occur.

Of the solutions, an aqueous solution should be noted Chlorophyllipta, which has an active antibacterial and anti-inflammatory effect. Apply rinsing Furacilin, Rivanol, Dioxidin.

With sores and erosions, you can cauterize them with an antiseptic preparation. Fucorcin or Castellani liquid. It acts on both bacteria and fungi.

Has proven effectiveness Chlorhexidine with balanoposthitis. Its full name is chlorhexidine bigluconate. It has an antiseptic and anti-inflammatory effect, it is used in the form of baths, instillations or irrigations.

It has a similar effect in the disease balanoposthitis Miramistin. Both of these drugs have an antibacterial effect on a wide range of microorganisms, but they should be used with caution, as they can cause dry skin and mucous membranes.

How to use miramistin for balanoposthitis?

The use of Miramistin for balanoposthitis is desirable as prescribed by a doctor and under his control. Surface treatment is carried out after hygiene measures from one to several times a day.

From non-drug remedies, folk methods can be noted, for example, the use of decoctions and infusions of antiseptic herbs, chamomile, currants, sage, oak bark, and in some cases soda. Such funds are usually used for mild forms of balanoposthitis, and before using them in an adult or child, it is better to consult a doctor.

Anaerobic balanoposthitis, chronic, erosive and chlamydial: how to treat?

Some specific forms of balanoposthitis have features in the treatment. In the case of anaerobic balanoposthitis, treatment should include both systemic therapy and local measures.

Antibiotics are used from the group of lincosamides ( Lincomycin) and nitroimidazoles ( Metronidazole, Metrogyl, Tinidazole and others). It is better to determine the sensitivity and adjust after receiving the results of antibiotic therapy.
Use vitamin complexes and means that stimulate the immune system.
A solution of potassium permanganate, hormone-containing creams are used locally; if local ulcers or erosions appear, they can be cauterized with silver-based preparations.

In the case of erosive balanoposthitis, treatment requires determining the pathogen and prescribing, first of all, etiotropic drugs.

A distinctive feature of the treatment of this form will be frequent washing, up to four times a day, solutions of antiseptics.
Can be applied Levomekol, which has a wide antibacterial spectrum of action and promotes tissue regeneration.
Also use Fukortsin, Chlorophyllipt, cauterization with silver preparations, for example Protargol.

If chlamydial balanoposthitis is detected, treatment should be carried out systemically, with antiprotozoal drugs, and locally with antiseptics and ointments.

Chlamydia balanoposthitis often gives complications in the form of urethritis and becomes chronic, so its treatment should be carried out as early as possible and strictly following all the doctor's prescriptions.
In case of chronic balanoposthitis, treatment should be aimed at increasing immunity and eliminating the pathogen, both by local and general means.
If a chronic balanoposthitis contributes to the presence of phimosis, then an operation is performed.
In some cases, circumcision is performed.

Attention

In all cases of balanoposthitis that suggest an infection, it is imperative to treat not only the sick person, but also his partners with whom there was unprotected intercourse.

In both children and adults, remedies for balanoposthitis should be selected individually, taking into account sensitivity and the pathogen or the effect on the etiotropic factor, after examination and under the supervision of a specialist.

After the symptoms of inflammation disappear with balanoposthitis, a second examination and tests are performed to confirm the cure for this disease. Transferred balanoposthitis does not guarantee that it will not recur, especially with poor hygiene and phimosis for all ages and promiscuity in adults.

The price for the treatment of Balanoposthitis consists of a consultation with a urologist, tests and the cost of medicines, and the most expensive will be the tests and the determination of sensitivity to antibiotics. A consultation with a urologist in different cities costs from 500 to 1500 rubles.

One of the most common diseases in men is an inflammatory disease that is localized in the region of the glans penis and affects the inner layer of the foreskin. The causes of balanoposthitis, as well as the degree of neglect and severity of the disease can be different. Often only hygiene procedures, lotions and baths are enough.

With a more severe course of the disease, depending on its cause, treatment with antibiotics, antifungal, immunomodulatory, and sometimes antiallergic agents in the form of ointments, creams, solutions, tablets, injections is indicated.

Treatment of balanoposthitis in men with antibiotics effectively eliminates a bacterial infection, relieves inflammation, and destroys pathogenic microflora:

staphylococcus and streptococcus;

coli;

Proteus and prevents secondary infection.

Typically, tablet forms are used. In more severe forms of the disease, intramuscular administration of antibiotics is indicated for balanoposthitis in men.

Antibiotics

Antibiotics are used for bacterial forms of the disease, are not prescribed for fungal and viral infections, allergic reactions.

Should antibiotics be taken as a prophylaxis against balanoposthitis?

YesNot

Consider the following remedies for balanoposthitis in men:

Ciprofloxacin. An effective antibiotic that has many foreign analogues (Tsiprolet, Tsifran, Tsiprobay, etc.). Take 500 mg twice a day for 10-15 days. It costs from 22 to 43 rubles.
Suprax. Assign in the treatment of sexually transmitted infections. The drug is resistant to antibiotic-degrading enzymes and is well tolerated. The daily dose is 1 capsule, the duration of treatment is set individually. It costs from 694 to 816 rubles.
Levomycetin. Effective against most pathogens. The advantage is the slow habituation of microorganisms. Suppresses the vital activity of pathogenic flora and kills the existing one. Used as directed by a doctor. It costs about 115 rubles.
Doxycycline. Tablets are suitable for the treatment of most types of balanoposthitis, have a minimum number of contraindications. It costs from 20 to 32 rubles.
Azithromycin. An antibiotic effective against venereal, diabetic, non-infectious balanoposthitis. Dosage and course depend on the type of infection. It costs from 101 to 299 rubles.

Expert opinion

Madmuzev Armen Davidovich, specialized in male sexually transmitted diseases

There are many agents that have a depressing effect on pathogenic bacteria, while not having harmful influence on the microorganisms of the person himself, so they are not antibiotics.

Tablets

The candidal form of the disease is treated with antifungal drugs in tablets and in the form of creams. What medicine for balanoposthitis in men to choose:

Fluconazole- a highly effective antifungal agent, the analogues of which are Flucostat, Diflucan, Mikosist. These tablets are best given to both partners at the same time to avoid re-infection. In an uncomplicated form of the disease, it is enough to use the drug at a dose of 150 mg once. The chronic form of the disease requires long-term treatment, when the drug is drunk once a week for several months. It costs from 33 to 272 rubles.
Furagin- one of the most famous means from the group of nitrofurans. Its active ingredient is furazidin, which can act on hydrogen carrier molecules and destroy the membrane of bacterial cells of gram-positive cocci and gram-negative rods. Scientific research indicate that the drug Negative influence on pathogenic microorganisms, has a minimal effect on beneficial human microorganisms, and even helps to strengthen the immune system. Tablets are taken orally at 50-200 mg 2-3 times / day after meals for 7-10 days. It costs from 122 to 444 rubles.
Nevigramon has an antibacterial, bacteriostatic, bactericidal effect, inhibits most gram-negative bacteria, with the exception of Pseudomonas aeruginosa. Strains of microorganisms resistant to antibiotics and sulfonamides are sensitive to the drug. Take orally 1 g 4 times a day for 7 days. With long-term treatment, the dose is reduced to 500 mg 4 times a day. It costs about 5195 rubles.
Metronidazole- antiprotozoal and antimicrobial drug, which has a wide spectrum of inhibition of bacteria, does not affect aerobic microorganisms. Foreign analogue is the drug Trichopolum. Take orally 0.5 g 2 times a day for 5 days. It costs from 43 to 201 rubles.
Acyclovir- an antiviral drug active against the herpes virus, if the disease is caused by this pathogen. With balanoposthitis, adults are prescribed at a dosage of 0.2 g 5 times a day every 4 hours with a break for the night. Duration of application - 5 days. It costs from 27 to 34 rubles.

The most effective remedies for balanoposthitis

Treatment this disease most productive with the simultaneous use of various forms of drugs - antiseptic solutions, decoctions and infusions of herbs, ointments or creams, tablets or injections. What medicine for balanoposthitis to choose?

Miramistin (from 211 to 749 rubles) and chlorhexidine (from 6 to 185 rubles)- highly effective anti-inflammatory antiseptic solutions that fight against various microorganisms - bacteria, fungi, protozoa. Method of application: compresses, lotions, baths.
Akriderm® GK- cream for external use. Triderm is its foreign counterpart. Contains antibiotic gentamicin, hormones and antifungal components. It is used for rubbing and compresses for 1-2 weeks. It costs from 96 to 158 rubles.
Levomekol for external use contains an antibiotic and an immunomodulator. It costs about 124 rubles.
clotrimazole cream or ointment - has many analogues, is an effective antifungal agent. Applied externally. It costs from 22 to 151 rubles.
Ciprofloxacin with bacterial infections, Fluconazole - with fungal. It costs from 22 to 129 rubles.
Pimafucin - complex treatment candidal (fungal) balanoposthitis. Cream - externally, tablets - inside 100 mg 4 times a day for a week. It costs from 254 to 486 rubles.

Prevention

The best way not to get sick with balanoposthitis is to take preventive measures:

News healthy lifestyle life, engage in physical activity, eat right, strengthen the immune system, give up bad habits. Periodically apply vitamin and mineral complexes.
Strictly observe the rules of personal hygiene, take water procedures, change linen regularly.
The partner should be examined by a gynecologist in a timely manner, so that in the event of vaginal dysbacteriosis, treatment can begin, which will prevent the man from becoming ill with balanoposthitis.
Protect yourself during intimate relationships, especially the use of condoms.

Video

You can also watch a video where the doctor will tell you which antibiotics should be taken for balanoposthitis.

Balanoposthitis is a disease that not only worsens the quality of life of men, but is also fraught with serious consequences - the transition of the disease from a catarrhal form to an erosive or gangrenous one, up to cancer. In addition, balanoposthitis can provoke the occurrence and development of other diseases of the urogenital organs.

Proper complex treatment allows you to completely recover from balanoposthitis and avoid secondary infection.

Balanoposthitis is an inflammatory disease of the foreskin in men. Most often it has an infectious nature (staphylococci, chlamydia, mycoplasmas, streptococci, ureaplasmas, yeast fungi), the allergic form of the pathology is diagnosed extremely rarely. You can get this infection through sexual intercourse. The development of the disease is often associated with the neglect of intimate hygiene. Children whose foreskin is too narrow and has phimosis most often suffer from balanoposthitis.

Often, the pathology develops against the background of hypovitaminosis, weakened immunity, anemia, diabetes, allergies.

Ointment from balanoposthitis is used only under the condition of the strictest observance of hygienic requirements.

The main symptoms of the disease

Characteristic signs of manifestation of balanoposthitis:

Types of ointments

Treatment of balanoposthitis in men begins with an examination to identify the cause of inflammation and establish the pathogenic organisms that caused the disease. For external therapy, antibacterial and antifungal agents (ointments, creams, gels) are used.

Most often, urologists prescribe the following medications:

Levomekol

Combined remedy to speed up the healing process. It contains an antibiotic (chloramphenicol) and an immunomodulator (methyluracil). The ointment is effective against anaerobic and aerobic bacteria. Pathological areas of the skin are treated with the medicine. Such procedures are performed at least twice a day. With individual intolerance, sometimes an allergy occurs.

clotrimazole

The bioactive substance of the drug is auxiliary - microcrystaline, cetomacrogol, cetostearyl alcohol, methyl paraben and paraffin. The product is applied to the skin after hygiene procedures. The course of treatment depends on the etiology of the disease, the stage of pathogenesis and the degree of damage to the tissues of the organ. Sometimes there is a side effect of the ointment - itching and hyperemia. With the manifestation of these symptoms, the use of the drug should be discontinued. Clotrimazole is not prescribed for children and patients with hypersensitivity to its components.

Akriderm

A hormonal agent with a pronounced anti-allergic, anti-inflammatory, antipruritic and anti-edematous effect. Akriderm quickly relieves pain, eliminates itching, hyperemia and swelling in the affected area. Betamethasone dipropionate is the basis of the ointment. The dose and duration of therapy is determined by the attending physician. The course of treatment is three to four weeks. The drug is not prescribed to patients with skin pathologies of bacterial, mycotic or viral etiology.

Bepanthen

The drug activates the process of wound healing, normalizes cellular metabolism, increases the strength of collagen fibers. The ointment has a moisturizing, regenerating and anti-inflammatory effect. Dexapanthenol is the active ingredient of the drug. Doctors recommend using the ointment 3-4 times a day. Side effects after the use of Bepanten are rare, sometimes there is itching and urticaria.

Erythromycin ointment

It is used to treat balanoposthitis, the etiology of which is associated with chlamydia, gram-negative and gram-positive microflora. Applied three times a day. The course of treatment is determined by the presence of symptoms of the disease.

Synthomycin ointment

The most common remedy for the treatment of balanoposthitis of bacterial origin. The drug is active in the fight against gram-negative and gram-positive bacteria and even some viruses. This remedy should not be used for more than 5 days in a row. When using the ointment, you need to remember about side effects (itching, rashes, hyperemia, swelling and other signs of allergic reactions).

Baneocin

The composition of the ointment includes two strong antibiotics - bacitracin and neomycin. The combined use of these antibiotics has a wide spectrum of antimicrobial activity. The drug should not be prescribed in the presence of hypersensitivity to the ingredients of the drug or other aminoglycoside antibiotics.

Fluconazole

The best remedy for eliminating mycotic pathology. The ointment is rapidly adsorbed and exhibits a long therapeutic effect. Therefore, it can be applied to problem areas of the skin once a day, it is best to do this before bedtime.

Pimafucin

An antifungal drug from the group of macrolides that has a detrimental effect on dermatophyte fungi and yeast fungi. The medicine shows only a local effect. With the manifestation of side effects, patients complain of nausea, dysfunction of the digestive system, burning sensation in the genital area.

Triderm

Provides effective treatment even chronic forms balanoposthitis. Its main components are clotrimazole, gentamicin and betamethasone dipropionate. This composition of the ointment has antipruritic, antiallergic, antimycotic, antibacterial and anti-inflammatory effects.

Zinc ointment

The main active ingredient of the ointment is zinc oxide. Regular use of the drug helps to get rid of swelling, redness and irritation. It has a drying effect, has an antimicrobial and anti-inflammatory effect.

Pimafukort

Most effective drug to combat balanoposthitis. The main active ingredients of the drug are natamycin, hydrocortisone and neomycin. The drug exhibits anti-inflammatory, antifungal and antibacterial action. With prolonged use, itching, stretch marks, hypertrichosis, contact dermatitis and skin flushing occur.

Dermozolon

This medicine is used to treat simple and erosive balanoposthitis. It also helps fight viral and fungal infections. Shows anti-allergic, wound-healing, anti-inflammatory effect.

Cycloferon

Used to treat balanoposthitis of viral origin. The drug has antiviral, immunomodulatory, antiproliferative, antitumor and anti-inflammatory properties. Cycloferon is effective on early stages pathogenesis, it can also be used to treat complicated.