There is a stinging sensation inside the glans

Penitis is a type of mucosal inflammation caused by trauma, irritation or infection of the glans. Patients will have erythema on the glans with small pustules on the surface. Some patients may experience edema of the glans mucosa, desquamation of the edges, or even erosion of the glans. Some people may feel a tingling sensation in the glans due to recurrent candidal penile glaucoma, which can be treated with topical antifungal ointment or antifungal drugs.

1. The hazards of glansitis

1. Leading to urinary tract infection: Penitis can cause ascending infection of the urinary tract, leading to cystitis, nephritis, pyelonephritis, etc. Improper treatment during the acute phase can be life-threatening.

2. Impact on fertility: When glans inflammation occurs, the sensitive nerves of the glans are damaged, which can easily lead to a decline in male sexual function, premature ejaculation, impotence, etc. In addition, the inflammatory secretions hidden in the foreskin can easily enter the vagina along with the semen during sexual intercourse, which not only reduces the quality of semen, but also may affect the combination of sperm and egg cells, leading to infertility.

3. Harm to reproductive system health: Balanitis can easily lead to inflammation of organs such as prostatitis, orchitis, epididymitis, and vas deferens. If it is not treated effectively and in a timely manner, combined infection will cause great harm to reproductive health.

2. Treatment of Penis Gland Inflammation

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.