Managing Recurrent Balanitis: Over-the-Counter Treatments in Japan - Urology

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Could you please provide more details about the issue of balanitis?


I previously had balanitis, and it seems to be recurring while I'm traveling in Japan.
Can I buy any ointment at a drugstore? Is it okay to use Flucort-F cream?

Dai Wei, 20~29 year old female. Ask Date: 2015/04/06

Dr. Xu Weikai reply Urology


Hello, Dawei.
You should be able to reduce inflammation.
It is recommended to maintain proper local hygiene and avoid using soap, body wash, or similar products for cleaning the glans.
Generally, rinsing with cool, clean water is sufficient for local cleansing.
After cleaning, you can apply an ointment or use petroleum jelly for local moisturizing care.
I wish you a smooth trip to Japan.
I hope the above information is helpful to you.
If you have any further questions, feel free to ask, and we can discuss and research together.
Please remember that online responses should only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare, Taitung Hospital, cares about you.

Reply Date: 2015/04/06

More Info


Managing recurrent balanitis can be a challenging issue, especially when traveling. Balanitis, which is inflammation of the glans (the head of the penis), can be caused by various factors, including infections (bacterial, fungal, or viral), irritants, or underlying skin conditions. When dealing with a recurrence while in Japan, it’s essential to choose the right over-the-counter treatments available at local pharmacies or drugstores.

In Japan, you can find several topical treatments that may help alleviate the symptoms of balanitis. Common over-the-counter options include antifungal creams, hydrocortisone creams, and antiseptic ointments. Here’s a breakdown of what you might consider:
1. Antifungal Creams: If your balanitis is suspected to be caused by a yeast infection (Candida), antifungal creams such as clotrimazole or miconazole can be effective. These are often available in Japanese pharmacies and can help reduce inflammation and discomfort.

2. Hydrocortisone Cream: This is a mild topical steroid that can help reduce inflammation and itching. However, it should be used cautiously and not for extended periods, as prolonged use can lead to skin thinning and other side effects. Flucort-F, which you mentioned, contains fluocinolone acetonide (a stronger steroid) and is typically used for inflammatory skin conditions. While it may provide relief, it’s essential to use it under the guidance of a healthcare professional, especially if you are unsure about the cause of your symptoms.

3. Antiseptic Ointments: Products containing ingredients like benzalkonium chloride can help prevent secondary infections and promote healing. These can be useful if there is any irritation or minor abrasions.

4. Moisturizers: Sometimes, dryness or irritation can exacerbate balanitis. Using a gentle, fragrance-free moisturizer can help maintain skin hydration and barrier function.

5. Avoid Irritants: While treating balanitis, it’s crucial to avoid potential irritants such as harsh soaps, scented products, or tight-fitting clothing that can cause friction.

If you decide to use Flucort-F, be cautious. While it may help with inflammation, it’s essential to ensure that the underlying cause of your balanitis is not fungal or bacterial, as steroids can sometimes worsen infections. If your symptoms persist or worsen, it’s advisable to seek medical attention from a healthcare provider, even if it means visiting a local clinic in Japan. They can provide a proper diagnosis and recommend appropriate treatment.

In summary, while you can find various over-the-counter treatments in Japan, it’s crucial to identify the underlying cause of your balanitis for effective management. Antifungal creams, mild steroids, and antiseptic ointments can be helpful, but if you are uncertain or if your symptoms do not improve, consulting a healthcare professional is the best course of action.

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