There are several types of glansitis

Balanitis is a common condition in men. Balanitis is usually caused by not paying attention to hygiene and foreskin being too long. There are several types of balanitis in men, such as acute superficial balanitis, Candida albicans balanitis, Trichomonas balanitis, etc. Maintain personal hygiene and avoid eating irritating foods during treatment. How many types of balanitis are there? Let's take a look.

1.How many types of balanitis are there?

(1) Acute superficial balanitis

At the beginning, there is local flushing, redness and swelling of the skin of the penis, and a burning and itching sensation on the glans.

(2) Circumflex erosive balanitis

On the glans penis and foreskin, erythema can be seen, which gradually expands and becomes ring-shaped, and may form a superficial ulcer surface.

(3) Candida albicans balanitis

Erythema can be seen on the foreskin and glans penis. 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 balanoposthitis

Papules and erythema appear on the glans penis, gradually expanding with clear edges. Small blisters the size of a needle can be seen on the erythema, and finally an erosive surface is formed.

2. Treatment guidelines

If it is trichomonas or candidal glansitis, the couple should be treated at the same time. Targeted drug treatment should be selected according to the pathogen and drug sensitivity test. For patients with recurrent phimosis, surgical treatment should be performed after the inflammation subsides.

3. General treatment

1. General treatment

(1) Keep the area clean, avoid various irritations, and clean the glans penis and foreskin daily.

(2) Avoid unprotected sexual intercourse and suspend sexual activity during treatment. If it is trichomonas or candidal glansitis, both husband and wife should be treated at the same time.

(3) Avoid using corticosteroids during the acute phase to avoid aggravating the infection. If the foreskin is severely edematous, do not forcibly retract the foreskin.

(4) If there are ulcers or erosions on the inner foreskin and glans penis, the dressing should be changed promptly, twice a day.

(5) Eat less spicy food and avoid smoking and drinking.

2.Surgery

Patients with recurrent balanitis due to excessive foreskin or phimosis should undergo circumcision after the inflammation subsides.

IV. Drug treatment

1. Local treatment

For patients with erosive exudation or purulent secretions, apply wet compresses with 1% ethacridine solution or 1:8000 potassium permanganate solution. For patients with dryness and scaling, apply glucocorticoid ointment. For patients with Candida infection, the affected area can be cleaned with sodium bicarbonate solution and then imidazole ointment can be applied. For patients with Trichomonas infection, rinse with 0.5%-1% lactic acid solution or 0.5% acetic acid solution, and then apply anti-inflammatory ointment. Intermittent administration of medium-acting fluoride-free hormone ointment has a good effect on synovial glansitis.

2. Systemic medication

Systemic antibiotics should be selected according to the pathogen and drug sensitivity test. For the treatment of acute superficial balanitis and annular erosive balanitis, antibiotics sensitive to Gram-positive cocci can be used first. The treatment of trichomonal balanitis should start with metronidazole. Fluconazole or itraconazole is often used to treat balanitis caused by Candida albicans.

5. Daily care

1. Keep the area clean, avoid various irritations, and clean the glans and foreskin daily.

2. If there are ulcers or erosions on the inner foreskin and glans, the dressing should be changed in time, twice a day.