What is the differential diagnosis method for genital ulcers?

The male genitals are an extremely private area. If you do not pay attention to personal hygiene, have an unreasonable diet, or have poor personal resistance, etc., it will lead to ulcers on the genitals. The genitals will be eroded and it will be extremely itchy. Here we would like to remind all men that many other diseases will also have similar symptoms, so correct diagnosis is very important. The following introduces the identification and diagnosis methods of genital ulcers.

Differential diagnosis of genital ulcers:

1. The painless ulcers and painless inguinal lymphadenopathy of chancre are sometimes easily confused with the ulcers and lymphadenopathy of genital herpes, but the base of chancre ulcers is harder; Treponema pallidum can be detected, and the syphilis serology reaction is positive.

2. Chancroid ulcers are deep and painful and will not subside on their own without treatment; the lymph nodes are enlarged and painful and may rupture; the ulcers secrete a large amount of grayish yellow or purulent secretions; chancroid bacteria may be detected.

3. Contact dermatitis has a history of contact allergy and no history of unclean sexual intercourse. Redness, swelling, papules, papular rash, blisters, and even large blisters and erosions occur at the contact site. If the cause is removed and treated properly, it can be cured in 1 to 2 weeks.

It is considered to be caused by glans inflammation, which is mostly caused by friction of underwear, trauma or local irritation of soap and detergent. It manifests as edema, erythema, exudation, erosion, secondary infection with purulent secretions, and easy to form ulcers.

Guidance:

3% boric acid solution or potassium permanganate solution can be used for local cleaning. Active symptomatic anti-inflammatory treatment can be chosen. After the inflammation subsides, circumcision surgery is still recommended.

It is considered to be caused by glans inflammation, which is mostly caused by friction of underwear, trauma or local irritation of soap and detergent. It manifests as edema, erythema, exudation, erosion, secondary infection with purulent secretions, and easy to form ulcers.

Guidance:

3% boric acid solution or potassium permanganate solution can be used for local cleaning. Active symptomatic anti-inflammatory treatment can be chosen. After the inflammation subsides, circumcision surgery is still recommended.

Consider it a symptom of balanitis, which requires prompt treatment.

Guidance:

It is recommended to avoid sexual stimulation. You can clean the area with potassium permanganate and then apply erythromycin ointment. If the pain is severe, it is recommended to take amoxicillin for anti-inflammatory.