How to deal with peeling and erythema on the glans penis

Male genital diseases are becoming more and more common in clinical practice. This is closely related to unhygienic and unclean sex life. According to clinical surveys, 35% of men have the problem of foreskin being too long. Long-term foreskin being too long can also lead to chronic glansitis, which can cause peeling and erythema of the glans. So what should we do when men suffer from chronic glansitis? Let me show you how it works.

Western medicine treatment of glansitis

For balanitis, you can use 1/5000 potassium permanganate solution to soak and apply anti-inflammatory ointment. If the foreskin or foreskin is swollen and cannot be turned over for soaking and drainage is not smooth, and the inflammation still cannot subside after general treatment, dorsal circumcision can be performed to facilitate drainage. Wait until the inflammation completely subsides before circumcision.

1. Remove irritants.

2. When erosion and exudation occur, apply wet compress with 3% boric acid solution or 0.05% berberine solution.

3. Anti-infection treatment: using antifungal, anti-trichomoniasis and other drugs for different pathogens.

4. For those caused by allergic factors, apply topical corticosteroid preparations.

(1) Acute superficial glansitis: It is usually caused by friction from underwear, trauma, or local irritation from soap or detergent. Symptoms include edema, erythema, exudation, erosion, secondary infection with purulent secretions, easy formation of ulcers, and spontaneous pain.

(2) Erosive glansitis: The glans and prepuce inflammation and damage are ring-shaped, or the ring has cheese-like smegma, which is easy to break into superficial ulcers over time. If the ring-shaped characteristics are lost, it is difficult to distinguish from superficial glansitis. This disease can exist alone or as a mucosal symptom of Reiter syndrome.

(3) Cellular glansitis: It is more common in middle-aged people. It is a chronic inflammation with single or multiple patches that last for a long time. The damage is plaque-like, with a smooth or scaly or moist surface and obvious infiltration. The boundary is clear and not easy to break. Small spots like chili powder can be seen on the surface. The appearance is difficult to distinguish from proliferative erythema of the glans.

(4) Maternal and keratotic pseudoepitheliomatous galactitis: The glans is damaged, infiltrated and hypertrophic, with excessive keratinization and mica-like crusts. The affected area loses its normal elasticity and atrophies over time. Histopathology shows excessive keratinization, thickening of the spinous layer, and elongated epidermal processes showing pseudoepitheliomatous hyperplasia.

Chronic glans inflammation is very common in clinical practice. In many cases, it is caused by the lack of timely treatment of phimosis. Therefore, once men experience itching, peeling, erythema, etc. on the glans, it is recommended to receive timely symptomatic treatment.