Male genital glans water blisters

The main causes of blisters on the glans of the male genitals are inflammations such as acute superficial glansitis, annular erectile glansitis and candidal glansitis. These inflammations will cause redness, swelling and itching of the genitals, affecting the function of the genitals. Men need to pay attention to genital hygiene issues, then clean the genitals with saline, and finally take antibiotics to treat glansitis. However, it should be noted that sexual intercourse should not be allowed during the treatment stage.

1. Acute superficial galactitis

Edema, erythema, erosion, exudation and bleeding. In severe cases, blisters may appear. If secondary infection occurs, ulcers may form, covered with purulent exudate. There is spontaneous pain and tenderness. Some patients may have mild systemic symptoms, such as fatigue, weakness, low fever, enlarged inguinal lymph nodes, etc.

2. Annular ulcerative glansitis

It may be the early mucosal damage of Reites disease, or it may be related to the long-term stimulation of smegma. The clinical manifestation is erythema on the glans penis, which gradually expands and becomes annular or multi-ring-shaped, and may later form shallow ulcers. If secondary infection occurs, the symptoms may be aggravated and lose their annular characteristics.

3. Candidal balanitis

Caused by Candida infection. Clinical manifestations include erythema, smooth surface, slight desquamation around, scattered papules or pustules around, and slowly expanding to the surrounding area. Edema, erythema, erosion, and exudate may occur in the acute stage.

4. Cytoplasmic balanitis

It is more common in middle-aged patients. Localized, infiltrative, dark red-brown patches occur on the glans penis, with clear boundaries, smooth surface, many small red spots or erosions, easy bleeding, and no ulcers. Histopathology has diagnostic value, characterized by infiltration of band-like inflammatory cells in the superficial dermis, mixed with a large number of plasma cells.

5. Amoebic balanitis

When the foreskin and glans become inflamed, the barrier function of the epithelium is lost, making it easy for amoeba infection to occur. The clinical manifestations are glans erosion, shallow ulcers, obvious tissue necrosis, and pain.

6. Mica and keratomatous pseudoepitheliomatous glansitis

The rash is infiltrative and hypertrophic, with local hyperkeratosis and silvery white mica crusts. The glans penis loses its normal elasticity and gradually shrinks.

7. Trichomonas balanoposthitis

It is a mild, transient erosive glans inflammation caused by trichomonas infection. Initially, erythema and papules appear on the glans, with clear boundaries and gradually expanding in scope. On the erythema, there may be small blisters ranging from the size of a needle tip to a millet grain, which may expand and fuse with each other to form a mild erosive surface.

treatment

1. Symptom treatment

Keep the area clean and avoid all kinds of stimulation. Those with prepuce that is too long should undergo circumcision.

2. Local treatment

For those with erosive exudation or purulent secretions, apply wet compresses with 1% ethacridine solution or 1:8000 potassium permanganate solution. For those with dryness and desquamation, apply corticosteroid ointment externally.

3. Etiology treatment

Those with clear etiology should be treated with corresponding drugs. For example, for candidal glansitis, topical nystatin cream, clotrimazole, econazole, miconazole cream, or oral antifungal drugs such as itraconazole, fluconazole, miconazole, and ketoconazole can be used. For trichomonal glansitis, metronidazole, tinidazole, and trichostatin can be used. For amebic glansitis, emetine, metronidazole, and tinidazole are given. If the spouse suffers from candidal vaginitis or trichomonal vaginitis at the same time, they must be treated at the same time.