Is there a concern about concurrent infections?
Hello Dr.
Hsu, I would like to ask you about my previous two treatments for balanitis.
During my recent follow-up appointment, I did not report any discomfort, and the doctor indicated that no further visits were necessary, prescribing me a tube of Clotrimazole cream (which has been used throughout my treatment).
After a week, I noticed that while the frequent itching has diminished, I still occasionally experience itching at the urethral opening, and there is slight redness and swelling on the foreskin.
When warm water from my shower touches the area, I still feel some itching (which I did not experience before).
Q1: Is this due to the effects of the medication, or does it indicate that I have not fully healed? If I have not fully healed, how can I continue to prevent worsening?
Additionally, I occasionally feel a burning sensation at the urethral opening when urinating, and there is a burning and stinging sensation in the urethra when pressure is applied during an erection (when I pinch the glans).
Q2: Could this be a complication of the previous balanitis leading to urethritis, or could it be related to prostate issues?
Thank you, Dr.
Hsu, for your patience in reading this.
I appreciate your help.
A Ji, 20~29 year old female. Ask Date: 2015/09/21
Dr. Xu Weikai reply Urology
Hello, you may not have fully recovered yet, or it could be a side effect of the medication.
For the care of the glans, it is recommended to clean daily: 1.
Use cool water, avoiding very hot water.
2.
Do not use soap, body wash, or other cleaning products.
If you have any further questions, feel free to ask again for more discussion and research.
Online responses should only be used 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: 2015/09/21
More Info
Hello! Thank you for your detailed questions regarding your recent experiences with balanitis and the subsequent symptoms you are experiencing. It’s important to address these concerns comprehensively, as they can significantly affect your quality of life.
Q1: Is the itching and redness due to the medication or an indication of incomplete healing? What should I do to prevent worsening?
The symptoms you describe, such as occasional itching at the urethral opening and slight redness and swelling at the glans, could be attributed to several factors. It’s possible that the medication (Lindol cream) is causing some localized irritation, especially if it contains ingredients that may not be well-tolerated by your skin. However, it’s also plausible that your condition has not fully resolved, leading to persistent symptoms.
To prevent worsening, consider the following steps:
1. Continue Using the Medication: If your doctor has prescribed Lindol cream, continue using it as directed. It may take time for the inflammation to fully subside.
2. Maintain Hygiene: Keep the area clean and dry. Use mild, unscented soap and avoid harsh chemicals or irritants.
3. Avoid Irritants: Refrain from using products that could irritate the area, such as scented soaps, lotions, or tight-fitting clothing.
4. Monitor Symptoms: Keep track of any changes in your symptoms. If the redness, swelling, or itching persists or worsens, it’s essential to follow up with your healthcare provider.
5. Consider a Follow-Up Appointment: If symptoms do not improve within a week or two, or if they worsen, it’s advisable to return to your healthcare provider for further evaluation.
Q2: Could the burning sensation during urination and pain during erection be due to urethritis or prostatitis?
The burning sensation during urination and the pain you experience during an erection could indeed be indicative of urethritis, which can occur as a complication following balanitis. Urethritis is an inflammation of the urethra, often caused by infection, and can present with symptoms such as burning during urination, discharge, and discomfort during sexual activity.
While prostatitis (inflammation of the prostate gland) is another possibility, it is less likely to be directly related to your previous episodes of balanitis unless there was a significant infection that spread. Prostatitis typically presents with additional symptoms, such as pelvic pain, difficulty urinating, or flu-like symptoms.
To address these concerns:
1. Seek Medical Evaluation: It’s crucial to consult your healthcare provider for a thorough evaluation. They may recommend urine tests, swabs, or other diagnostic procedures to determine the underlying cause of your symptoms.
2. Avoid Sexual Activity: Until you have a clear diagnosis, it may be wise to avoid sexual activity to prevent further irritation or potential complications.
3. Stay Hydrated: Drinking plenty of fluids can help dilute your urine and may alleviate some burning sensations.
4. Follow-Up Testing: If urethritis is suspected, your doctor may recommend testing for sexually transmitted infections (STIs) or other pathogens.
In summary, while your symptoms may be related to the previous balanitis, they could also indicate a new or ongoing issue such as urethritis. It’s essential to maintain communication with your healthcare provider to ensure proper diagnosis and treatment. Your health and comfort are paramount, so don’t hesitate to seek further assistance if needed.
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