Balanoposthitis - inflammatory disease that is very common. Under the inner leaf foreskin bacteria or fungi are concentrated, causing an inflammatory process. It can be triggered by external factors: hypothermia or overheating, mechanical damage to the head of the penis or foreskin, an allergic reaction, and malnutrition.
An infectious form of the disease is also possible, most often venereal.
In this case, the inflammation is caused by accumulations of gonococci or chlamydia. Often balanoposthitis becomes a consequence of an operation, for example, to remove an inguinal hernia. The disease can take or.
Balanoposthitis in men: drug treatment
To prescribe the correct treatment for balanoposthitis in men with drugs, urologist performs a series of tests determining the exact nature of the disease. When antimicrobials are required, a combination of antibacterial and immunostimulating agents will help to remove infections. On our website you can learn about the treatment: and.
If balanitis is provoked by a venereal infection, the patient is prescribed antibiotic tablets for balanoposthitis, followed by a recovery course. The program is developed individually, the dosage of each drug is chosen by the doctor.
It is impossible to interrupt treatment with drugs for balanoposthitis, otherwise the disease will go into a chronic phase, which is much more difficult to treat.
Antibiotics
They are prescribed for an acute form of infectious or non-infectious balanoposthitis, drugs are especially often prescribed for venereal infections, potent drugs quickly kill chlamydia and gonococci.
Used for treatment macrolides, penicillin and tetracycline preparations, it is desirable not to combine them with each other.
Self-treatment of balanoposthitis in men with pills is excluded, since each drug is focused on combating a certain type of infection. The wrong choice of medicine will complicate recovery and contribute to the transition of balanoposthitis from acute to chronic.
Among the most popular remedies is an ointment containing the antibiotic chloramphenicol and the immunomodulator methyluracil.
The drug is easily tolerated by debilitated patients and has a quick effect.
The drug is suitable for the treatment of acute postitis, with chronic form Levomekol shows less impressive results.
External agents are supplemented with tablets and capsules that are effective against streptococci, staphylococci and other types of bacteria. Most often, urologists prescribe Azithromycin, Doxycinclin, Suprax, Lefomecithin, Furagin.
The drugs suppress the vital activity of bacteria that have already entered the body, and also prevent secondary infection. The course is assigned individually, depends on the causative agents of the disease and the condition of the patient.
It is undesirable to use antibiotics for viral or fungal infections; after treatment with potent drugs, restorative therapy is necessary.
Immunostimulants
After a course of antibiotics, immunostimulating drugs are often prescribed for the treatment of balanoposthitis. Most effective interferons alpha, beta and gamma. The drugs increase the body's defenses and prevent secondary infection. Means are taken orally, the course and dosage is calculated individually.
Recommended at the same time taking vitamin complexes. Six months after intensive treatment, the course of immunomodulators and vitamins can be repeated. Such prevention strengthens the body and prevents inflammation of other organs of the genitourinary system.
Antifungal drugs
With candidal balanoposthitis, antimycotic drugs are needed in the form of tablets, ointments, creams. The same funds will be needed after the treatment of acute postitis with antibiotics. Their task is fighting Candida fungus, causing increased secretion of smegma, severe itching, burning, swelling.
Among the most popular drugs for balanoposthitis in men are ointments Clotrimazole, Econazole, Natamycin, Isoconazole, Nystatin.
The preparations are applied directly to the glans penis and under the foreskin 2-3 times a day.
Treatment with solutions of medicinal herbs with antimicrobial, firming and soothing effect also helps.
The full course of treatment lasts 10-14 days, repeat if necessary.
One of the most effective drugs Fluconazole with balanoposthitis in men. The agent belongs to the group of azoles and effectively affects the fungus by disrupting the synthesis of the membrane. These pills for balanoposthitis in men do not cause resistance and can be used even when other drugs are powerless.
Fluconazole is often prescribed for chronic postitis, which is much more difficult to cure. Take one 150mg tablet per week, treatment continues until complete recovery. In chronic fasting, the process can take several months.
In acute and chronic inflammations, complex preparations with antifungal, antibacterial, antiprotozoal effects give a good effect.
This group includes Macmirror from balanoposthitis.
The drug has low toxicity and is well tolerated by the body. At the same time, it affects gram-negative and gram-positive organisms, including those that are resistant to other medicines.
The agent is quickly adsorbed and completely excreted from the body with urine, without harmful influence on the gastrointestinal tract. Available in the form of tablets and ointments, can be used in combination. In the acute form of balanoposthitis, drink 3-6 tablets per day(600-1200 mg), the course of treatment lasts 7-14 days. The ointment is applied 1-2 times a day to the affected areas.
Not a large number of the drug can be injected into the urethra, as well as lubricate the area under the foreskin. The full course of treatment is 1 week, if necessary, it can be repeated.
When using antifungal agents it is important to follow a proper diet.
The menu includes fresh vegetables and fruits, as well as low-fat sour-milk products that normalize the state of microflora. Animal fats, spicy dishes, muffins, yeast bread, smoked meats, pickles and alcohol are excluded from the diet.
Balanoposthitis requires complex treatment under the close supervision of a doctor. You can't take drugs on your own. Violation of the course or its interruption prolongs the healing process and provokes unpleasant complications. The earlier therapy is started, the more likely it is to permanently get rid of the disease and not get a relapse.
Balanoposthitis - inflammation of the foreskin and glans penis. It is manifested by swelling, redness of the skin, pain during sexual contact. Treatment of balanoposthitis at home is carried out with antibacterial or antifungal drugs. Means are used to relieve symptoms traditional medicine, which relieve pain and swelling, disinfect and heal inflamed mucous membranes.
Primary and auxiliary treatment
Features of drug treatment of balanoposthitis depend on the cause of inflammation of the genitals in men. The basis of basic therapy is:
- antibiotics;
- antihistamines;
- antifungal medicines;
- corticosteroids;
- antiseptics.
To relieve symptoms, alternative medicine is used in the form of lotions, baths, compresses, ointments, etc. But before starting treatment, consult your doctor. Folk remedies cannot replace basic therapy. Self-treatment of balanoposthitis is dangerous with complications - phimosis, impotence, urethritis, penis cancer.
How to cure balanoposthitis at home: the best recipes
With infectious inflammation of the head of the penis and prepuce, home treatment is carried out with infusions and decoctions of medicinal herbs:
- oak bark;
- chamomile;
- hypericum;
- coltsfoot;
- series;
- yarrow.
The duration of herbal medicine for balanoposthitis depends on the rate of healing of the affected areas of the skin. Before using the decoctions, an allergy test is carried out: a little liquid is applied to the wrist for half an hour or an hour. In the absence of adverse reactions - redness, itching, rash - it is used for its intended purpose.
To achieve the desired effect in the treatment of balanoposthitis, folk remedies with pronounced pharmacological properties are used - disinfecting, regenerating, anti-inflammatory, antibacterial, immunostimulating.Oak bark
Oak bark contains tannins, catechins and pectin. It has anti-inflammatory activity. With systematic use eliminates swelling of the head of the penis, eliminates itching.
Recipes with oak bark for balanoposthitis:
- Recipe number 1. 20 g of raw materials are poured into 250 ml of water. Boil in an enamel bowl for at least 5-7 minutes. The cooled broth is filtered, 100 ml of boiled water is added. The gauze folded four times is moistened in the liquid. Apply to the affected area for a quarter of an hour 3 times a day.
- Recipe number 2. 1 tsp crushed bark is steamed with 300 ml of boiling water. Leave in a container with a closed lid for 3 hours. Filtered infusion wash the genitals up to 5 times a day.
Before treating balanoposthitis, you need to make sure that there are no allergic reactions. The course of therapy with oak bark-based products is from 2 to 4 weeks.
Very often, the treatment of balanoposthitis in men at home is carried out with sodium bicarbonate. It shifts the pH of the skin to the alkaline side, which prevents the growth of pathogenic bacteria. For inflammation of the foreskin apply:
- Soda baths. 1 st. l. sodium bicarbonate is diluted with ½ liter of warm water. Optionally add 5-7 drops of eucalyptus essential oil. The head of the penis is lowered into a container with a solution for 10 minutes. The procedure is performed in the morning and evening for 2 weeks in a row.
- Gadgets. Dissolve 1 tsp in 200 ml of boiled water. soda. Moisten gauze in the solution and apply to the genitals for 20 minutes up to 2 times a day. Treatment is carried out daily for 7-10 days.
Soda baths and lotions are contraindicated for ulcers and scratches on the head of the penis. Potassium permanganate
Potassium permanganate has pronounced antiseptic properties. It is used to destroy viral, bacterial and fungal infections. With balanoposthitis, baths are effective:
- in warm boiled water (0.5 l) add potassium permanganate at the tip of a knife;
- in a solution of a pale purple hue, the head of the penis is washed;
- perform the procedure 2 times a day.
Depending on the extent of lesions, treatment takes 7-14 days. To achieve maximum effect, the solution is prepared immediately before use.
Chamomile
Pharmacy chamomile has combined properties - antimicrobial, antiseptic, emollient, wound healing. To cure balanitis or balanoposthitis, use:
- Decoction. 1 st. l. raw materials are boiled in 300 ml of water for 2 minutes. Cool for 25-30 minutes and strain. The head of the penis is lowered into the decoction for 10-15 minutes 2 times a day.
- Infusion. 20 g of chamomile fall asleep in a thermos. Pour ½ liter of boiling water. Leave for 3-4 hours. The filtered liquid is washed with the genitals in the morning, afternoon and evening.
Folk remedies with chamomile are effective in treating any form of balanoposthitis. It is recommended to do baths after hygiene procedures. The therapeutic course is 2-4 weeks.
In isolated cases, pharmacy chamomile provokes allergic reactions - skin peeling, spot rashes, redness. If the condition worsens, treatment should be stopped. succession
Baths with a string are effective for inflammatory skin diseases, pustular rash. To cope with balanoposthitis, you should:
- pour 25 g of chopped grass with 600 ml of boiling water;
- leave in an airtight container for half an hour;
- strain the liquid through cheesecloth.
Ready infusion is used for washing the genitals with balanoposthitis up to 4 times a day. He saves medicinal properties no more than 8-12 hours. Therefore, urologists advise preparing the infusion daily before use.
Dill
The herb and rhizome of dill have antispasmodic, capillary-protective and wound-healing effects. With systematic use, they reduce vascular permeability, accelerate skin regeneration. As a result, puffiness and redness are eliminated.
Recipes with dill for the treatment of balanoposthitis:
- Tincture. 2 tsp crushed rhizomes are mixed with 100 g of dill herb. Pour into a glass container and pour 500 ml of vodka. Insist in a dark place for 10 days. In the tincture, moisten a cotton pad and wipe the lesions on the penis with it 2 times a day. The course of treatment is 10-14 days.
- Decoction. 50 g of raw materials are boiled over low heat in 500 ml of water for 3-5 minutes. The cooled broth is filtered, 10-20 drops of tea tree essential oil are added. The head of the penis is lowered into the decoction for 10 minutes twice a day.
Due to possible side effects alcohol tincture is not used for erosion, gangrenous form of the disease. St. John's wort
If a man suffers from candidal balanoposthitis, herbal remedies based on St. John's wort are used. It has an anti-inflammatory and regenerating effect, stimulates local immunity. In the treatment of a fungal infection, the following recipes are used:
- Herbal decoction. 2 tbsp. l. dry flowers are boiled in 200 ml of water for 3 minutes. Infuse in a closed container for 1.5-2 hours, then filter. A cotton-gauze pad is moistened in the liquid and applied to the penis for half an hour. Perform the procedure 3 times a day for 1 week.
- Collection of herbs. St. John's wort, calendula flowers, nettles are mixed in equal proportions. 3 art. l. herbs are poured into a thermos. Pour 700 ml of hot water. After 3 hours, the infusion is filtered and diluted with 200 ml of boiled water. The head of the penis is lowered into the solution for 15 minutes 2 times a day.
If balanoposthitis is caused by a fungal infection, 10 drops of tea tree oil can be added to the finished solution.
Sage
A plant with pronounced anti-inflammatory and wound healing properties. Therefore, the treatment of balanitis at home is carried out with herbal decoction:
- 20 g of sage herb pour ½ liter of boiling water;
- insist in an enamel saucepan under the lid for 2 hours;
- filter through gauze.
The liquid is used for baths, compresses or washing the genitals 3-4 times a day. Treatment is stopped after healing of the skin of the foreskin.
Aloe
Aloe vera leaves contain essential oils, phytoncides, amino acids and other bioactive substances. They provide the plant with anti-inflammatory, wound healing and antiseptic effects. In the treatment of infectious balanoposthitis, compresses are effective:
- 3-4 leaves are passed through a meat grinder;
- pour 150 ml of boiling water;
- after 2 hours, the liquid is filtered;
- gauze is moistened in the infusion;
- fix the compress on the head of the penis with a bandage;
- after a quarter of an hour it is removed.
To speed up recovery, the procedure is done immediately after waking up and before going to bed for 1.5 weeks in a row.
Plantain
Plantain leaves relieve inflammation, stop bleeding and destroy the microbial flora. They contain substances that prevent the growth of pyogenic bacteria.
Features of the treatment of plantain:
- 3-5 leaves are crushed with a knife or passed through a meat grinder;
- the herbal mass is spread on gauze;
- the compress is fixed in the area of the glans penis with a bandage;
- removed after 20-30 minutes.
Treatment takes 7 to 15 days. Means based on plantain prevent suppuration, strictures (narrowing) of the urethra in acute balanitis and fasting. Compresses are done no more than 2 times a day.
Prohibited measures for inflammation
Before proceeding with the treatment of balanoposthitis, it is necessary to determine the cause of the inflammation. During therapy, it is strictly not recommended:
- make hot compresses;
- drinking alcohol;
- squeeze abscesses on the penis;
- visit baths and saunas.
If the cause of inflammation is a bacterial infection, antibiotics Doxycycline, Unidox are included in the therapy. Additionally, drugs are used that prevent dysbacteriosis: Linex Forte, Acipol, Enterogermina.
The formation of purulent-necrotic ulcers on the head of the penis indicates the transition of balanoposthitis to the gangrenous form. It is fraught with phimosis and paraphimosis, which can only be treated surgically. Balanoposthitis is an inflammatory lesion of the preputial sac and glans penis in men. The basis of therapy is etiotropic drugs - antibiotics, antihistamines and antifungal drugs - which eliminate the cause of the pathology. Complement the treatment with alternative medicine - lotions, ointments, baths. But if itching, redness or a rash occurs after using them, consult a doctor.
Balanoposthitis in men is a disease that is characterized by inflammation of the glans penis, as well as the foreskin. This pathology cannot be called dangerous, since with timely measures taken Balanoposthitis is easily eliminated with the help of drug treatment.
Why can balanoposthitis appear?
How is balanoposthitis manifested (symptoms)?
The symptoms of balanoposthitis are quite pronounced, and therefore it is quite difficult to confuse them with other signs or diseases. As a rule, the patient begins to feel itching and burning in the head or foreskin of the penis. In addition, there are painful sensations with almost any touch to the genitals. Especially these symptoms are manifested during sexual contact, as well as during hygiene procedures.
In addition to these signs, a man can detect redness on the skin in the area of \u200b\u200bthe head of the penis, sometimes on the foreskin. In this case, small erosions and bubbles may also occur. Over time, pus is released from the vesicles, which is accompanied by an unpleasant odor.
There are three degrees of balanoposthitis:
- catarrhal;
- erosive;
- gangrenous.
If you strongly start the development of the disease, balanoposthitis can take the form of gangrene, which is very dangerous for the male body and the functions of the genital organs.
Treatment of balanoposthitis with pharmaceutical products
How to treat balanoposthitis is primarily affected by the degree of neglect of the disease. When balanoposthitis appears, the first thing to do is prescribe drugs for local effects. Antibiotic ointments, such as Levomekol or synthomycin ointment, are well suited in this case. You can also use antiseptic solutions. Tablets are mainly used only in more advanced stages of the disease. Therefore, it is much better to start treatment immediately after the first symptoms appear.
Before applying the ointment to the surface of the penis, it is necessary to thoroughly rinse the groin area. During the treatment of balanoposthitis, it is necessary to increase the number of hygiene procedures per day. It is advisable to wash the penis after each urination. It is very important during therapy to prevent further spread of infection.
It is useful for balanoposthitis to make baths with medicinal solutions. These procedures will help get rid of unpleasant and painful symptoms. Do not use solutions and preparations containing alcohol for baths. It is necessary to carry out the procedure after each washing of the genitals. After that, a layer of ointment is applied to the area of inflammation. The following preparations can be used as a solution for baths:
- Furacilin. It is not recommended to leave the solution for long time, it is better to prepare it immediately before the procedure.
- Miramistin. A drug with antiseptic properties, you can use it in the form of a solution.
- Sanguirythrin. An antimicrobial agent, it is advisable to make a solution right before the procedure so that it does not lose its properties.
- Potassium permanganate. A pale pink bath solution should be made, the main thing is not to overdo it with the concentration. In general, potassium permanganate well reduces the discomfort from the disease and disinfects;
- Rotokan is a drug with an antiseptic effect. In addition, this tool well relieves inflammation and improves the process of cell repair.
After the procedure for washing the penis and baths, an ointment is applied to the skin at the site of inflammation (not too thick a layer so that it can be absorbed normally). The most common drugs that are available in the form of ointments are the following:
- Levomekol. The ointment relieves the inflammatory process well, and also has antiseptic properties. In addition, Levomekol is a fairly effective antibiotic that destroys bacteria from the surface of the skin, as well as in internal tissues. The only negative of the product is that the ointment is quite thick, so it does not penetrate well under the skin.
- Triderm. This ointment is one of the most effective drugs. It perfectly fights not only bacteria, but also fungi. Thanks to the hormones included in the composition, the ointment quickly reduces signs of inflammation.
- flumethasone pivalate. This ointment is hormonal drug which effectively fights inflammation. But, unfortunately, the remedy does not affect the pathogens of the infection. Therefore, you can use such an ointment only to get rid of itching, burning and pain.
In the event that balanoposthitis is at a more advanced stage, the doctor prescribes medications that will actively fight pathogenic microflora. These can be antibiotics, if the disease appeared due to the multiplication of bacteria, or antiviral drugs. Sometimes therapy is carried out with the help of antifungal agents, if a man has candidal balanoposthitis.
Treatment of candidal balanoposthitis in men
The causative agent of candidiasis is present in the body of any person in a passive state. However, with a decrease in immune defense, the fungus becomes active and begins to multiply, and a person begins to notice some signs of inflammation that has appeared. As a rule, the symptoms of candidiasis are redness in the area of the glans penis and foreskin, as well as itching and burning, in other words, balanoposthitis. In parallel with these signs, a man notices discharge from the urethra, similar to cottage cheese with a characteristic unpleasant sour smell.
Treatment of candidal balanoposthitis is carried out systemically. Firstly, local remedies are used, namely: ointments or creams Lamisil and Clotrimazole. First you need to wash the penis, and you need to do this several times a day. After that, it is recommended to use baths with healing solutions. Only after that, an ointment is applied to the area of \u200b\u200binflammation.
To destroy fungi in the body, the drug Fluconazole is used. This tool actively destroys fungal microorganisms and makes the healing process faster. Rarely, in a neglected state or in the presence of other harmful microorganisms, antibiotics are used.
Since the fungus begins to actively multiply during a period of reduced immune protection, it is possible to additionally connect drugs that increase immunity to therapy. In addition, it will not be superfluous to drink a complex of vitamins.
In no case should you forget about your sexual partner. The causative agents of candidiasis are easily transmitted through sexual contact, therefore, in order to avoid relapse, the partner must also undergo treatment. For the duration of therapy, it is better to give up sex.
Erosive balanoposthitis
The erosive form of balanoposthitis is distinguished by the fact that painful areas appear on the head of the penis and foreskin, which greatly affect the genital organ. As a rule, small bulges first appear, after which the skin on these formations dies and falls off, leaving red wounds on the head of the penis.
Treatment of erosive balanoposthitis should be started immediately after the appearance of the first erosions. This form of the disease is dangerous complications that may occur after it. For example, due to the large number of lesions on the skin, a man may lose the sensitivity of the penis, which, of course, will negatively affect the quality of his sexual life.
Often, due to erosive balanoposthitis, phimosis begins in men. Treatment of such a disease in most cases is reduced to surgery. The advanced stages of balanoposthitis can provoke a narrowing of the urethra. Of course, such changes negatively affect the natural processes of the body and cause a lot of inconvenience to the patient.
Sometimes inflammation from the penis passes to the kidneys, which, of course. It negatively affects the patient's condition in general. The lack of treatment for balanoposthitis often causes, as the inflammatory process spreads through the organs reproductive system depriving a man of the opportunity to have normal sex.
Erosive balanoposthitis is treated in the same way as a normal one, but in no case should its treatment be postponed.
Treatment of balanoposthitis at home
Various folk remedies can positively affect the healing process. As a rule, they are used only as an addition to the main therapy, however, sometimes men manage to completely get rid of the disease. It mainly happens on early stages when the inflammation first appeared.
The most popular remedy that can be easily used at home are medicinal baths using herbal decoctions. Well suited for these purposes:
- chamomile,
- hypericum,
- sage
- and oak bark.
In addition to the fact that these plants relieve inflammation, they also have an antiseptic effect. Many patients after such procedures note a significant reduction in pain, itching and burning. In general, these funds contribute to a speedy recovery, especially if used folk recipes along with medications.
The same decoctions and herbal infusions can be used as compresses if the baths are not quite suitable. Aloe is also well suited for lotions, you can take juice from its leaves, or make a tincture. The compress should be applied to the area of inflammation twice a day for about half an hour. Such a remedy is very effective in combating balanoposthitis of the head. Additionally, you can make bandages on the genitals with plantain leaves.
Sea buckthorn oil can be used as a good restorative agent. It needs to be applied regularly for fast results. It is necessary to smear the surface of the penis only after carrying out hygiene procedures.
In a similar way, you can use a tincture of calendula flowers, made on the basis of vegetable oil. These funds are so effective due to the fact that the oils penetrate well under the skin and eliminate the inflammatory process. In addition, the oil has a positive effect on the skin, eliminating the unpleasant signs of inflammation.
The only way to cure balanoposthitis quickly is to use complex therapy. Can't be limited to just folk remedies, important point is the use of topical preparations. In addition, one should not forget about the rules of personal hygiene. If the measures taken do not give a result, you need to contact a specialist and undergo a full examination.
Is it possible to go to the sauna with balanoposthitis?
Of course, water hygiene procedures are useful for balanoposthitis, however, a sauna is not a suitable option.
- Firstly, in such places you can become infected with other harmful microorganisms, which will definitely aggravate the situation.
- Secondly, at elevated temperature pathogenic microflora can begin to develop faster.
You should also not forget that overheating of the body threatens to weaken the immune defense, which, again, will cause an acceleration in the reproduction of fungi or bacteria. For the period of treatment of balanoposthitis, it is advisable to refuse to visit baths, saunas, pools and other similar places.
Balanitis and balanoposthitis - what's the difference?
Balanitis and balanoposthitis are often confused with each other. However, these pathologies have a clear distinction.
Balanitis is an inflammation of only the head of the penis, and balanoposthitis is an inflammatory process that also covers the foreskin of the penis. The symptoms are the same and so is the treatment. Balanoposthitis is often accompanied by phimosis, especially in children. This is due to the fact that the inflammatory process from the surface of the foreskin penetrates inside.
As a result, pus or other unpleasant substances can be secreted from under the foreskin of a man or boy. Treatment of balanoposthitis should not be delayed, since when phimosis appears, you will have to do it.
Treatment of balanitis, as well as balanoposthitis, is carried out with the help of ointments. Baths with medicinal solutions can also help well in this situation.
It is much easier and faster to cure balanitis, therefore, when the first symptoms appear, namely, one should, without delay, consult a doctor and begin therapy.
Consequences of balanoposthitis
Acute balanoposthitis, if not properly treated, can develop into a chronic one. In this case, the man first appears on the head of the penis with erosion, that is, small wounds that gradually spread throughout the penis. In this case, the patient experiences severe pain and discomfort during movements and natural procedures.
Over time, the inflammation spreads to, causing the appearance of red stripes on the surface of the penis. Further, harmful microorganisms spread through the urination channels and organs of the genitourinary system. Often men develop prostatitis, as well as diseases of the urethra.
If left untreated or if the therapy is incorrectly prescribed, the inflammatory process can turn into gangrene of the genital organ. In this situation drug treatment will be absolutely useless, the only way out in the formation of gangrene is the amputation of the diseased organ.
Balanoposthitis is a disease that at first glance seems completely harmless. However, the lack of treatment leads to serious consequences. It is necessary to take action immediately after the first symptoms are detected. According to patients, the most effective treatment balanoposthitis - using complex therapy. Before starting treatment, it is necessary to undergo an examination with a doctor so that he correctly diagnoses and prescribes the right treatment.
Balanoposthitis is an inflammatory process of the glans penis and its foreskin. Accompanied by symptoms such as itching, redness of the skin, pain when urinating, discharge from the urethra. The cause is most often an acute or chronic infection: bacterial, viral or fungal. Balanoposthitis, home treatment of which should be carried out according to the instructions of a doctor, can have unpleasant consequences.
What is balanoposthitis?
Balanoposthitis is an inflammation of the male genital organ in the area of its head and foreskin. This pathology is characterized by the following symptoms: itching, burning, discharge of various colors, pus in the urine, redness, sores on the skin. This disease is provoked by various kinds of microorganisms. Causes of balanoposthitis:
- Bacterial infection - streptococcus, staphylococcus, E. coli, Proteus, mycoplasma, ureaplasma, chlamydia.
- Viral - cytomegalovirus, herpes, HPV, EBV.
- Fungal - candidiasis, actinomycosis.
- Protozoan - Trichomonas.
Pharmacy funds
For the treatment of balanoposthitis are used various means after establishing the cause of the disease. This pathology is dealt with by a urologist or venereologist-andrologist, who prescribes medications in accordance with the causative agent of the infection. Medicines used to treat balanoposthitis:
If necessary, immunostimulants, anti-inflammatory drugs are prescribed - Triderm, Akriderm, Bepanten for healing, antihistamines, taking into account contraindications. If the disease is provoked by a weakened immune system in diabetes, hypoglycemic drugs are used.
In some cases, surgery may be required.
Folk methods
At home, for the speedy healing of sores and relieving inflammation, the following means and methods of treatment are used:
- A solution of potassium permanganate.
- Sitting baths with soda, medicinal herbs and plants: string, chamomile, calendula, oak bark.
- Aloe gel.
- Zinc ointment.
- Ingestion of bearberry infusion, Nefrosten drug in tablets.
Potassium permanganate is an excellent antiseptic that dries a weeping rash and accelerates the healing of sores. For rinsing, a slightly pink (so as not to overdry) solution is used, which is used to wash the space under the foreskin of the penis. You can do sitz baths.
Soda is a remedy for fighting fungal balanoposthitis caused by Candida fungus. For water procedures use concentrated baths. Treatment is carried out until the complete disappearance of the fungus, which manifests itself on the mucous membranes in the form of a curdled plaque.
For sitz baths, decoctions of medicinal herbs are used: chamomile, succession, calendula. They have anti-inflammatory and antimicrobial effects, dry inflamed skin with sores and vesicles.
Aloe gel is a remedy that accelerates the healing of erosions on the skin of the penis after an inflammatory process. It is applied at bedtime, after rinsing with antiseptics (Chlorhexidine, Miramistin, Furacilin, potassium permanganate).
Zinc ointment contains zinc oxide, which dries weeping wounds on the head and foreskin.
The use inside the infusion of bearberry helps with inflammation of the entrance to the urethra - meatus. This herb, passing through the kidneys, turns into hydroquinone, which disinfects the urine. The drug Nefrosten contains the antiseptic hydroquinone, which allows you to fight the infection more effectively.
The effectiveness of home treatment
Home treatment is not a substitute for seeing a doctor. In especially advanced cases, due to scarring during inflammation, the development of phimosis is possible, which is treated only surgically - circumcision, i.e.. Another dangerous complication is lymphadenitis.
For the effectiveness of treatment, you must adhere to the following rules:
- Check for infections together with a sexual partner, who needs to prevent the occurrence of diseases of the female reproductive system - vaginitis, endometritis.
- Use condoms if you have sex with an unreliable partner.
- Do not use detergents and contraceptives that cause an allergic reaction.
Balanoposthitis with improper treatment can lead to serious complications: phimosis, inflammation of the lymph nodes, gangrene of the penis. After forced circumcision, the sensitivity of the penis is lost.
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– viral infection, which 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.
- 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.
- 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 balanoposthitisThe 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. A characteristic sign of the 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.
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. A large amount of pus accumulates between the glans penis and the foreskin, which has a yellow or white color, a foamy texture, and 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:
|
| 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.
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 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 |
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| Ointment, which includes two active ingredients:
| 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 consists of two active ingredients:
| 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:
| 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:
| 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.) 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:
| 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 drugs, 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 can have side effects.
Antibiotics that are prescribed for balanoposthitis:
| Preparations | Mechanism of action | Dosage and administration |
| Broad-spectrum antibiotics for balanoposthitis caused by non-specific pathogens |
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| 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 |
| 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 |
| 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 |
| Antibacterial drugs that are used for gonorrheal balanoposthitis |
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| 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 |
| 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 |
| Antibacterial drugs that are used for balanoposthitis caused by Trichomonas |
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| 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:
Contraindications: Source: M. D. Mashkovsky |
| Antibacterial drugs that are used for candidiasis |
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| 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 |
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| 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 |
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 expressed frequent inflammatory processes scars form on the foreskin, it narrows strongly, and exposure of 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.
- 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 a neutral baby soap, free of additives and fragrances, so as not to aggravate the 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.
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.
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.
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.