When to Stop Applying Medication for Balanitis? - Urology

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When can I stop applying medication for balanitis?


Hello, I have balanitis and after seeing a doctor, I was prescribed a topical cream and a 3-day course of antibiotics.
It has been 3 days, and although the redness and swelling of the foreskin have improved and there is no itching, it is still somewhat red.
Should I continue applying the cream until it returns to normal color? What about the antibiotics? Should I go back to the doctor for more medication? Additionally, I have a thin membrane on my glans that is slightly peeling.
Should I rub it off while showering? Currently, I am rinsing with cool water and only removing the flakes when I see them fall off.
Should I wait until the balanitis is completely healed before rubbing it? Thank you very much for your response, and I wish you all the best and safety.

Lurén Jiǎ, 30~39 year old female. Ask Date: 2015/08/05

Dr. Xu Weikai reply Urology


Person A: Hello, if you can easily remove the smegma during cleaning, then go ahead and do so.
If it is still strongly adhered, wait for it to fall off before cleaning.
If there is noticeable improvement, applying an ointment for 3-5 days should suffice.
If there is still no improvement, it is advisable to return for further treatment.
If you have any concerns, you can visit a nearby medical facility for testing.
If there are any unclear points, feel free to ask again so we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is best to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/08/05

More Info


When dealing with balanitis, it is essential to follow a structured approach to ensure proper healing and avoid complications. Based on your description, it seems you have been prescribed a topical medication (likely a corticosteroid or antifungal cream) and a course of antibiotics for your condition. Here’s how to proceed:
1. Continue Medication: If you have completed the prescribed course of antibiotics and the inflammation has improved but is not entirely resolved, it is generally advisable to continue applying the topical medication until the affected area returns to its normal color and appearance. This is particularly important if there is still redness or any signs of inflammation. However, you should not apply the medication indefinitely; instead, monitor the area closely.

2. Consult Your Doctor: Since you are still experiencing some redness and have concerns about the thin membrane and peeling skin on your glans, it would be prudent to follow up with your healthcare provider. They can assess the healing process and determine if further treatment is necessary or if a different medication might be more effective. If the redness persists or worsens, or if you develop new symptoms (such as itching, pain, or discharge), you should seek medical advice sooner rather than later.

3. Care for the Affected Area: Regarding the thin membrane on your glans, it is essential to be gentle. Avoid aggressive scrubbing or rubbing, as this can irritate the skin further and potentially lead to more inflammation or infection. Instead, continue to wash the area gently with lukewarm water. If you notice any loose skin or flakes, it is generally safe to allow them to fall off naturally rather than forcibly removing them. This will help prevent additional irritation.

4. Signs of Improvement: You should look for signs of improvement, such as reduced redness, decreased swelling, and the absence of pain or discomfort. If these signs are evident, it may indicate that the treatment is effective, and you can consider tapering off the medication as advised by your healthcare provider.

5. Hygiene Practices: Maintaining good hygiene is crucial in preventing recurrent balanitis. Ensure that you clean the area gently but thoroughly during bathing. Avoid using harsh soaps or irritants that could exacerbate the condition. After washing, gently pat the area dry with a clean towel.

6. Avoid Irritants: Be mindful of any potential irritants, such as scented soaps, lotions, or other personal care products that may come into contact with the genital area. These can aggravate the condition and delay healing.

7. Follow-Up Care: If your symptoms do not improve or if you experience any new symptoms, it is essential to return to your healthcare provider for further evaluation. They may recommend additional treatments, such as a different topical medication or further diagnostic tests to rule out other underlying conditions.

In summary, continue using the topical medication until the area returns to normal, consult your doctor for further guidance, and maintain gentle hygiene practices. Your healthcare provider is the best resource for personalized advice based on your specific situation.

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