Balanitis: Treatment with Econol Cream and Care Tips - Urology

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Regarding inflammation around the foreskin and ointments?


Recently, I experienced redness and itching in the midsection of my penis after retracting the foreskin during an erection.
After resting for two days, the symptoms have slightly improved, but I still felt uneasy, so I consulted a urologist.
The doctor diagnosed me with a bacterial infection of the foreskin and prescribed Econol cream.
Since this is my first time encountering such an issue, I have some questions.
When applying the cream, should I retract the foreskin and apply it, and after applying, should I keep the foreskin retracted? Or can I return it to its original position covering the glans? Will this cause any issues with ventilation?

Xiang, 20~29 year old female. Ask Date: 2014/05/22

Dr. Xu Weikai reply Urology


Hello, after applying the ointment, you need to restore the foreskin to its covered state.

Reply Date: 2014/05/22

More Info


Balanitis, an inflammation of the glans penis, can be caused by various factors, including bacterial infections, irritants, or underlying skin conditions. In your case, it seems that a bacterial infection has been diagnosed, and your doctor has prescribed Econol cream, which typically contains an antifungal and anti-inflammatory agent. Understanding how to properly apply this medication and care for the affected area is crucial for effective treatment and recovery.

When applying Econol cream, it is generally recommended to apply it to the affected area while the foreskin is retracted. This allows for direct contact of the medication with the inflamed skin, ensuring that it can effectively reduce inflammation and combat the infection. After applying the cream, you may wonder whether to leave the foreskin retracted or to return it to its normal position covering the glans.

Here are some important considerations:
1. Application Technique: After retracting the foreskin, apply a thin layer of the cream directly onto the inflamed area. Make sure to cover the entire affected region, as this will help in alleviating the symptoms of redness, swelling, and itching.

2. Post-Application Care: After applying the cream, you can gently return the foreskin to its normal position. However, it is advisable to allow the area to breathe for a short period after application. This can help the medication to absorb effectively into the skin. If you feel comfortable, you might leave the foreskin retracted for a little while before covering it again.

3. Avoiding Moisture Traps: If you choose to return the foreskin to its normal position, ensure that the area remains dry and clean. Moist environments can promote bacterial growth and worsen the infection. You may want to avoid tight-fitting underwear and opt for breathable fabrics to reduce moisture buildup.

4. Hygiene Practices: Maintain good hygiene by gently washing the area with mild soap and water daily. After washing, ensure that the area is thoroughly dried before applying the cream again. Avoid using harsh soaps or products that may irritate the skin further.

5. Monitoring Symptoms: Keep an eye on your symptoms. If you notice any worsening of redness, swelling, or if new symptoms develop, it is essential to follow up with your healthcare provider. They may need to reassess your condition or consider alternative treatments.

6. Duration of Treatment: Follow your doctor’s instructions regarding the duration of treatment with Econol cream. Typically, antifungal and anti-inflammatory treatments may take several days to weeks to show significant improvement. Consistency in applying the medication as prescribed is key to recovery.

7. Avoiding Irritants: During treatment, avoid potential irritants such as scented soaps, lotions, or other topical products that may aggravate the condition.
In conclusion, while it is generally safe to return the foreskin to its normal position after applying the cream, allowing the area to breathe for a short time can be beneficial. Maintaining good hygiene, monitoring your symptoms, and following your doctor's instructions will help ensure effective treatment of your balanitis. If you have any further concerns or questions about your treatment, do not hesitate to reach out to your healthcare provider for personalized advice.

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