Balanitis: Symptoms, Causes, and Treatment Options - Urology

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Balanitis is an inflammation of the glans (the head of the penis) and can present with various symptoms, including redness, itching, swelling, and sometimes a discharge. It can be caused by a variety of factors, including infections (bacterial, fungal, or viral), skin conditions (like eczema or psoriasis), and irritants (such as soaps, lotions, or condoms).
In your case, it seems that you initially experienced symptoms consistent with balanitis, which were diagnosed as eczema by a dermatologist. The treatment you received alleviated the itching, but the recurrence of symptoms suggests that there may be an underlying issue that needs to be addressed. The presence of white flakes or scaling could indicate a fungal infection, especially considering your history of tinea pedis (athlete's foot) and tinea cruris (jock itch), both of which are caused by dermatophyte fungi.

Using an antifungal cream, like the one you mentioned (presumably a topical antifungal for athlete's foot), on the glans may not be appropriate without a proper diagnosis. While antifungal treatments can be effective for fungal infections, they can also cause irritation, especially if applied to sensitive areas like the glans. The stinging sensation you experienced after applying the cream could be a sign of irritation or an allergic reaction to the product, rather than an indication of a fungal infection.

It is crucial to differentiate between a fungal infection and other potential causes of balanitis. If the symptoms persist or worsen, it would be advisable to return to your healthcare provider for a more thorough evaluation. They may consider performing a culture or a skin scraping to determine the exact cause of the symptoms.
In terms of treatment options, if a fungal infection is confirmed, your doctor may prescribe a more suitable antifungal medication or recommend a different topical treatment. If the issue is related to eczema or another skin condition, they may suggest a topical corticosteroid or other anti-inflammatory treatments.
Additionally, maintaining good hygiene is essential in managing balanitis. This includes gently cleaning the area with mild soap and water, ensuring the area is dry, and avoiding irritants. If you are uncircumcised, retracting the foreskin during cleaning is important to prevent the buildup of smegma, which can contribute to inflammation.

In summary, while your symptoms may suggest a fungal infection, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan. Self-treating with over-the-counter products without proper guidance can sometimes lead to further irritation or complications.