You should not take the discharge of yellow pus from the glans penis lightly. Under normal circumstances, this symptom will not occur. Once it occurs, it means that there is a problem with your body, and it is a relatively serious condition. Then you must keep the glans penis clean and hygienic. At this time, you must avoid bacterial infection again and use some antibacterial drugs for treatment in time. 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. It is mainly based on clinical manifestations, combined with etiology and pathological examination. For example, if it is caused by Candida infection, direct microscopic examination and culture of the lesion site can find Candida; if it is caused by amoeba, smear examination of secretions can find amoeba; pathological changes of plasmacytoid glansitis have diagnostic value. This disease should be distinguished from fixed drug eruption caused by drugs. |
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