Glans Itching: Treatment and Prevention of Balanitis - Urology

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Itching of the glans penis?


Doctor, I apologize.
I would like to ask about the medication the doctor prescribed for my balanitis, which is tetracycline hydrochloride.
I only apply it once after my evening shower or once every two days.
Could this be causing my balanitis to recur and not heal properly? How many days should I apply the medication before stopping to ensure the treatment of balanitis is effective? Thank you, doctor.

Joe, 10~19 year old female. Ask Date: 2017/03/12

Dr. Du Shixi reply Urology


Hello: Once or twice a day is sufficient, but remember to keep the area clean and dry.
If it improves, once a day is enough.
I usually advise patients to use a small amount, about 5 grams, after cleaning.
The main focus is on maintaining local cleanliness and dryness.
Thank you for your inquiry.

Reply Date: 2017/03/12

More Info


Balanitis, or inflammation of the glans (the head of the penis), can be a frustrating condition for many men. It can be caused by a variety of factors, including infections (bacterial, fungal, or viral), irritants (such as soaps or lotions), and underlying health conditions (like diabetes). Understanding the treatment and prevention of balanitis is essential for effective management and to avoid recurrent episodes.

In your case, you mentioned that your doctor prescribed tetracycline hydrochloride ointment for your balanitis. Tetracycline is a broad-spectrum antibiotic that can be effective against certain bacterial infections. However, the frequency and duration of application are crucial for successful treatment. Applying the ointment only after bathing or every couple of days may not provide sufficient coverage to effectively combat the infection, especially if the inflammation is persistent.

Typically, for topical antibiotics like tetracycline, it is recommended to apply the medication at least twice a day, or as directed by your healthcare provider, for a duration of 7 to 14 days, depending on the severity of the infection. It is essential to follow your doctor's instructions regarding the duration of treatment. Stopping the medication too early can lead to incomplete resolution of the infection, which may result in a recurrence of symptoms.

In addition to medication, maintaining proper hygiene is vital. Here are some tips for managing and preventing balanitis:
1. Hygiene: Gently clean the area with mild soap and water daily. Avoid using harsh soaps or products that can irritate the skin.

2. Drying: After washing, ensure the area is thoroughly dried, as moisture can promote fungal growth.

3. Avoid Irritants: Be cautious with personal care products, including soaps, lotions, and lubricants, which may cause irritation.

4. Loose-fitting Clothing: Wearing breathable, loose-fitting underwear can help reduce moisture and friction, which may exacerbate symptoms.

5. Diet and Health: If you have underlying conditions like diabetes, managing your blood sugar levels can help reduce the risk of infections.

6. Follow-up: If symptoms persist despite treatment, or if you experience recurrent episodes, it is crucial to follow up with your healthcare provider. They may need to reassess your condition and consider other potential causes or treatments.

In summary, while tetracycline ointment can be effective for treating balanitis, it is essential to apply it as directed and maintain good hygiene practices. If you have concerns about the duration of treatment or the recurrence of symptoms, do not hesitate to consult your healthcare provider for further guidance. They can provide personalized recommendations based on your specific situation and ensure that you receive the appropriate care.

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