and Treating Acute Balanitis: A Patient's Journey - Urology

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Acute balanitis, or inflammation of the glans penis, can be a distressing condition for many patients. It often presents with symptoms such as redness, swelling, pain, and sometimes discharge. Your experience of noticing a dark red area on the glans that has persisted and worsened over time, along with increased urinary frequency, is indeed concerning and warrants careful evaluation and treatment.

From your description, it seems that you initially received a diagnosis of balanitis and were prescribed oral medication (信保欣膠囊) and a topical ointment (衛康恩軟膏). However, the worsening of your symptoms, including the development of a painful, ulcerated area with discharge, suggests that the initial treatment may not have been effective or that there could be an underlying issue that needs to be addressed.

Acute superficial balanitis can be caused by various factors, including infections (bacterial, fungal, or viral), irritants, or underlying skin conditions. The fact that you are experiencing pain and discharge indicates that there may be a secondary infection or a more severe inflammatory response occurring. The presence of transparent discharge and the description of the glans as having a "raw" appearance are particularly concerning for a possible infection that may require a different treatment approach.

Regarding the use of topical corticosteroids, it is generally advised to avoid them in cases of acute infections because they can suppress the local immune response and potentially worsen the infection. Instead, treatment should focus on addressing the underlying cause of the inflammation. In cases of bacterial infection, appropriate antibiotics may be necessary, while antifungal treatments may be indicated for fungal infections.

You mentioned that you consulted another clinic where you were prescribed a different topical ointment (杏輝的美康乳膏). It is important to follow the advice of your healthcare provider regarding the use of this medication. If you have concerns about the diagnosis or treatment plan, it is always advisable to seek a second opinion or further evaluation from a specialist, such as a urologist or a dermatologist with experience in treating genital skin conditions.

In addition to medication, maintaining good hygiene is crucial in managing balanitis. This includes gently cleaning the area with mild soap and water, avoiding irritants such as harsh soaps or fragrances, and ensuring that the area is kept dry. If you are uncircumcised, retracting the foreskin during cleaning can help prevent the accumulation of smegma, which can contribute to inflammation.

If your symptoms do not improve with the new treatment or if they worsen, it is essential to return to your healthcare provider for further evaluation. They may consider additional diagnostic tests, such as cultures or biopsies, to determine the exact cause of your symptoms and tailor the treatment accordingly.

In summary, acute balanitis can be a complex condition that requires careful diagnosis and management. Your symptoms suggest that further evaluation and possibly a change in treatment may be necessary. Always communicate openly with your healthcare provider about your concerns and the effectiveness of the treatment you are receiving. Your health and comfort are paramount, and there are effective treatments available for managing this condition.