A hard lump under the skin at the base of the penis

The presence of a lump under the skin at the base of the penis is a very serious condition and requires early treatment, otherwise it will cause considerable damage to the body. Generally speaking, patients can be relieved of the disease with local treatment. Only a small number of patients require systemic treatment, and some patients with more serious infections can only take oral and topical treatments to relieve the symptoms.

Western medicine treatment

1. Local treatment: Keep the area clean and avoid irritation. Soak or wet compress the area with 1:5000 potassium permanganate. If the pus in the foreskin is not drained smoothly, perform a longitudinal incision of the back foreskin for drainage and cleaning. After the infection is controlled, perform a circumcision.

2. Special treatment: For infections with clear etiology, special treatment should be given. For candidal balanoposthitis, 1% to 3% clotrimazole or ketoconazole cream can be used topically. For vaginal Trichomonas infection, oral metronidazole can be used.

3. Systemic treatment Patients with more severe infection, suspected necrotizing glansitis with fever and inguinal lymphadenopathy require systemic antibiotics

The treatment of penile phimosis should be taken seriously by patients. During the acute attack of penile phimosis, the foreskin should be turned up. It can be washed with 1:5000 potassium permanganate solution and then coated with antibiotic ointment. If the foreskin cannot be turned up, male friends should undergo incision and drainage. While performing local treatment, oral or injected antibiotics are required for treatment. If it is caused by drug allergy, anti-allergic drugs should also be taken. Male friends whose foreskin or prepuce is too long and repeatedly causes inflammation of the glans penis and foreskin should undergo surgery as soon as possible to prevent the harm from increasing and the recurrence of penile phimosis.

Chinese medicine treatment

The treatment of glans phimosis, whether in traditional Chinese medicine or Western medicine, is mainly external treatment. In terms of external treatment, traditional Chinese medicine and Chinese medicine have played a very good therapeutic role in treating patients with semen stagnation. There are many methods of external treatment of glans phimosis in traditional Chinese medicine, which are introduced as follows:

(1) Boil 60g of Seven-leaved Herba Lycopodiellae and 30g of raw licorice root in water for external washing.

(2) Take 30g each of Cnidium monnieri, Sophora flavescens, Kochia scoparia, and Dictamni, and 10g of Alum, decoct in water and use for external washing.

(3) Indigo powder for external use.

(4) Take an appropriate amount of Phellodendron chinense, roast it with pig bile juice, grind it into powder, and apply it to the affected area.

(5) Take equal parts of Chuanlianzi, Coptis chinensis, Orissa officinalis, Sichuan pepper, scallion root, and Artemisia argyi, decoct them in water and use for external washing.

(6) Take 300g of fresh verbena leaves, mix them into liquid and apply it on the affected area.

(7) Take an appropriate amount of raw ginkgo, crush it and apply it externally.

(8) Take equal parts of clam shell, coptis root and indigo, grind them into fine powder and apply externally.

(9) Take 6g each of honeysuckle and saposhnikovia root, 3g each of mint, phellodendron amurense and liquorice, decoct in water and use for external washing.

(10) Panax notoginseng powder: Panax notoginseng (calcined into ash) 30g, borneol 6g, grind into fine powder and apply externally.

(11) Ganshen Shebai Decoction: Sophora flavescens 30g, Cnidium monnieri 20g, Phellodendron amurense 15g, Nepeta tenuifolia and Atractylodes macrocephala 12g each, decocted in water and used for external washing.

(12) Recipe for chancre: Take appropriate amounts of borneol, pearl, calomel, and tea for children, grind them into fine powder, mix with sesame oil and apply to dry areas, and apply the dry powder to wet areas.

(13) Prescription for glans inflammation: 30g each of Cnidium monnieri, Scutellaria baicalensis, Honeysuckle, and Sophora flavescens, 20g each of Coptis chinensis, Lithospermum officinale, Cyperus rotundus, and Houttuynia cordata, 10g each of Rhubarb, Ligusticum chuanxiong, and Licorice, and 4g of Borneol. Boil in water and wash the affected area.

(14) Shen Yi San: 6g each of baby tea, myrrh, gallnut, dragon bone, and 3g pearl. Grind them into fine powder. First wash the affected area with water boiled with wolfberry, then apply the powder.