What to do if the glans penis is infected

Some men may experience glans infection. The glans infection will cause itching and pain, making it difficult to walk. In severe cases, the patient may not be able to study or work normally. Moreover, the bone is a sensitive part, so many people do not like to go to the hospital for treatment, fearing that they will be laughed at. In fact, doctors in hospitals have seen many such cases and have become numb to them. They will not laugh at you at all. So, what should you do if your glans is infected?

1. Diagnosis

It is mainly based on clinical manifestations, combined with etiology and pathological examination. For example, if it is caused by Candida infection, direct microscopic examination and culture of the lesion site can find Candida; if it is caused by amoeba, smear examination of secretions can find amoeba; pathological changes of plasmacytoid glansitis have diagnostic value. This disease should be distinguished from fixed drug eruption caused by drugs.

2. 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. 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, clean the affected area with sodium bicarbonate solution and then apply imidazole ointment. 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.

3. 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.

4.Surgery

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