and Treating Persistent Balanitis: Your Questions Answered - Urology

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Balanitis


Hello Doctor: I have been suffering from balanitis for over a month.
I have been continuously seeing a doctor, but it hasn't completely healed.
During the treatment period, I have masturbated a few times, and I'm not sure if that has any relation to my condition.
Last week, my doctor prescribed a new antibiotic and a topical ointment called Aikangming.
I'm wondering if this ointment is effective.
I have some small, raised bumps on my foreskin, about five or six in number, not very clustered.
After taking a shower and applying the ointment, I accidentally scraped one and it bled a little, just a very small amount.
Could these bumps be related to the balanitis?

Hi, 10~19 year old female. Ask Date: 2016/04/27

Dr. Li Xinyi reply Urology


It is advisable to avoid excessive heat and moisture in the genital area, so wearing loose-fitting clothing is recommended.
When washing, do not scrub too hard; it is best to use only water for cleaning.
Minimize the exposure of the glans to chemical substances.
After bathing, use a hairdryer to dry the area, and make sure to wipe dry after urination while maintaining proper hygiene.

Reply Date: 2016/04/27

More Info


Persistent balanitis, or inflammation of the glans and foreskin, can be a frustrating and uncomfortable condition. It is important to understand the potential causes, treatment options, and how certain behaviors may influence the healing process.

Balanitis can be caused by a variety of factors, including infections (bacterial, fungal, or viral), irritants (such as soaps or lotions), and underlying medical conditions (like diabetes or skin disorders). In your case, the fact that you have been experiencing symptoms for over a month suggests that the inflammation may not be resolving due to persistent irritation or an underlying infection that hasn't been fully addressed.

The new antibiotic and the topical medication you mentioned, likely a corticosteroid or antifungal cream, are common treatments for balanitis. These medications aim to reduce inflammation and combat any underlying infection. However, the effectiveness of these treatments can vary based on the specific cause of the balanitis. If the inflammation is due to a fungal infection, for instance, an antifungal cream would be more effective than an antibiotic.

Regarding your concern about the small bumps on your foreskin, these could be related to the inflammation. In some cases, balanitis can cause the skin to become irritated and develop small papules or bumps. However, if these bumps are new, persistent, or changing in appearance, it would be wise to have them evaluated by your healthcare provider. They can help determine if these are a result of the inflammation or if they might indicate another condition, such as pearly penile papules or a sexually transmitted infection.

As for the bleeding you experienced after accidentally scraping the area, this is not uncommon in inflamed tissues, which can be more sensitive and prone to injury. It is crucial to avoid further irritation, so be gentle when washing and applying medications.

Regarding your question about the relationship between masturbation and your condition, while masturbation itself is generally not harmful, if it causes irritation or discomfort, it may exacerbate the inflammation. It is advisable to refrain from any activities that cause discomfort until the inflammation has resolved.

In summary, persistent balanitis can be a complex condition requiring careful management. If your symptoms do not improve with the current treatment, or if they worsen, it is essential to follow up with your healthcare provider. They may consider further diagnostic tests, such as a culture or biopsy, to identify the underlying cause of the inflammation and adjust your treatment plan accordingly. Additionally, maintaining good hygiene, avoiding irritants, and following your doctor's instructions regarding medications will be crucial in your recovery process.

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