Plasma Cell Balanitis: Symptoms, Treatment, and Recovery Time - Urology

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Plasma cell balanitis


Hello Doctor: I have a red swollen area on my foreskin that is about 2 cm by 1 cm in size.
The surface appears a bit shiny, and it feels slightly hard to the touch.
It hurts when touched or pulled, and it also hurts when rinsed with water.
I researched online and it seems to be plasma cell inflammation.
After showing it to the doctor, I was prescribed fusidic acid ointment, but after using it for three days, there hasn't been much improvement.
How many more days should I continue applying it? I have previously experienced similar inflammation and used both topical antibiotics and betamethasone steroid ointment.
I would like to know if steroid ointments are suitable for me.
How long does it typically take for this type of inflammation to heal?

Qoo, 20~29 year old female. Ask Date: 2022/11/17

Dr. Du Shixi reply Urology


Hello: If it is balanitis, applying pure antibiotics or steroid ointments prescribed by a physician is recommended.
It is important to maintain cleanliness and dryness; if it gets wet, make sure to dry it thoroughly.
Symptoms typically improve within 5-7 days, but since your affected area is larger, it may take longer.
Wishing you good health, and please keep your diet light.

Reply Date: 2022/11/17

More Info


Plasma cell balanitis, also known as plasma cell vulvitis or Zoon's balanitis, is a condition characterized by inflammation of the glans penis, often presenting as a shiny, red, and sometimes painful area. This condition is typically associated with the presence of plasma cells in the affected tissue, which are a type of white blood cell involved in the immune response. The symptoms you describe, including the red swelling, pain upon touch, and the shiny appearance, align with this diagnosis.

The treatment for plasma cell balanitis often involves topical medications. In your case, the physician prescribed fusidic acid ointment, which is an antibiotic that can help if there is a secondary bacterial infection. It is important to follow your doctor's instructions regarding the duration of treatment. Generally, topical treatments may take several days to weeks to show improvement, and if you do not see any significant changes after a week of consistent use, it would be advisable to follow up with your healthcare provider.

Regarding the use of corticosteroid ointments, these can be beneficial in reducing inflammation and alleviating symptoms in cases of plasma cell balanitis. However, the decision to use a steroid ointment should be made by your physician based on the severity of your condition and your medical history. Corticosteroids can help reduce inflammation but should be used cautiously, as prolonged use can lead to skin thinning and other side effects.

The recovery time for plasma cell balanitis can vary significantly from person to person. In many cases, with appropriate treatment, symptoms can improve within a few weeks. However, some individuals may experience a more prolonged course, especially if there are underlying factors contributing to the inflammation, such as irritants or infections. It is essential to maintain good hygiene and avoid any potential irritants, such as harsh soaps or tight-fitting clothing, during the healing process.

If you notice that your symptoms are not improving or if they worsen, it is crucial to return to your healthcare provider for further evaluation. They may consider additional treatments or investigate other potential underlying causes of your symptoms. In some cases, a biopsy may be necessary to rule out other conditions.

In summary, plasma cell balanitis is a manageable condition, but it requires appropriate treatment and monitoring. Follow your doctor's advice regarding the use of topical medications, and do not hesitate to seek further medical attention if your symptoms persist or worsen. Your health and comfort are paramount, and a healthcare professional can provide the best guidance tailored to your specific situation.

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