Balanoposthitis (balanitis) in men: how is this or that type of disease treated?
Balanitis is an inflammation of the glans penis, eventually turning into balanoposthitis - inflammation of the head and foreskin.
The cause of this disease can be various factors, depending on which the treatment methods are selected.
Balanoposthitis is definitely to be treated. But it can be called for completely different reasons. Just about this you need to know first.
Medical treatment methods
Exist infectious and non-infectious types of disease. Infectious balanitis is divided into simple, erosive and gangrenous (all forms are subject to treatment). With a simple balanoposthitis, the head of the penis turns red evenly, erosion with purulent discharge appears.
With an erosive form of the disease swollen white necrosis is observed, which then transforms into red ulcers. Gangrenous balanitis is characterized by excessive swelling and redness of the head of the penis with painful ulcerations, fever, general malaise.
Erosive circular balanoposthitis "owes" its development to spirillas with spirochetes Vincent. This is a fairly rare type of disease., which can occur in too light or very severe form.
Gangrenous erosive circular balanitis characterized by the appearance of many ulcers and purulent white coating. The patient feels chills and fever. Treatment of erosive and gangrenous balanoposthitis (balanitis) is carried out comprehensively, prescribing antibiotics (tablets) with sulfanilamide medicines, as well as lotions from an antiseptic.
Castel balanitis origin not established still. For its therapy, compresses soaked with phenol at a concentration of 1:10 or cauterization with rivanol diluted a thousand times are traditionally used.
Thus, if balanoposthitis in men was a consequence of internal infectious diseases, it is necessary to get rid of them first of all. For the treatment of infectious balanoposthitis, they are most often accompanied by sulfa drugs, and locally it is recommended to make antiseptic lotions of chlorhexidine, potassium permanganate or silver nitrate 3-4 times a day.
If the causative agent was a bacterium, a levomekol ointment is usually prescribed.
Some types of balanoposthitis are non-infectious in nature. Balanitis Zuna characterized by the appearance of shiny plaques that do not protrude above the surface of the skin of the genital organs. This kind of disease treated only surgically with a carbon dioxide laser.
In this case, the upper layer of the skin is damaged, which reduces the likelihood of a return of the disease. Circumcision is not excluded.
Sclerosing balanoposthitis has an unclear origin and is expressed in the covering of the genitals with white pearly plaques, dry skin in these places. For his treatment surgery required.
Xerotic obliterans balanitis manifested in the scarring of the glans penis in combination with white shiny plaques. The skin of the genital organs becomes thinner and becomes “wrinkled”.
If this form of the disease is not treated, then skin transformations can develop into malignant forms. There is pain during an erection.
In the early stages of the disease, the use of testosterone propionate or corticosteroids will be effective. In the later stages, surgical treatment is indicated..
Another cause of the development of the disease can be any malfunction of the endocrine system, including sugar diabetes, overweight and more. The likelihood of balanitis is higher in athletes taking steroid hormones.
Diseases that increase the volume of circulating fluid (heart failure, poor kidney function), also contribute to the onset of the disease.
With balanitis, caused by diabetes, bleeding of the glans penis and fissures of the foreskin and this form is usually treated with surgical methods. In this case, it is necessary to regularly monitor the concentration of sugar in the blood.
If the cause of balanitis was domestic illiteracy and the patient asked for help in the early stages of the disease, you can do with the implementation of simple recommendations: observe personal hygiene, wear linen from natural fabrics, do not wear tight clothing, use gentle shower gels and other household chemicals. Perhaps the immune system itself will cope with the disease.
If this is not enough, it is necessary to make compresses of antiseptics, as mentioned above.
Sometimes, treatment of balanoposthitis (balanitis) in men with antibacterial drugs (biseptol, furagin, erythromycin) may be necessary.
How is the candidal form of the disease treated?
Simple infectious candidiasis balanitis provokes the fungus Candida albicans (female candidiasis caused by this fungus is popularly called thrush). Normally, a small amount of this microorganism is present on the genitals, but with a decrease in immunity, it begins to multiply actively, which leads to the appearance of the disease.
It can also be a consequence of other diseases that have not yet been discovered or that are treated with antibiotics for a long time, since infections weaken the immune system. In HIV-positive people, it is more common.
This type of balanitis is often asymptomatic., but sometimes itching, redness, swelling of the tissue may be noted, which leads to narrowing of the urethra, and as a result, painful urination, as well as a characteristic white flaky plaque in the region of the glans penis.
With advanced forms of the disease, the microorganism can affect the entire penis.
If the disease is caused by a fungus from the genus Candida, the doctor prescribes antimycotic agents, such as fluconazole (part of Diflucan, Flucostat preparations), levorin, clotrimazole, pimafucin. Usually, one capsule of fluconazole is prescribed once. Myromistine ointment is often prescribed, as well as Lamisil.
Remove them by cauterization with liquid nitrogen, a radio wave or a laser knife. If a decrease in immunity gave impetus to the occurrence of thrush in men, doctors usually prescribe isoprinosine and proteflazide as immunomodulators.
How is balanoposthitis caused by an allergic reaction treated?
Balanitis can also have an allergic nature. A hallmark indicating that the disease is a reaction to an allergen is rash of different colors and locations, blisters, erosion.
Often antigens are substances used in the manufacture of contraceptives: condom latex, lubrication, oral and vaginal contraceptives of a woman, from whom a partner may be allergic, or a banal allergy to a certain type of food, plant pollen in a particular season of the year. Foreign drugs can even be medicines and vitamins.
Until an allergen is ruled out, balanitis therapy will not lead to the desired effect.
Surgical treatment for balanoposthitis
With a long course of the disease and prolonged treatment, the presence of frequent relapses, it is justified to resort to surgical intervention - circumcision (circumcision) or laser removal of the foreskin. Activities are carried out with local anesthesia.
Typically, the glans penis is inserted or cut into the foreskin to increase the diameter of the urethra. Sometimes expand the foreskin with a clamp. However, for some anatomical features (for example, if the foreskin is attached to the head), this procedure cannot be justified. See what phimosis is.
How is balanoposthitis treated at home with folk remedies and ointments?
Traditional medicine is replete with prescriptions for treating and alleviating the symptoms of balanoposthitis.
Calendula Recipe. 1 tbsp. l ground calendula flowers must be filled with a third glass of olive oil. Dishes to close and insist on the sun for 3 weeks. Strain and lubricate the affected areas.
The most affordable recipe. Cut off an aloe leaf, rinse with water and get rid of the thorns. Before applying to the skin surface, cut off the epidermis of the skin of the sheet. Do compresses 2 times a day.
Sage tincture. 2 tbsp. l chopped leaves of the plant pour 0.5 liters of boiling water. Insist half an hour, then strain. After cooling, apply to the affected areas for 15-20 minutes.
Plantain Compresses. This plant is known for its anti-inflammatory properties. A blank sheet must be applied to the penis by tying it with a bandage. Change leaves after 30 minutes. You need to do lotions every 4 hours.
The most effective treatment for balanoposthitis at home: pour 1 tbsp. crushed bark of young oak with one glass of boiling water, cook the mixture for 20 minutes over low heat, close the lid and leave for half an hour, then strain. Do baths for the copulatory organ 2-3 times a day for at least a week.
From ointments from balanoposthitis, anyone with antibacterial and antiseptic effects, for example, the mentioned levomekol and miromistin, will do.
Prevention of balanoposthitis. To prevent the onset or recurrence of the disease, the following rules must be observed:
- Screened for all types of infections,
- Use condoms
- Monitor hormones or blood sugar
- Reduce weight
- Maintain personal hygiene
- Monitor the baby's hygiene to prevent balanoposthitis in children.
What can be the complications without treatment?
The inflammatory process increases the threshold of excitability of receptors, which can lead to a decrease in the quality of sensations during intercourse and a decrease in potency. Inflammation can spread to the urethra.
So, in the treatment of acute balanitis and balanoposthitis, an integrated approach is needed, which consists in eliminating all the factors leading to the disease. For prevention, maintaining a healthy lifestyle. In no case do not self-medicate, a you should immediately consult a doctor when the first signs of the disease appear.