Purple coronal groove of glans

The color of the penis coronal sulcus is red with a slight purple tint under normal circumstances, mainly because blood gathers here, and when sexually excited, the color of the penis coronal sulcus will deepen, which is a condition of penis congestion. If there is no sexual life, but the glans coronal sulcus appears purple, it may also be due to glans injury or symptoms of galactitis. Men need to keep the penis clean and hygienic, and then avoid sexual intercourse and the use of corticosteroids.

Balanitis is inflammation of the glans penis, which refers to inflammation of the glans penis caused by trauma, irritation or infection. Since glans inflammation often coexists with inflammation of the inner foreskin, glans inflammation and balanoposthitis are usually collectively referred to as balanoposthitis. The main clinical manifestations are local redness, swelling, erosion and ulcer formation. Balanitis can retrogradely infect the urinary system, causing cystitis, pyelonephritis, etc. In addition, if the inflammation is not cured for a long time, it can directly affect sexual life, leading to impotence, premature ejaculation and other phenomena. This disease is more common in summer and autumn, and mostly occurs in young and middle-aged men, especially those with prepuce or phimosis.

treatment

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.