Genital rash

Genital rash is usually a rash that appears on the glans. Some are painful, while others have no symptoms. This is balanitis. There are many causes of balanitis. If it is bacterial balanitis, in addition to active treatment, sexual life must be stopped, otherwise it will cause cross infection and make women suffer from gynecological diseases. The specific treatment of balanitis can only be concluded after a comprehensive examination in the hospital.

Balanitis, also known as inflammation of the glans penis, refers to inflammation of the glans penis caused by trauma, irritation or infection. Since balanitis often coexists with inflammation of the inner lining of the foreskin, balanitis and posthitis are often collectively referred to as balanitis. The main clinical manifestations are local redness, swelling, erosion and ulceration. 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 middle-aged and young men, especially those with phimosis or prepuce.

Causes

Balanitis is related to many factors, which can be divided into infectious factors and non-infectious factors. Under normal circumstances, a large number of bacteria, yeasts and spirochetes can parasitize in the foreskin cyst, and when local or systemic resistance is weakened, these microorganisms can become pathogenic pathogens. It is mainly caused by bacteria, such as Escherichia coli, Staphylococcus, and Streptococcus, followed by Candida, Trichomonas, Mycoplasma, Chlamydia, and Gonorrhea, which can also cause foreskin and glans inflammation.

Non-infectious factors include stimulation from urine, alkaline substances (such as detergents) and foreign substances (such as condoms); friction and trauma; excessive foreskin and insufficient cleaning leading to accumulation of smegma, which can cause damage to the glans foreskin mucosa and aggravate infection by various pathogens.

treat

1. General treatment

(1) Keep the area clean, avoid various irritations, and clean the glans and foreskin daily.

(2) Avoid unclean sexual intercourse and temporarily suspend sexual intercourse during treatment. If it is trichomoniasis or candidal balanitis, 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 swollen, do not forcefully retract the foreskin.

(4) If there are ulcers or erosions on the inner layer of the foreskin and the glans penis, the dressing should be changed in time, twice a day.

(5) Eat less spicy food and avoid smoking and drinking.

2. Local treatment

For those with erosion, exudation or purulent secretions, apply wet compresses with 1% ethacridine solution or 1:8000 potassium permanganate solution. For those with dryness and desquamation, apply glucocorticoid ointment externally. Patients with Candida infection can clean the affected area with sodium bicarbonate solution and then apply imidazole ointment. For those infected with Trichomonas, rinse with 0.5% to 1% lactic acid solution or 0.5% acetic acid solution, and then apply anti-inflammatory ointment. Intermittent administration of medium-acting, fluoride-free hormonal ointment has a good effect on plasma cell balanitis.

3. Systemic medication

Systemic antimicrobial drugs should be selected based on the pathogen and drug sensitivity tests. For the treatment of acute superficial balanitis and annular erosive balanitis, antibiotics sensitive to Gram-positive cocci can be used first. The treatment of Trichomonas balanitis starts with metronidazole. Fluconazole or itraconazole is commonly 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.