How to determine the healing of balanitis?
Hello Doctor, I have phimosis, but there are no issues with retracting the glans.
Before the infection, I cleaned daily.
Around October 10, 2018, I noticed a small red spot on the glans that gradually enlarged, peeled, and ulcerated.
I visited both dermatology and urology, and after examining the ulcer, they diagnosed it as balanitis with a bacterial infection.
I took antibiotics and applied ointment, and the ulcer has healed.
However, both the glans and the foreskin remain red.
I researched balanitis and found that there are many types.
Both specialists diagnosed a fungal infection based on visual inspection and prescribed ointment, which has shown improvement; the red spots have disappeared, but the redness persists.
The glans becomes even redder during an erection, and I was advised to wash frequently with clean water and keep the area dry, which I have been doing.
It has improved significantly, but the glans and foreskin often appear more red than before (the glans is redder during an erection, whereas it used to be pink).
Today, November 12, 2018, I returned to urology, and the doctor said I have healed and suggested reducing the frequency of medication.
The redness may be caused by the medication, so I would like to ask if the redness of the glans and foreskin could be due to the medication (I have been applying it continuously for about a month).
Currently, there is no pain or itching, just redness.
I am unsure how to return to the previous normal color.
Thank you for your response, Doctor.
Niming, 20~29 year old female. Ask Date: 2018/11/12
Dr. Lin Wufu reply Internal Medicine
Hello, the typical treatment duration for balanitis is about one to three weeks.
If there is no pain or itching, it usually indicates that the infection has largely improved.
The skin of the glans is quite sensitive, and it is indeed possible for it to become red due to medication irritation.
It is recommended to follow the urologist's advice to discontinue all medications and then monitor whether the redness gradually improves.
Reply Date: 2018/11/12
More Info
Understanding the healing process of balanitis, particularly in the context of your experience with a bacterial infection and subsequent treatment, involves recognizing several key factors related to skin health, infection management, and the body's natural healing response.
Balanitis, which is the inflammation of the glans (the head of the penis), can be caused by various factors, including infections (bacterial, fungal, or viral), irritants, or underlying skin conditions. In your case, it seems that a bacterial infection was diagnosed, and you were treated with antibiotics and topical ointments. The fact that the ulceration has healed is a positive sign, indicating that the initial infection has been effectively managed.
However, the persistent redness of the glans and foreskin that you are experiencing is not uncommon after an episode of balanitis. Here are some considerations regarding the healing process and care tips:
1. Post-Infection Inflammation: After an infection, it is normal for the affected area to remain red and sensitive for some time. This is part of the healing process as the skin repairs itself. The redness you observe, especially during an erection, may be due to increased blood flow to the area as it heals.
2. Medication Effects: Prolonged use of topical medications can sometimes lead to skin irritation or sensitivity, which may manifest as redness. If you have been using a topical steroid or antifungal cream for an extended period, it could contribute to the changes in skin color and sensitivity. It is essential to follow your doctor's advice regarding the frequency of medication use.
3. Hygiene Practices: Maintaining proper hygiene is crucial in preventing further irritation or infection. You mentioned that you have been diligent in cleaning the area with water and keeping it dry. This practice is vital, as moisture can contribute to irritation and fungal growth. Ensure that you are using mild, unscented soap if needed, and avoid harsh chemicals or irritants.
4. Observation and Follow-Up: Since your doctor has indicated that the infection has resolved, it is essential to monitor the area for any changes. If the redness persists or worsens, or if you experience any pain, itching, or discharge, it would be prudent to return to your healthcare provider for further evaluation.
5. Time for Healing: Skin healing can take time, and the appearance of the skin may not return to its previous state immediately. Factors such as age, overall health, and the extent of the initial infection can influence recovery time. It may take several weeks to months for the skin to regain its normal color and texture.
6. Avoiding Irritants: Be cautious about any products you apply to the area, including lotions, powders, or other topical treatments. Stick to what your doctor has recommended and avoid experimenting with new products until you have fully healed.
7. Consultation with Specialists: If you continue to have concerns about the redness or if it does not improve, consider seeking a second opinion from a dermatologist or a urologist who specializes in penile health. They can provide a more in-depth assessment and recommend appropriate treatments if necessary.
In summary, while the redness of the glans and foreskin can be concerning, it is often a part of the healing process following an infection. Continue to practice good hygiene, follow your doctor's recommendations regarding medication use, and keep an eye on any changes. If you have any doubts or if symptoms persist, do not hesitate to seek further medical advice. Your health and comfort are paramount, and addressing any lingering issues promptly will help ensure a complete recovery.
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