Balanitis: Causes, Treatment, and Management Tips

Glans issues - Balanitis

Hello Doctor, I have noticed red spots on my glans since last year.
The doctor diagnosed it as balanitis and I have visited the clinic several times.
Recently, it has been occurring every one to two weeks, so I have been applying Meikang ointment (previously prescribed by the doctor) thinly in the morning and evening, and it usually resolves in about 3-4 days.

1.
I have been showering daily and washing with water, and I use a hairdryer to dry it (at a temperature that is bearable for my body).
Do I need to use cold water?
2.
I understand that circumcision might be a better option, but my job involves heavy lifting and overtime, leaving me little time.
If I choose not to get circumcised, what additional steps should I take? I wear jeans at work and try to use the restroom frequently to allow for ventilation, but I still occasionally get red spots.

3.
Will applying Meikang ointment have any adverse effects on my penis?
4.
I do not have diabetes, but I have ankylosing spondylitis, which is an autoimmune disease.
I take immunomodulatory medication daily; could not taking it also have an impact?

You, 30~39 year old female. Ask Date: 2021/03/30

Dr. Du Shixi reply Urology

Hello,
1) Try to pat dry, do not use a hairdryer.

2) Underwear must be loose; if it gets wet from sweating or urination, it should be dried immediately.
If possible, check blood sugar levels before meals, especially if there is a family history of diabetes.
Prolonged moisture can increase the risk of infection even after circumcision.

3) Long-term use of topical medications is not ideal, as it may cause changes in the skin for some individuals.

4) It is important to discuss with an immunologist, as we cannot rule out any possibilities.
However, the local environment is still a significant factor.

Wishing you good health.

Reply Date: 2021/03/30

More Info

Balanitis, or inflammation of the glans penis, can be a recurrent issue for many men, and it is often characterized by symptoms such as redness, swelling, and discomfort in the genital area. Understanding its causes, treatment options, and management strategies is crucial for effective care.

Causes of Balanitis
Balanitis can be caused by a variety of factors, including:
1. Infections: Bacterial, fungal (such as Candida), or viral infections can lead to inflammation. Poor hygiene can exacerbate these infections.

2. Irritation: This can result from soaps, lotions, or other products that come into contact with the genital area. Friction from clothing, especially tight-fitting garments, can also contribute.

3. Skin Conditions: Conditions like eczema or psoriasis can affect the genital area, leading to balanitis.

4. Underlying Health Issues: Conditions such as diabetes can increase the risk of infections, including balanitis.

Treatment Options
1. Topical Treatments: Over-the-counter creams like hydrocortisone or antifungal creams can help reduce inflammation and treat infections. In your case, the use of Meikang ointment (美康軟膏) seems to provide temporary relief. However, it's essential to ensure that it is appropriate for your condition.

2. Hygiene Practices: Maintaining good hygiene is crucial. Washing the area daily with mild soap and water, and ensuring it is thoroughly dried afterward, can help prevent recurrence. Using a hairdryer on a low setting, as you mentioned, is a good practice.

3. Avoiding Irritants: If you suspect that certain soaps or laundry detergents are causing irritation, consider switching to hypoallergenic products.

4. Medical Consultation: If symptoms persist despite self-care measures, it is essential to consult a healthcare provider. They may prescribe stronger topical medications or investigate other underlying causes.

Management Tips
1. Clothing Choices: Wearing loose-fitting underwear and pants can help reduce friction and allow for better air circulation. If you are wearing tight jeans, consider switching to looser alternatives when possible.

2. Regular Monitoring: Keep an eye on any changes in symptoms. If you notice increased redness, swelling, or discharge, seek medical advice promptly.

3. Consider Circumcision: While you mentioned that circumcision may not be feasible due to your work schedule, it is worth discussing with your healthcare provider. Circumcision can significantly reduce the risk of recurrent balanitis, especially in those with chronic issues.

4. Impact of Immunosuppressive Medications: Since you have ankylosing spondylitis and are on immunosuppressive medications, this could potentially affect your immune response and make you more susceptible to infections. It’s crucial to discuss with your doctor how your medications might be influencing your condition and whether any adjustments are necessary.

Conclusion
Balanitis can be a frustrating condition, especially when it recurs frequently. While maintaining good hygiene and using topical treatments can help manage symptoms, it is essential to work closely with a healthcare provider to address any underlying issues and consider long-term solutions. If you continue to experience symptoms, do not hesitate to seek further medical evaluation to explore all available options for treatment and management.

Similar Q&A

Managing Balanitis in Diabetic Patients: Expert Advice

Hello Dr. Wu, I often experience balanoposthitis due to diabetes. What should I do?

Dr. Wu Yuxin reply Dermatology
The most common cause is a Candida infection. If proper hygiene is maintained, circumcision may be considered.

Understanding and Managing Balanitis: Causes, Symptoms, and Care Tips

Hello Doctor, I would like to ask about my situation. In the past, I engaged in DIY activities occasionally and frequently, which caused pain in the foreskin and glans, but it would return to normal after a day or two. I also had a few experiences at a skincare clinic over the pa...

Dr. Li Yilun reply Urology
Daily cleaning of the glans and foreskin reduces the risk of disease transmission during complex sexual activities. The consistent use of condoms can decrease fluid contact and lower the likelihood of infection. The more sexual partners one has, the higher the risk of sexually tr...

Managing Recurrent Balanitis: Tips for Prevention and Care

A month ago, I had balanitis and saw a doctor, but after a few days, it got infected again. I went back to the doctor, who said it was a localized infection and prescribed medication to apply. I've been applying it until today, but the tip of my glans and urethral opening st...

Dr. Xu Weikai reply Urology
Hello, please be advised not to use any cleansing lotions, soaps, or similar products. Just use cold water for cleansing. Afterward, apply petroleum jelly for care. If you have any further questions, feel free to ask, and we can discuss and research together. Answers found online...

Understanding Balanitis and Pubic Bone Inflammation: Treatment Options

Hello Doctor: I have two questions I would like to ask you, and I appreciate your help in answering them. Thank you. First: I have been experiencing redness, itching, and pain on my glans for the past six months. During this time, I have seen many dermatologists and urologists, ...

Dr. Xu Weikai reply Urology
Hello, 1. If there is an infection, antibiotics can be used. For daily care of the glans, you can refer to my previous responses to other users. 2. Regarding pubic bone inflammation, I am not familiar with it and have not diagnosed any related cases. If there are any unclear poin...