What are the treatments for scrotal dermatitis?

The male scrotum is a very private part. Usually, many men do not pay attention to personal hygiene, or have malnutrition, or wear inappropriate pants, etc., which leads to many men suffering from scrotal dermatitis. After this skin disease occurs, you will feel obvious itching, which is very uncomfortable, so men are reminded to take relevant preventive measures, such as developing good living habits, wearing loose and breathable underwear, and never wearing tight underwear made of chemical fiber materials. In addition, the diet must be light and sufficient nutrition must be supplemented. Once scrotal dermatitis occurs, do not scratch it with your hands and do not cause excessive friction. Then you can take the following methods to treat it.

First, drug treatment

(1) Compound levofloxacin solution is a preparation made in-house in hospitals. It is mildly irritating and has a rapid effect. It can be applied externally 1 to 2 times a day for 10 consecutive days to achieve clinical recovery.

(3) 1% clotrimazole, clematis cream, 1% econazole cream, etc. I recommend clotrimazole.

The skin of the penis is thin and tender, so do not use overly irritating drugs during treatment. If the disease does not heal after long-term treatment, or the area is large and the disease is widespread, you can take 200 mg of Sporanox orally once a day for 5 consecutive days.

Second, surgical treatment

After abscess is formed, abscess incision and drainage should be performed. If scrotal necrosis occurs, scrotal excision should be performed.

Third, Chinese medicine methods

1. Understand the characteristics Skin lesions are mostly irregular, polygonal or flat round papules that merge into patches and are normal skin color or light brown. Over time, the skin becomes thickened, the skin grooves deepen, the skin ridges rise, and it is easy to form lichenification, which is an important feature of this disease.

2. Distinguish diseases and venereal diseases. The skin lesions are mainly papules, or erythema, itching, red tongue, greasy coating, and rapid pulse. These are mostly caused by the interaction of wind, dampness, and heat evils in the skin, which is a positive syndrome. If the disease does not heal for a long time, or recurs repeatedly, it will develop into blood deficiency and wind dryness. The skin lesions will be lichen-like, dry, thick, and scaly, like the skin of a cow's collar, accompanied by a pale red tongue and a weak pulse. These are mostly negative syndromes or a combination of positive and negative syndromes.

3. Understand the causes. This disease is often triggered or aggravated by mental factors, irritating foods, or friction and scratching of clothing.

Fourth, Western medicine diagnosis

1. Chronic scrotal eczema: There is often an acute blisters phase. Even if it is chronic at the beginning, blisters are often seen in tissue pathology. The lesions are significantly infiltrated and thickened, often covered with scales and crusts, and the lichenification is not prominent. There are no blisters in clinical and tissue pathology of scrotitis. The skin lesions are mostly irregular, polygonal or flat round papules fused into pieces, and the lichenification is obvious. In terms of the cause of the disease, the former is mainly allergic, and the latter is mainly mental disorder.

2. Pruritus: At the beginning of the disease, it is just itching, without any primary rash, accompanied by burning, crawling, and ant-walking sensations. The affected area often has secondary damage such as scratches, rubbing, exudation, and blood scabs. The boundaries of lichenification are unclear. Scrotal dermatitis is caused by local itching and scratching, and polygonal flat papules merge into pieces. The boundaries between lichenification and normal skin are clear.

3. Lichen planus: polygonal rash or triangular flat papules with a central depression, purple or dark red, waxy luster and strip-like damage. The cheek mucosa often has grayish white flat polygonal rash. Scrotal dermatitis does not have these manifestations.