How to Properly Clean and Care for Phimosis and Balanitis - Urology

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How to clean balanitis?


Hello Dr.
Hsu, thank you for your response.
I would like to ask about the cleaning process.
Should the foreskin be retracted to clean the glans and the sulcus? Because if I do not retract the foreskin for cleaning, it becomes very itchy.
However, if I retract the foreskin, it is very painful due to several lacerations, and the lacerations may increase.
So I would like to know the correct way to clean.
Additionally, when the glans is exposed, it feels very tight; will this also happen with balanitis in the future? Thank you.

Xiao Zhao, 40~49 year old female. Ask Date: 2014/10/16

Dr. Xu Weikai reply Urology


Xiao Zhao: Hello, when there are cracks or injuries, the principle is to avoid causing further damage, which means not to pull too hard.
If it hurts a lot, do not force it too much.
In other words, retract as much as you can without causing pain.
For cleaning the glans, use only cool water; do not use soap, body wash, or similar products.
After cleaning, you can purchase petroleum jelly for local care at a pharmacy.
The current itching may be a natural phenomenon caused by the healing of the epidermis.
It is difficult to determine if this will lead to phimosis later; it depends on the healing process.
If there are any unclear points, feel free to ask again for further discussion.
Answers on the internet should only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This message is from the Department of Urology, Director Xu Wei-kai, Taitung Hospital, Ministry of Health and Welfare, who cares about you.

Reply Date: 2014/10/16

More Info


When it comes to the proper cleaning and care for conditions like phimosis and balanitis, it's essential to approach the situation with caution and understanding. Both conditions can lead to discomfort, itching, and pain, particularly if not managed correctly. Here’s a comprehensive guide on how to clean and care for these conditions effectively.


Understanding Phimosis and Balanitis
Phimosis is a condition where the foreskin cannot be easily retracted over the glans (head) of the penis. This can lead to discomfort and hygiene issues. Balanitis, on the other hand, is the inflammation of the glans, which can be caused by infections, poor hygiene, or irritants. Both conditions can coexist, leading to increased discomfort.


Cleaning Techniques
1. Gentle Retraction: If you are able to retract the foreskin without pain, it is advisable to do so gently. This allows you to clean the area beneath the foreskin effectively. However, if this action causes pain or if there are cracks or fissures, it is crucial to avoid forcing the foreskin back. Instead, focus on cleaning the external areas.

2. Use of Mild Cleansers: Opt for a mild, pH-balanced cleanser that is free from fragrances and harsh chemicals. A gentle, hypoallergenic soap can help minimize irritation. Avoid using alcohol-based products or strong antiseptics, as these can exacerbate dryness and irritation.

3. Warm Water Rinse: When cleaning, use warm water to rinse the area. This can help soothe any irritation and is generally more comfortable than cold water. If you can retract the foreskin, gently wash the area underneath with warm water and a mild soap, ensuring to rinse thoroughly to remove any soap residue.

4. Drying: After washing, pat the area dry with a soft towel. Avoid rubbing, as this can cause further irritation. Ensure that the area is completely dry, as moisture can promote fungal and bacterial growth.

5. Moisturizing: If you experience dryness or cracking, applying a gentle, fragrance-free moisturizer or a barrier cream can help protect the skin. Look for products specifically designed for sensitive skin.


Managing Symptoms
- Avoid Irritants: Stay away from scented soaps, lotions, and other products that may irritate the sensitive skin of the genital area. Also, avoid tight-fitting clothing that can cause friction and discomfort.

- Regular Hygiene: Maintain regular hygiene practices, but do not over-cleanse, as this can strip the skin of its natural oils and lead to further irritation.

- Monitor Symptoms: Keep an eye on any changes in symptoms. If you notice increased redness, swelling, or discharge, it may be a sign of infection, and you should consult a healthcare professional.


When to Seek Medical Attention
If you experience persistent pain, difficulty retracting the foreskin, or if symptoms of balanitis do not improve with proper hygiene, it is essential to seek medical advice. A healthcare provider can assess the situation and may recommend treatments such as topical antifungal or antibiotic creams, or in some cases, surgical options for phimosis.


Conclusion
In summary, proper cleaning and care for phimosis and balanitis involve gentle hygiene practices, the use of mild cleansers, and ensuring the area is kept dry. Avoiding irritants and monitoring symptoms are crucial steps in managing these conditions. If issues persist, do not hesitate to consult a healthcare professional for further evaluation and treatment. Taking these steps can help alleviate discomfort and promote better genital health.

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