How to treat erythema on the glans penis?

The glans of a man is a very private part, and the skin on the glans is very thin and tender, and there are many capillaries on the glans, so this place is prone to skin problems. Men with reduced personal resistance or men who do not pay attention to local hygiene will inevitably develop some skin diseases on the glans, including erythema on the glans. So how to treat erythema on the glans?

How to treat erythema after removing the glans penis?

Many patients develop erythema or small papules on the glans of the penis and suspect that they have a sexually transmitted disease. When they go to the doctor, they find out that it is balanoposthitis (inflammation of the glans penis). In fact, balanoposthitis is a common disease. Balanoposthitis is divided into balanoposthitis and glansitis. Because they often appear at the same time, it is called balanoposthitis. This inflammation can be infectious or non-infectious. Infectious balanoposthitis is more common in clinical practice. Infectious ones are often caused by unclean sexual intercourse, infection with Candida albicans, Trichomonas, Chlamydia, Mycoplasma, Gonorrhea or other bacteria; non-infectious factors are mostly due to excessive foreskin and insufficient cleaning, which causes the accumulation of unclean substances between the foreskin and the glans penis, namely smegma, which irritates the local foreskin and mucous membrane and causes inflammation.

Common clinical types of balanitis include the following, and their symptoms are:

(1) Acute superficial balanoposthitis is characterized by local redness at the onset, redness and swelling of the penis skin, and a burning and itching sensation at the glans penis. When the foreskin is turned back, the inner surface of the foreskin and the glans penis are found to be congested and eroded, with exudate and even bleeding. After secondary infection, small ulcers may be seen, with foul-smelling milky white purulent secretions. If the penis rubs against underwear, it will be painful, and the patient often has difficulty in moving. It may be accompanied by enlargement and tenderness of the inguinal lymph nodes.

(2) Annular ulcerated balanoposthitis: Erythema can be seen on the glans and foreskin. It gradually expands and becomes ring-shaped, and may form a superficial ulcer.

(3) In case of Candida albicans balanoposthitis, erythema may be seen on the foreskin and glans. The surface is smooth and there are small blisters. The edges of the erythema are clear. In acute attacks, there are erosions and exudates.

(4) Trichomonas phimosis causes papules and erythema on the glans penis, which gradually expand and have clear edges. Small blisters the size of a needle can be seen on the erythema, and finally form an erosive surface.

The basic principle of western medicine treatment is anti-inflammatory and sterilization. Generally, both internal and external treatments are used. Erythromycin and tetracycline are the first choice for the treatment of acute superficial balanitis and annular effusive balanitis, generally 0.5g per dose, 4 times a day. The first choice for the treatment of trichomonal balanitis is metronidazole, 0.2g per dose, 3 times a day, for 10 consecutive days. For the treatment of balanitis caused by Candida albicans, trichostatin or itraconazole is often used for treatment. Trichostatin 100,000 to 200,000 units, twice a day, itraconazole 100mg per dose, twice a day, for 7 consecutive days.

Traditional Chinese medicine often divides this disease into three types, namely, stagnation of toxic fire, damp-heat and insect-producing, and liver-kidney yin deficiency. Different treatments are given according to different clinical manifestations.