What to do if red spots appear on the penis

The red spots on the penis are mostly caused by glans inflammation, which is generally manifested as redness, swelling or ulceration of the glans. Glans inflammation can cause urinary system diseases and should be treated as soon as possible. Glans inflammation is usually caused by bacterial infection of the glans or excessive foreskin. If you have glans inflammation, you should pay attention to keeping it clean and avoid using hormone drugs. Glans inflammation caused by excessive foreskin requires circumcision.

Introduction to glansitis

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 of glansitis

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. Surgical treatment

Patients with recurrent balanitis due to excessive foreskin or phimosis should undergo circumcision after the inflammation subsides.

Medication for glansitis

1. 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.

2. Systemic antibiotics should be selected according to the pathogen and drug sensitivity test. For the treatment of acute superficial balanitis and annular erosive balanitis, sensitive antibiotics against Gram-positive cocci can be selected first. The treatment of trichomonal balanitis should start with metronidazole. Fluconazole or itraconazole is often used to treat balanitis caused by Candida albicans.