Penile foreskin herpes

Penile herpes is a viral infectious disease that can cause penile skin breakage, suppuration, redness and swelling. Male friends need to receive timely treatment, pay attention to penile hygiene and avoid sexual intercourse. When penile herpes occurs, patients cannot scratch the skin with their hands and should take medication in time. Antibiotics are generally used to inhibit bacterial growth.

The affected part of the vulva will first feel a burning sensation, followed by the development of papules, which may be one or more clusters, and then form blisters.

Causes

Genital herpes is clinically confirmed to be caused by two types of sexually transmitted diseases: herpes simplex virus. HSV-1 is transmitted through close contact with the respiratory tract, skin and mucous membranes, mainly causing infections of the lips, pharynx, eyes and skin, and a small number (about 8%) can also cause genital infections. HSV-2 is the main pathogen of genital herpes (88%), present in the exudate of skin and mucous membrane damage, semen, prostate secretions, cervical and vaginal secretions, and is mainly transmitted through sexual intercourse, causing primary genital herpes. After primary genital herpes subsides, the remaining virus remains dormant in the sacral ganglia along the nerve axis through the peripheral nerves for a long time. When the body's resistance is reduced or certain stimulating factors such as fever, cold, infection, menstruation, gastrointestinal dysfunction, trauma, etc., the latent virus in the body can be activated and relapse. Humans are the only host of herpes virus. The virus cannot survive outside the human body. Ultraviolet rays, ether and general disinfectants can inactivate it.

On average, about 4 to 5 days after infection, papules will form in groups, which may be one or more clusters, and then form blisters. After a few days, it will develop into abscesses, which will rupture to form erosions or shallow ulcers, causing spontaneous pain, and finally scab and heal on their own. The course of the disease is about 2 to 3 weeks. Lesions are more common in the foreskin, glans, coronal sulcus and penis of men, and occasionally in the urethral opening; in women, they are more common in the labia majora and minora, clitoris, mons pubis, cervix, and urethral opening. Primary genital herpes is often accompanied by systemic symptoms such as general discomfort, low fever, headache, and local lymph node swelling. The disease often recurs. Recurrent genital herpes is milder than the primary one, with less damage and often no systemic symptoms. Male homosexuals may develop anorectal HSV-2 infection, the incidence of which is second only to anorectal inflammation caused by gonococci. Clinical manifestations include anorectal pain, constipation, increased secretions and tenesmus. There may be herpetic ulcers around the anus. Sigmoid colonoscopy often shows congestion, bleeding and small ulcers in the lower rectal mucosa. Genital herpes is recurrent and easy to relapse. After rupture, it forms erosions or superficial ulcers, which are painful and eventually heal by scabs. The course of the disease is about 2-3 weeks. Lesions are mostly found on the foreskin, glans, coronal sulcus and penis of men, and occasionally at the urethral opening.

treatment

Thioridazine 25 mg, 3 times a day.

Fluphenazine hydrochloride 1 mg, 3 times a day.

For sedative analgesia, you can take 4 mg of phenelzine, 3 times a day.

Telden 50 mg-100 mg can be injected intramuscularly when necessary, or 50 mg can be taken orally 4 times a day for 4 to 10 days.

Amitriptyline 75 mg/d-100 mg/d, divided into 3-4 doses.