the Recovery Process of Balanitis: Key Questions Answered - Urology

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How can we determine if balanitis has resolved?


About a week ago, I was diagnosed with balanitis and started taking antibiotics and applying a topical ointment (MeiKang).
Initially, there was a red patch on the glans, the foreskin was sticky, and there was a small pimple nearby.
Now, the pimple has completely disappeared, and there are no wounds.
When not erect, the glans looks much better, with only a slight pinkish hue.
However, when erect, there is a patch that becomes redder, and I can still see some tiny red spots.
There is no pain, itching, or discharge.
I would like to ask: 1) Does this mean I am healed? Do I still need to continue using the ointment? 2) Can I masturbate or engage in safe sexual activity now? 3) How can I stop the medication and return to normal?

A Liao, 20~29 year old female. Ask Date: 2022/02/01

Dr. Li Xinyi reply Urology


Based on your description, it seems to have improved.
However, what initially caused the balanitis? If the underlying cause is not identified, there is still a possibility of recurrence.
It's important to continue follow-up with a urologist and discuss any concerns with the physician.

Reply Date: 2022/02/01

More Info


Balanitis, or inflammation of the glans penis, can be a distressing condition, but it is often treatable with appropriate medical care. Based on your description, it seems that you have made significant progress in your recovery since starting antibiotics and topical treatments. Here’s a detailed response to your questions:
1. Am I healed? Do I need to continue using the medication?
It sounds like you are experiencing improvement, especially since the initial symptoms like the painful bump have resolved and the redness has diminished significantly. The presence of a slight pink hue and small red spots, particularly during an erection, may indicate that the inflammation is still present but is likely mild. It is essential to follow your healthcare provider's advice regarding the duration of treatment. If your doctor prescribed a specific course of antibiotics or topical medication, it’s crucial to complete it as directed, even if symptoms improve. Stopping treatment prematurely can lead to a recurrence of the infection or inflammation.

2. Can I engage in masturbation or safe sexual activity?
Engaging in sexual activity, including masturbation, should be approached with caution. If you are experiencing any discomfort, redness, or other symptoms during an erection, it may be best to wait until you have fully healed. Engaging in sexual activity too soon can irritate the area and potentially lead to a setback in your recovery. It’s advisable to consult your healthcare provider for personalized advice based on your current condition. They may recommend waiting until you have no symptoms and have completed your treatment before resuming sexual activity.

3. How can I stop the medication and return to normal?
Transitioning back to your normal routine after treatment for balanitis should be done carefully. Once you have completed the prescribed course of medication and your symptoms have resolved, you can gradually return to your usual activities. However, it’s important to monitor the area for any signs of recurrence, such as redness, swelling, or discomfort. Maintaining good hygiene is crucial in preventing future episodes of balanitis. This includes gently cleaning the area with mild soap and water, ensuring the area is dry after washing, and avoiding irritants such as scented soaps or lotions.

In addition to these points, it’s essential to consider the underlying causes of balanitis. Factors such as poor hygiene, skin conditions, or infections can contribute to the development of this condition. If you have recurrent episodes, it may be beneficial to discuss preventive measures with your healthcare provider. They may suggest lifestyle changes, such as wearing breathable underwear, avoiding irritants, and ensuring proper hygiene practices.

Lastly, if you notice any worsening of symptoms or new symptoms arise, it’s crucial to seek medical attention promptly. Your healthcare provider can assess your condition and determine if further treatment is necessary. Remember, while recovery from balanitis can take time, with proper care and attention, most individuals can expect to return to normal function without long-term complications.

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