Balanitis: Symptoms, Treatments, and Recovery Tips - Urology

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Glans and prepuce inflammation issues?


Hello Doctor, I would like to ask three questions.

1.
I recently visited a doctor and was diagnosed with balanoposthitis.
I have been applying Meikang ointment for about two days, but I am experiencing skin breakdown (scaling) on the glans and foreskin.
I would like to know if this is a result of my balanoposthitis or a side effect of the ointment.
2.
I also want to ask if my foreskin currently has no rash, but I still occasionally feel itchy.
Should I continue applying the ointment or should I ignore it?
3.
If I stop applying the ointment, how can I prevent further skin breakdown or promote healing of my skin? Thank you, Doctor.

Dani, 20~29 year old female. Ask Date: 2023/06/12

Dr. Du Shixi reply Urology


Hello:
1.
I recently visited a doctor and was diagnosed with balanoposthitis.
I have been applying Meikang ointment for about two days, but I am experiencing skin breakdown (scaling) on the glans and foreskin.
I would like to ask the doctor if this is a result of my balanoposthitis or a side effect of the ointment? --> It is more likely due to insufficient skin protection; it should be kept dry.
Additionally, apply the ointment about twice a day and avoid excessive amounts.
2.
I would also like to ask the doctor that while there are no rashes on my foreskin anymore, I still occasionally feel itchy.
Should I continue applying the ointment or ignore it? You can maintain cleanliness and dryness, but there should be no redness.
If there is redness, you should use medication.
3.
If I stop applying the ointment, how can I prevent the foreskin from breaking down again or promote healing? --> Wear loose-fitting underwear, ensure dryness if there is moisture, and reduce spicy and irritating foods.
It is important to pay attention to this for at least two weeks.
Thank you, doctor.

Reply Date: 2023/06/12

More Info


Balanitis, or inflammation of the glans penis, can be a distressing condition characterized by symptoms such as redness, swelling, itching, and sometimes pain or discomfort. It can be caused by various factors, including infections (bacterial, fungal, or viral), irritants (like soaps or lotions), or skin conditions (such as eczema or psoriasis). Understanding the symptoms, treatments, and recovery tips is essential for effective management.


1. Understanding Your Symptoms
In your case, the peeling and redness you are experiencing could be attributed to either the underlying condition of balanitis or a reaction to the topical medication (Mei Kang cream) you are using. Topical corticosteroids, which are often found in creams for inflammatory skin conditions, can sometimes lead to skin thinning or irritation, especially if used excessively or for prolonged periods. However, the symptoms you describe—peeling and desquamation—are also common in cases of balanitis itself, particularly if there is an underlying infection or irritation.


2. Treatment Options
For the treatment of balanitis, the approach generally depends on the underlying cause. If it is due to a fungal infection, antifungal creams may be prescribed. If it is bacterial, antibiotics may be necessary. In your case, since you have already started using a topical cream, it is essential to monitor your symptoms closely. If the itching persists but there are no signs of a rash, it may indicate that the inflammation is still present, and continuing the use of the cream might be advisable. However, it is crucial to follow your doctor's recommendations regarding the duration of treatment with any topical medication.


3. Recovery Tips
If you decide to discontinue the use of the cream, there are several steps you can take to promote healing and prevent further irritation:
- Maintain Hygiene: Gently clean the area with mild soap and water daily. Avoid harsh soaps or products that could irritate the skin further.


- Moisturize: After cleaning, applying a gentle, fragrance-free moisturizer can help soothe the skin and prevent dryness. Look for products specifically designed for sensitive skin.

- Avoid Irritants: Steer clear of potential irritants such as scented soaps, lotions, or any products that may cause allergic reactions.
- Wear Loose Clothing: Opt for breathable, loose-fitting underwear to reduce friction and allow the area to heal.

- Monitor Symptoms: Keep an eye on your symptoms. If you notice any worsening of the condition, such as increased redness, swelling, or discharge, it is essential to consult your healthcare provider promptly.


Conclusion
In summary, the peeling and irritation you are experiencing could be due to either the balanitis itself or a reaction to the topical medication. It is crucial to maintain good hygiene, consider moisturizing, and avoid irritants to promote healing. If symptoms persist or worsen, follow up with your healthcare provider for further evaluation and potential adjustment of your treatment plan. Remember, effective communication with your doctor is key to managing your condition successfully.

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