How to treat balanitis and balanoposthitis in men. Treatment of balanoposthitis in men. Home treatment. Antibacterial agents for the treatment of disease

Before giving the most detailed answer to the question of how to treat balanoposthitis, we will consider the basic concepts of pathogenesis and the reasons leading to its occurrence.

What is balanoposthitis?

Inflammation of the skin of the glans penis and its inner layer is called balanoposthitis. According to the latest statistics, manifestations of this urological disease occur in every fourth man on the planet, and in every sixth woman.

Causes

The reasons that provoke the manifestations of this disease include:

1. A common infection with a polymicrobial etiology, for example, fungi of the genus Candida (candida balanoposthitis) or streptococci, staphylococci.
2. Infections transmitted during sexual intercourse (Trichomonas, gonococci, herpes).
3. Diseases that contribute to a decrease in the natural resistance of the upper skin of a person. Examples include the manifestations of diabetes mellitus and psoriasis.
4. Various allergic reactions of the body.
5. Failure to comply with basic rules of personal hygiene.
6. Various psychological stresses or stressful situations, against the background of which a person’s immune defense is significantly reduced.
7. Purulent discharge from the preputial sac, which accumulates in large quantities, forms smegma, which subsequently causes the development of an acute inflammatory process.

Of particular danger is the fact that over time the urethra is also involved in the inflammatory process, which in the future can develop into urethritis or, even worse, prostatitis. And then you will need to think not so much about how to treat balanoposthitis, but more about treating inflammation in the urethra or prostate.

Symptoms

The clinical manifestations of this disease in the male population are quite specific, and this makes it easy to distinguish it from others. As a rule, the symptoms of this disease can be divided into several stages:

• Subtle lesions on the skin.

The early stage of balanoposthitis in most men practically does not cause concern, as it is characterized by light, pinpoint redness. In the future, in the absence of proper treatment, a certain discomfort appears in the area of ​​the head of the penis. It can manifest as minor pain, aggravated by walking, or pain during urination, mild itching or burning (candidal balanoposthitis).

There are often cases when, under the influence of the above sensations, the time period of sexual intercourse is significantly reduced, and premature ejaculation is also observed, which adversely affects the psychological state of a man.

• Changes in the skin on the head of the male genital organ.

Further progression of balanoposthitis is characterized by the appearance of erosive spots, thinning and dry skin in the area of ​​the head of the male genital organ. The process of exposing the head from the preputial sac becomes problematic. Sexual intercourse is accompanied by severe pain.

• Discharge.

A later or, as it is also called, advanced case is characterized by copious discharge with a characteristic odor and containing pus. In addition, the accumulation of smegma reaches such an amount that it begins to saturate the laundry. Manifestations of general weakness and a sharp increase in temperature are also possible.

As practice shows, acute balanoposthitis in men can manifest itself both in combination with all the above symptoms, and separately for each of them.

Forms

Currently, there are several forms of this disease:

Important! At the first symptoms of this disease, it is strictly forbidden to self-medicate and look anywhere for information on how to treat balanoposthitis, since every day of delay is fraught with the development of serious complications. Go for a consultation with a specialist!

Diagnostic measures

The first step, if balanoposthitis is suspected, is a face-to-face examination and assessment of the skin of the genital organ. Next, a series of additional laboratory tests are prescribed to identify the causative agent of this disease. For example, if candidal balanoposthitis is suspected, then it is necessary to take a scraping from the urethra using the PCR method and perform a bacteriological analysis of the print from the skin of the head of the genital organ. In some cases, a tissue biopsy and testing for syphilis may be necessary.

Balanoposthitis: treatment - ointment and hygiene measures

As a rule, treatment of balanoposthitis should occur under the constant supervision of the attending physician and includes several measures.

• Strengthening hygiene procedures. It is recommended to wash the genital organ in warm water several times a day. It is better to use baby soap. It is advisable to carry out such therapy for another 4-5 days after the disappearance of characteristic symptoms. As practice shows, treatment of balanoposthitis at home consists of using baths with a light solution of potassium permanganate or soda. If desired, you can use baths with chamomile tincture.
• Use of antiseptics. For more severe symptoms, patients are advised to alternate baths with treating the head with antiseptics. You need to start the procedure after 7 days from the start of hygiene procedures.

Attention! Before using any ointment, you should learn about possible side effects and consult your doctor.

In particularly serious situations, surgical intervention may be required to force the opening of the preputial sac and get rid of the pus and smegma accumulated there.

Complications

Quite often, untreated or incompletely cured balanoposthitis can provoke quite serious complications - from phimosis to gangrene of the genital organ. For example, a seemingly “harmless” candidal balanoposthitis, which is quite easily treated at the initial stage, under certain conditions can cause inflammation in the urethra and prostate, and this can lead to the development of urinary tract obstruction, the appearance of malignant tumors or infertility.

Treatment of complicated balanoposthitis

Balanoposthitis complicated by paraphimosis is almost impossible to cure with therapeutic methods. Therefore, in this case, surgical intervention is prescribed - circumcision. This procedure is carried out within half an hour, under local anesthesia and using a laser or scalpel. The rehabilitation period ranges from 7-9 days. But after this you can forever forget about how to treat balanoposthitis.

Prevention

Preventive measures are as follows:

1. Daily observance of simple hygiene procedures.
2. The use of special protective equipment during casual sexual intercourse.
3. Maintaining a healthy lifestyle.
4. At the first signs of this disease, you should immediately consult a urologist and perform the necessary examinations.

Remember that balanoposthitis in men is easier to prevent than to cure.

Balanoposthitis is an inflammatory disease of the skin of the penis. According to statistics, this pathology is diagnosed annually in 11% of men. With this disease, inflammation develops in the glans penis or on the inside of the foreskin.

Concept and types of disease balanoposthitis (photo)

Balanoposthitis is one of the common urological diseases. His treatment is carried out according to standard and proven regimens. To select the most effective one, the urologist determines the level of complexity of the pathology and the type of disease.

The term “balanoposthitis” combines two concepts:

• balanitis (inflammation of the glans penis);
• posthitis (inflammatory process of the inner layer of the foreskin).

Due to the fact that the inner part of the foreskin is in contact with the surface of the head, the developing inflammatory process always affects both parts of the genital organ. The development of balanitis and posthitis occurs simultaneously, so these pathologies are often combined into one name - balanoposthitis.

Balanoposthitis in men (photo) can develop only if they have a foreskin. If this element of the reproductive organ is already circumcised, pathology will not occur. The disease in question has several types of course, depending on the location and severity of the inflammatory process. A combination of several factors contributes to the spread of inflammation.

The disease is classified according to the foci of the inflammatory process, the level of severity of the lesion, and the type of pathogen. Depending on the type of pathogen, balanoposthitis occurs:

• anaerobic;
• allergic;
• circinar;
• chlamydial;
• candida;
• gangrenous;
• follicular.

This disease is also divided according to the origin of the pathogenic microorganisms that cause it. In this direction, the following types of balanoposthitis are distinguished:

• balanoposthitis Zooba;
• bacterial;
• traumatic;
• fungal;
• microelement.

There is another option for dividing balanoposthitis - by form.

The acute stage of the disease is characterized by pronounced symptoms and rapid progression. It happens:

• simple (accompanied by slight discomfort in the head of the penis and severe thinning of the skin of the external genitalia);
• erosive (the surface of the genital organ is covered with painful bright red ulcers, the processes of urination and sexual intercourse are accompanied by severe painful sensations, and phimosis of the penis often develops against the background of this form);
• gangrenous (the most severe variant of the acute form of balanoposthitis, characterized by the formation of ulcers and wounds with purulent contents, the appearance of severe swelling and inflammation).

The chronic stage of balanoposthitis is divided into ulcerative-hypertrophic and indurative. In the first case, the penis becomes covered with painful, long-term non-healing ulcers and wounds, and in the second, wrinkling of the foreskin and head of the genital organ is observed. Symptoms in the chronic form of balanoposthitis are mild, alternating periods of relapses and remissions occur.

Each type of balanoposthitis has its own characteristics and features. For example, the bacterial form of the disease occurs after pathogens enter directly onto the head of the genital organ. Interestingly, phimosis and balanoposthitis are described in ICD 10 as interrelated diseases of the male genital organs. If a patient with phimosis does not follow the rules of personal hygiene, a favorable environment for life and development of pathogenic microorganisms is formed in his external genitalia. They lead to the development of a strong inflammatory process - balanoposthitis. Bacterial balanoposthitis can be classified according to the type of pathogen. This pathology often develops due to gonorrhea or syphilis. The causative agent of the disease can be female Gardnerella bacteria if a man has unprotected sex with his partner. Another type of bacterial balanoposthitis is associated with anaerobic bacteria. The disease is diagnosed quite rarely, since the life activity of such bacteria occurs outside of an oxygen environment. Certain types of anaerobic pathogens of balanoposthitis even die when exposed to air. Anaerobes penetrate into a man's body after contact with the ground, with injuries to the genital organ or wearing too tight underwear.

One of the most severe forms of the disease is chronic purulent balanoposthitis. Simultaneously with inflammation of the inner layer of the prepuce and the head of the penis, a man develops purulent discharge from the urethral canal. The disease is provoked by streptococci, staphylococci and yeast fungi. Also, purulent balanoposthitis occurs in patients with diabetes mellitus, against the background of allergic reactions or purulent urethritis. If staphylococcal balanoposthitis develops, from the reviews of men about it, one can understand that the disease is accompanied by a rash, severe itching and swelling of the penis. Sometimes the inflammatory process affects other organs of the genitourinary system. If antibacterial therapy is not started in a timely manner, purulent balanoposthitis turns into an erosive form, with the formation of wounds and ulcers on the genital organ.

Recurrent balanoposthitis is one of the most discussed topics on medical forums. The disease belongs to the common forms of chronic balanoposthitis. Most often it develops as a result of an advanced infectious-inflammatory process. Relapses of balanoposthitis are provoked by infectious pathogens, sexually transmitted diseases, and can also occur due to non-compliance with the rules of intimate hygiene. Relapses of the pathology are accompanied by painful symptoms, aggravated by the prolonged course of the inflammatory process.

Balanitis and balanoposthitis: ICD code

Balanoposthitis and balanitis have the same code in the International Classification of Diseases, 10th revision (ICD-10). These pathologies are assigned parameter N48.1. True, to identify the infectious agent, an additional code B95-B98 is used. Balanitis also has an individual code (together with plastic hardening of the penis and Peyronie's disease) - N48.6. The international classification helps urologists accurately and quickly diagnose balanoposthitis in boys (photo) and adult men, prescribe effective treatment for the disease, taking into account the severity of symptoms and the presence of complications. In addition, by referring to this classification, you can understand what balanoposthitis looks like in a child (photo), teenager or adult male patient.

Balanoposthitis: how long does the disease last?

The duration of balanoposthitis depends on many factors. The cause of the disease, the stage of development of the pathology, and the individual response of the patient’s body to the selected set of antibacterial drugs are important.

If balanoposthitis is triggered by the accumulation of secretory lubricant under the foreskin and the development of pathological bacilli in it, it can be cured in just 5-7 days, simply by adhering to the rules of intimate hygiene. Erosive forms of balanoposthitis take longer to treat. The addition of a bacterial infection to the underlying disease extends the course of therapy to 1 or 2 weeks. Treatment of balanoposthitis caused by phimosis is most often eliminated surgically. In this situation, recovery time extends to 2-3 weeks. Balanitis, which develops against the background of underlying diseases (diabetes mellitus, purulent urethritis, allergies), is cured only after they are eliminated. The causes of balanoposthitis help doctors quickly diagnose the disease and prescribe a course of effective therapy.

Causes

One of the main tasks of a urologist when diagnosing balanoposthitis in a patient is to determine the factors that provoked the disease. In order to quickly and effectively get rid of balanoposthitis, the causes and treatment of the disease should be determined with the help of a qualified andrologist in a hospital setting.

The main causes of balanoposthitis

Regardless of what form balanoposthitis takes, doctors associate the causes of the disease with the following unfavorable factors:

• dermatological problems (psoriasis, dermatitis, lichen);
• reduced immunity (most often the problem occurs after concomitant diseases, HIV infection or after undergoing treatment procedures);
• increased skin sensitivity, its tendency to allergic reactions;
• congenital phimosis (anatomical feature of the foreskin of the penis associated with its narrowing) is the most common cause of erosive balanoposthitis in boys;
• sexually transmitted diseases and accompanied by suppuration (purulent masses irritate the external genitalia and provoke the development of balanoposthitis);
• injury to the skin on the penis (scratches, abrasions, cracks);
• lack of proper and daily genital hygiene, leading to the formation of a favorable environment for the proliferation of pathogenic bacteria;
• diabetes mellitus, which interferes with the supply of nutrients to tissues;
• frequent washing of the genitals with soap, which irritates the skin;
• unprotected sexual intercourse with partners who have too dry microflora in the vagina (infection from there will definitely get to the head of the penis);
• bad heredity;
• autoimmune diseases;
• hormonal imbalances;
• exposure to various bacteria (for example, streptococci, staphylococci, E. coli).

Balanoposthitis in men, causes, symptoms and treatment of the disease are often associated with general diseases that weaken the natural resistance of the skin of the genital organs to the effects of foreign bacteria and pathological microorganisms. Inflammatory processes characteristic of balanoposthitis can develop against the background of hypovitaminosis, diabetes mellitus, allergies or anemia. Local factors also contribute to the activation of the disease:

• improper fulfillment of intimate hygiene requirements;
• penile injuries;
• foreskin too narrow.

There are other reasons for the development of balanoposthitis that are characteristic only of a certain age.

Balanoposthitis: causes in men

Balanoposthitis in adult men often develops due to insufficient or excessive hygiene of the external genital organs. If you clean out smegma from under the foreskin too thoroughly or, conversely, do not perform hygiene procedures at all, this leads to balanoposthitis in adult men and balanitis in minor boys. The foreskin can become inflamed due to mechanical or chemical stress (for example, if a man uses irritating disinfectants while washing or bathing). An allergic reaction of the body to medications, latex materials (condoms are made from them), cosmetic compositions and perfumes can sometimes trigger the development of balanoposthitis.

For balanoposthitis in men, treatment and the causes of the pathology are interconnected. Factors that provoke the disease can be infectious, and in this case they are eliminated using broad- or narrow-spectrum antibacterial drugs. For example, if candidal balanoposthitis develops in men, the causes of the disease are associated with yeast-like fungi of the genus Candida Albicans. They are transmitted mainly through unprotected sexual contact. Candida exclusively affects men with uncircumcised foreskins.

The occurrence of chronic balanoposthitis in adult men is provoked by sexually transmitted diseases. For example, this type of pathology is diagnosed when infected with the human papillomavirus. However, the main factor in the formation of balanoposthitis remains poor intimate hygiene. Sometimes a man cannot clean the cavity under the foreskin due to phimosis (when the skin does not move well or stops moving at all). Thus, this pathology favors the occurrence of balanoposthitis and balanitis. Trimming the fold of skin that forms the prepuce helps eliminate the risk of inflammation.

Balanoposthitis in a child: causes

In childhood, balanoposthitis develops as a result of “clogging” of the preputial cavity with urine, exfoliated epithelial cells and secretory fluid (smegma). Various reasons contribute to the formation of inflammation:

• deposited urine salts;
• various constrictions;
• poor hygiene of the child’s genital organs.

Smegma becomes an ideal environment for the life of pathological bacteria, fungi and microorganisms. Unfavorable processes in the preputial cavity lead to inflammation, against which balanoposthitis develops. There are other negative factors that lead to the occurrence of balanoposthitis in a child:

• obesity;
• endocrine diseases;
• vitamin deficiency;
• hypothermia;
• permanent injuries to the penis associated with constant wearing of tight underwear.

Childhood and adult balanoposthitis is dangerous due to its complications. The disease can become chronic, and the inflammatory process affects neighboring internal organs.

Balanoposthitis - chronicity of the process and causes

Diagnosis of chronic balanoposthitis in men, the causes of the disease and treatment are the responsibility of a urologist. The main causes of chronic disease are associated with the following factors:

• permanent mechanical injuries to the foreskin from allergic and chemical substances;
• hard sex, systematic masturbation;
• wearing underwear that is too tight and made from synthetic materials;
• use of low-quality cosmetics for intimate hygiene;
• infectious pathologies that practically cannot be treated with antibacterial drugs (the problem is often associated with improper treatment of acute balanoposthitis, due to which pathogenic microflora develops resistance to pathogenic bacteria);
• systematic infection of the male genitourinary system, provoked by pathogens of sexually transmitted diseases, unprotected sexual intercourse, promiscuity, anal and oral sex, attempts to independently expose the head of the penis during phimosis (these factors initially lead to the development of acute balanoposthitis, which subsequently acquires chronic forms);
• diabetes mellitus, herpes, HPV, Reiter's syndrome, psoriasis.

The causes of acute or chronic balanoposthitis are also determined by the complex of symptoms that accompany this disease.

Symptoms

If a man develops balanoposthitis, the signs (photos) are varied. They depend on the causes and forms of the disease. Sometimes the patient complains of severe pain in the genitals in the absence of external manifestations of the disease. The opposite situations also happen. The appearance of the genital organ changes greatly, but no pain or discomfort occurs. The patient's age also affects the complex of signs of this disease.

Balanoposthitis: symptoms (photos)

In medical practice, the following symptoms of balanoposthitis are distinguished.

Pain. Pain is a common but not obligatory sign of balanoposthitis. Unpleasant sensations usually occur at the site of localization of skin lesions (ulcers, erosions, allergic rashes). Exacerbation of pain occurs if the penis is touched with hands or during sex. If the inflammatory process affects the urethra, pain also manifests itself at the time of urination. The nature of pain with balanoposthitis in men is different. Most patients complain of itching, burning, stabbing and cutting sensations. In advanced cases, a man cannot make love due to severe discomfort. There are cases when pain in the head and foreskin of the penis occurs without external manifestations. This indicates hypersensitivity of some areas of the genital organ. Probably, the inflammatory process affected the blood vessels and nerves that penetrate the foreskin and the head of the genital organ.

Swelling. The appearance of swelling on the genital organ during balanoposthitis indicates poor drainage of lymph and blood from the affected areas. Severe disease, tissue necrosis and the development of gangrene are often accompanied by this particular symptom. When edema appears, it is important to differentiate balanoposthitis from other diseases with a similar clinical course (for example, atypical angioedema or filariasis).

Redness of the skin. Local dilation of blood vessels during balanoposthitis leads to severe redness of the skin on the genitals. The skin reacts in this way to small defects and damage, into which pathogenic microorganisms enter. Increased blood flow in the vessels helps to neutralize them faster. The reddened glans and foreskin on the penis in men with balanoposthitis is the most characteristic symptom of the pathology in question. Regardless of the form of balanoposthitis, this symptom appears one of the first.

Allergic skin lesions, rash. External damage to the skin, the appearance of rashes, ulcers, erosions, changes in the color of the skin are symptoms indicating the development of an inflammatory process characteristic of balanoposthitis. Sometimes the skin on the penis becomes rough and thick due to numerous erosive lesions. The form and severity of the disease are the determining factor for determining the type of skin lesion.

Itching. A common sign of balanoposthitis, preceding pain and burning. The appearance of itching is caused by allergies or poor genital hygiene. The symptom does not always appear.

Difficulty urinating. If inflammation from the head of the penis spreads to the urethral canal and the urethra itself, the patient has problems emptying the bladder. The lumen in the urethra narrows due to the inflammatory process, and the focus of inflammation can form in the bladder, kidneys or prostate. This symptom practically does not appear in mild forms of balanoposthitis. If from the first days of the development of the pathology a patient complains of difficulty urinating, the infection probably got under the foreskin from the internal organs (bladder, kidneys).

Enlarged lymph nodes. Lymphatic fluid from the penis always flows to the inguinal lymph nodes. Along with it, part of the metabolic products enters there. When inflammation develops in the genitourinary system, pathogenic bacilli, toxins, and pus enter the lymph. Pathological components enter the lymph nodes, accumulate there and lead to moderate inflammation. An unfavorable process provokes enlargement of the lymph nodes 2-3 days after the onset of inflammation. They may be painful when palpated.

The appearance of discharge from the urethral canal. Discharge from the outlet of the urethral canal during balanoposthitis most often signals the transition of the inflammatory process to the mucous membranes of the urethra. This is facilitated by bacterial pathogens. If the lower parts of the urethral canal are affected, uncontrolled discharge of secretions occurs. If the urine contains impurities of pus and blood, it is likely that the inflammatory focus caused by balanoposthitis is located in the bladder or kidneys. In general, with balanoposthitis, discharge from the urethra rarely appears. Sometimes pathological fluids accumulate on the surface of the foreskin or glans, forming plaque. It becomes a favorable environment for the life and development of pathological microorganisms, so these secretions should not be allowed to dry out. It is recommended to wash off such plaque immediately to prevent the condition from worsening.

False urge to urinate. This symptom occurs rarely with balanoposthitis. It is associated with irritation of the mucous membranes of the urethra and often accompanies kidney pathologies and cystitis.

Erectile dysfunction. The appearance of a sudden erection when a man is in a calm state is a characteristic sign of balanoposthitis. The failure occurs due to reflex excitation that occurs at the slightest irritation of the head or foreskin. These areas become very sensitive when balanoposthitis develops. The factors that provoke an erection with this disease are minor pain and itching. If there is damage to the skin of the penis (erosions, ulcers, wounds, cracks), the erection becomes painful. There is also the opposite situation, when there is no sexual arousal against the background of inflammation. This phenomenon is caused by the fact that pathogenic bacilli penetrate the bladder or prostate. Sometimes the lack of sexual arousal is associated with severe roughening of the skin of the penis.

Deformations of the penis. Severe balanoposthitis can lead to changes in the shape of the penis. This usually happens with severe purulent tissue lesions, ulcerative-hypertrophic and gangrenous forms of the disease. All of these situations are characterized by extensive tissue damage. In place of the resulting skin defects of the prepuce and head, scar tissue and adhesions subsequently form. Actually, because of them, the shape of the penis changes during erection, and sometimes even in a calm state. Surgery (penis plastic surgery) helps correct the situation.

If a doctor suspects a man has balanoposthitis, treatment and symptoms (photos) of the pathology are determined by him based on examination and laboratory test results. The fight against the disease is carried out using medication and surgical techniques.

Signs of balanoposthitis in men (photos)

Clinical manifestations of balanoposthitis in adult men depend on the type of disease and the causes of its occurrence. For example, ordinary catarrhal balanoposthitis in a male patient is accompanied by the following symptoms:

• pain in the head of the penis;
• swelling and redness of the foreskin;
• accumulation of pus in the preputial cavity (between the foreskin and the head of the genital organ);
• acute urinary retention, development of phimosis (these signs manifest themselves if there is no timely treatment for balanoposthitis).

Urogenital candidiasis provokes the development of candidal balanoposthitis in men, the symptoms and treatment of which are determined during a consultation with a urologist. The causative agent of the disease is Candida fungus, which is mistakenly considered to be the causative agent of exclusively female candidiasis.

For candidal balanoposthitis in men, the symptoms (photo) are as follows:

• the inner leaf of the prepuce and the head of the penis become purplish-red and swell;
• in some cases, the surface of the head of the penis becomes spotted;
• the head of the reproductive organ becomes covered with cheesy discharge, which appears as a result of the active activity of fungi (the discharge provokes itching and burning, and emits an unpleasant aroma);
• If there is no timely treatment for balanoposthitis, red spots on the head will transform into erosions or ulcers.

With the development of chronic balanoposthitis in men, special attention should be paid to symptoms and treatment. The disease occurs against the background of diabetes mellitus, due to the entry into the body of pathogens of sexually transmitted diseases or the herpes virus. Treatment for chronic balanoposthitis begins after the underlying disease has been eliminated.

The danger of chronic balanoposthitis lies in the fact that the inflammatory process passes from the foreskin to the internal organs of the genitourinary system, leading to the occurrence of pyelonephritis, prostatitis, and urethritis. If the pathogen enters the seminiferous tubules, the epididymis becomes infected. As a result, serious complications arise, the functioning of the male reproductive system is disrupted, and infertility develops. Chronic balanoposthitis can be recognized by the following signs:

• the head of the penis turns red, becomes dry and painful;
• the general symptoms of the disease almost do not appear, so the man for a long time does not suspect the presence of a dangerous pathology in the body.

• mild painful sensations in the foreskin and head of the penis, which become stronger over time;
• redness of the skin of the head of the penis, pronounced itching and slight swelling.

Untimely treatment of acute balanoposthitis leads to the transition of the disease to the chronic phase.

The symptoms of recurrent balanoposthitis in adult men are similar to those that occur in the acute form of the pathology. However, the severity of clinical signs is less, the disease periodically recedes and worsens, and there is a high risk of complications.

The development of purulent balanoposthitis in acute form is accompanied by the following symptoms:

• the appearance of deep purulent-necrotic foci on the head of the penis and the inner layer of the prepuce;
• severe swelling of the head, its color is bright red (a symptom of active inflammation).

Ulcerative balanoposthitis is a consequence of untimely treatment of milder forms of the disease. Its signs are:

• the head of the penis is inflamed and covered with numerous small ulcerations;
• the man experiences discomfort when walking, complains of painful urination and the inability to have sexual intercourse due to severe pain;
• the lymph nodes in the groin become inflamed due to the penetration of pathological microorganisms into them.

Traumatic balanoposthitis is a consequence of prolonged wearing of tight underwear and is characterized by the following symptoms:

• swelling and redness of the head of the penis (the pathological process can be local or complete);
• deformation of the penis shaft in areas with less sensitive skin.

Varieties of balanoposthitis include Zoon's balanitis and Queyra's erythroplasia. In the first case, the treatment prognosis is favorable, in the second, rapid radical measures (surgical intervention) are required, since Queyra's erythroplasia is malignant and in severe cases poses a danger to the patient's life. Both pathologies can be recognized by the following symptoms:

• the skin on the head of the penis atrophies, becomes covered with pink plaques (they are located separately and do not merge with each other);
• ulcers, erosions and vegetations appear on the head of the penis if the disease is too advanced;
• the patient complains only about the changed appearance of the penis, there are no other symptoms of the pathological condition (no pain or discomfort, urination is not impaired).

Allergic balanoposthitis develops after contact of the head of the penis or foreskin with allergic substances (latex, contraceptives, chemical personal care products, which contain a lot of dyes and flavors). Signs of the allergic form of balanoposthitis:

• rash;
• small blisters, erosive lesions of the skin of the penis;
• swelling of the foreskin and glans.

Adhesive balanoposthitis often develops in children, against the background of physiological phimosis. The disease is accompanied by swelling, redness and soreness of the tissues.

Men suffering from alcoholism or diabetes are more likely to experience nonspecific balanoposthitis. Its symptoms:

• initially the head of the penis becomes slightly inflamed, subsequently the unfavorable process is activated and provokes the development of phimosis;
• purulent discharge appears from the preputial sac.

Signs of gangrenous balanoposthitis:

• the skin of the penis is covered with multiple suppurating and inflamed lesions;
• general health deteriorates greatly;
• inguinal lymph nodes enlarge;
• body temperature rises to high levels;
• bleeding from the penis (early stage of gangrene);
• deformation or change in the shape of the penis due to the growth of connective scar tissue;
• death of the head of the reproductive organ (the most severe consequence of gangrenous balanoposthitis).

Diagnosis of one or another type of balanoposthitis based on existing symptoms is carried out in the urologist’s office. The specialist prescribes a series of tests for the man (to clarify the presence of an inflammatory process, differentiate the disease, exclude the possibility of inflammation spreading to the internal organs of the genitourinary system), conducts an external examination, talks with the patient and, based on the data obtained, draws up a clinical picture of the pathology.

Balanoposthitis in a child: symptoms and treatment according to Komarovsky

According to Dr. Komarovsky, with balanoposthitis in a child (photo), symptoms and treatment depend on how advanced the pathology is. In childhood, balanoposthitis affects the penis if hygiene rules are not followed. Signs of illness:

• burning and itching in the groin;
• heat;
• redness and swelling of the penis;
• enlarged inguinal lymph nodes;
• erosions on the skin, desquamation of the dermis.

Symptoms may vary depending on the type of disease. If the Disease becomes chronic, its symptoms are mild.

Chronic balanoposthitis

Chronic balanoposthitis is discussed by patients quite often on forums. What kind of disease is this, why does it occur, what is the incubation period for chronic balanoposthitis and how to properly treat the pathology? This will be discussed further.

How long does it take for balanoposthitis to become chronic?

The transition of balanoposthitis to the chronic phase does not have a strict time frame. The incubation period for this disease depends on the type of pathology, as well as the individual characteristics of the male body. For example, erosive chronic balanoposthitis (photo) develops on the 3rd -5th day of an acute condition. Chronication of candidal balanoposthitis occurs after a week. Sometimes the incubation period of chronic balanoposthitis extends to 2 weeks or even several months.

Chronic balanoposthitis in men: treatment

To effectively and permanently eliminate chronic balanoposthitis, treatment of this disease must be long-term and comprehensive. The course of therapy involves the use of a set of measures:

• medications, antibiotics, hormonal ointments;
• surgical intervention;
• traditional medicines;
• diet.

A qualified urologist will be able to answer the question “how to treat chronic balanoposthitis in men (photo) and what medications to use for this” after examining a patient with pathology. The choice of medicines is made depending on the causes of the disease, its nature and degree. Basically, therapy for chronic forms of balanoposthitis is carried out with tablets (containing antibiotics) and ointments. The most common drugs used in the fight against the chronic form of the disease are:

• anti-inflammatory ointments (Elidel, Lokoid);
• ointments with an antifungal effect (Miconazole, Clotrimazole);
• Levomekol ointment;
• Locacorten ointment;
• Acyclovir tablets (they are prescribed to patients with genital herpes);
• Fluconazole tablets (prescribed for urethral candidiasis);
• medications containing penicillin (help with the gonorrheal form of balanoposthitis);
• Metronidazole tablets (help cure chronic balanoposthitis caused by Trichomonas);
• Broad-spectrum antibiotics are prescribed for the treatment of chronic balanoposthitis, provoked by other pathogens or having an unclear etiology (Ceftriaxone, Azithromycin).

The treatment regimen for chronic balanoposthitis is developed by the attending physician individually for each patient.

Surgical manipulations in the treatment of chronic balanoposthitis are used if conservative therapy does not produce the desired effect. To remove the source of inflammation, the surgeon completely or partially trims the foreskin. The method allows you to achieve a complete cure.

As for home treatment of chronic balanoposthitis, it is carried out to reduce pain and eliminate acute symptoms. Traditional therapy is temporary in nature and is used during exacerbations of the disease and the presence of unfavorable factors that can provoke a relapse of chronic balanoposthitis, which is in remission. Tinctures and baths, based on antiseptic compositions made from St. John's wort, plantain leaves or chamomile, help relieve severe pain. Inflamed areas of the genital organ are washed with such tinctures several times a day. You can make healing compresses from them by moistening the bandage in a healing decoction and applying it to the affected areas of the penis.

Men diagnosed with chronic balanoposthitis should reconsider their diet and give preference to proper nutrition. The menu must include:

• cereals;
• beef, chicken, veal meat;
• abundance of greenery;
• low-fat fermented milk products;
• legumes (soybeans, beans);
• vegetables (beets, tomatoes, sauerkraut, cucumbers);
• bran bread;
• fruits and berries in large quantities (currants, blueberries, cranberries);
• green tea, freshly squeezed juices.

Dietary nutrition for chronic balanoposthitis helps restore the defenses of a weakened body and accelerate the processes of regeneration and healing of damaged tissues.

Chronic balanoposthitis in a child and features of its treatment

Chronic balanoposthitis in children is practically not amenable to conservative treatment. Urologists immediately recommend surgery to circumcise pathological areas of the foreskin. Surgical intervention is performed during the period of remission of the disease, when inflammation subsides. After it, the risks of relapse of chronic balanoposthitis are eliminated, as well as the likelihood of developing phimosis and paraphimosis. For this problem, circumcision of the foreskin is performed even on infant boys. Chronic balanoposthitis can develop from acute and candidiasis forms.

Candidiasis balanoposthitis

Candidal balanoposthitis is an inflammatory disease that disrupts the activity of the male genitourinary system. The causative agent of the disease is a fungus of the genus Candida. The fungal infection penetrates under the human skin and into the mucous membranes, forming multiple filamentous forms there. The disease is diagnosed in men of different ages. Males can pick up the causative agent of candidiasis balanoposthitis during unprotected sexual intercourse with a partner suffering from candidiasis vulvovaginitis (thrush). One of the questions about candidal balanoposthitis on the forums is related to the peculiarities of the treatment of this disease. Therapy for balanoposthitis caused by Candida fungi is carried out in accordance with its form (pathology can be acute or chronic).

Acute candidiasis balanoposthitis: photo and treatment

When the first symptoms of acute candidal balanoposthitis appear, a man should consult a urologist and undergo a series of tests. Their results will help the specialist confirm the nature of the disease, exclude or confirm the presence of pathogens of sexually transmitted diseases in the body. The main cause of candidal balanoposthitis may be associated with phimosis (narrowing of the foreskin). In this situation, doctors recommend the only effective method - circumcision surgery (circumcision of pathological areas of the foreskin). Therapy in the postoperative period is based on the use of restorative and antifungal therapy.

For acute candidal balanoposthitis in men (photo), treatment is based on the following procedures:

• taking antifungal medications in the form of capsules, tablets, creams or ointments;
• the use of antimicrobial, immunostimulating medications, as well as vitamins;
• baths with the addition of a small amount of potassium permanganate, dioxidin and furatsilin (the water should be warm, the duration of the healing procedure is 5-7 minutes);
• the use of medicinal ointments, which are recommended to be applied in a thin layer to the head and foreskin of the penis (Lamisil, Clotrimazole);
• powders made from crushed tablets of streptocide, xenoform, dermatol help dry wounds in areas of active inflammatory process;
• medications for oral use (Fluconazole, which has extensive antifungal effects, has proven itself well in the treatment of candidiasis balanoposthitis);
• vitamins must be present in the complex of therapeutic measures, since they strengthen the immune system well and accelerate the healing process (a man with candidiasis balanoposthitis especially needs amino acids, magnesium, zinc, potassium, vitamins A, B, C, E);
• immunomodulators in capsules and tablets normalize microflora and help restore the vitality of a weakened body.

Traditional medicines help to cope with the painful symptoms that occur during acute candidiasis balanoposthitis. In the fight against male thrush, it is recommended to use decoctions based on chamomile, calendula, cloves and barberry. Infusions are prepared from the same components and added to the bath before bathing. Decoctions based on medicinal herbs are suitable for treating affected areas of the skin of the penis before applying antifungal ointment.

For treatment of acute candidiasis balanoposthitis to be effective, the patient must carefully monitor intimate hygiene, wash twice a day with warm water and soap, thoroughly dry the penis after bathing, and change underwear every day. It is advisable to exclude from the diet foods that promote the proliferation of fungal bacteria. These include baked goods, sweets, carbonated drinks, smoked products, and alcohol. It is better to replace the listed components with fresh vegetables and fruits. Remember that the main condition for a quick and successful fight against candidal balanoposthitis is a timely visit to the doctor.

Candidal balanoposthitis: treatment at home

Therapy for candidal balanoposthitis at home is aimed primarily at relieving pain, inflammation and swelling. For this purpose, traditional medicine is used, which you can prepare yourself. The main advantage of such medicines is that they contain natural ingredients. They provide exceptional benefits to a weakened body. Treatment of candidal balanoposthitis at home is carried out using the following types of plants.

• Calendula. To prepare the medicine, you need to take dried calendula flowers (1 tbsp), pour them with 1 glass of refined sunflower or olive oil. The container with this composition is tightly closed with a lid and infused in a warm place for 2 weeks. Then the medicine is filtered and the affected areas of the penis are treated with it 2-3 times a day.
• Plantain. Fresh plantain leaves help well in the treatment of candidiasis balanoposthitis. One leaf of the plant is crushed a little so that the juice comes out. Then it is applied to the affected areas of the reproductive organ and secured with a bandage. The compress of plantain leaves is held for 30 minutes, then it is removed. It is recommended to repeat this procedure 4 times a day.
• St. John's wort. A healing solution for baths is prepared from this medicinal plant. Dried St. John's wort leaves in the amount of 1 tbsp. pour a glass of boiling water, leave for half an hour, filter and add to the bath before bathing.
• Oak bark. Young oak bark is carefully ground to a powder. The prepared product is taken in the amount of 1 tablespoon, poured with a glass of boiling water and infused over low heat for about 20 minutes. Then the oak bark infusion is removed from the heat and left in the same container for another 10 minutes. Then the product is filtered, added to medicinal baths and used to wash the penis affected by candidiasis balanoposthitis.

Before using any folk remedy at home, a man must obtain permission for non-traditional treatment from the attending urologist.

Chronic candidal balanoposthitis in men: treatment

To cure chronic candidal balanoposthitis in men (photo), doctors use general antibacterial drugs. The disease, which has become chronic, alternates with periods of attenuation and exacerbation of symptoms, and has a sluggish nature. Sometimes, at the time of relapse, one capsule or tablet is enough for the patient to destroy the source of infection. Subsequently, the course of therapy is prescribed and adjusted by the attending physician (if necessary). For the purpose of prevention, medications against candidiasis balanoposthitis can be used for 1 month or more. If chronic candidal balanoposthitis is not treated, the patient will develop ulcers on the genitals and the head of the penis will shrink. According to statistics, this type of disease is most often diagnosed in men infected with pathogens of sexually transmitted pathologies.

Candidiasis balanoposthitis and ointments suitable for its treatment

The question “what to do if candidal balanoposthitis does not go away and how to treat this pathology” is relevant for men faced with the problem of candidiasis. A common way to combat pathology is the use of ointments. Local therapy continues for 7-14 days (depending on the severity of the disease). Doctors recommend paying attention to the recommendations for applying the medicinal composition.

Before applying the ointment, the genitals should be washed.

The antibacterial agent is applied to dry and clean skin.

The most popular drug in the fight against candidiasis balanoposthitis is Clotrimazole. It is applied to the head of the penis and foreskin. Local treatment of the disease in question can be carried out with other drugs. Among them:

• Ketoconazole;
• Pifamucin;
• Miconazole;
• Econazole

Sometimes Candida yeasts develop resistance to antifungal ointments. In this situation, it is recommended to replace them with methylene blue dye after completing a course of treatment for a period of 7-14 days. The main side effect of using the product is associated with the skin turning blue. Over time, the paint wears off, but until then a man can wear dark-colored underwear so that nothing is visible.

Triderm (complex drug) gives a good therapeutic effect for candidiasis balanoposthitis. It helps relieve itching, allergies, inflammation, and effectively fights pathogenic microflora. Suitable for the treatment of early stages and advanced forms of the disease. Triderm ointment is applied in a small amount to the inflamed areas of the penis and gently rubbed into the skin. Improper use of the drug leads to burning, itching, irritation, and excessive dryness of the skin.

Candidiasis balanoposthitis is one of the forms of acute balanoposthitis

Acute balanoposthitis

Acute balanoposthitis is the most well-known and common form of pathology. The duration of the disease is 1-2 weeks. This period of time is enough for complete recovery.

Acute balanoposthitis - photo and characteristics of the disease

The acute form of balanoposthitis develops due to certain provoking causes. Often the pathology under consideration is preceded by microtraumas, sexually transmitted diseases, and allergic reactions to intimate hygiene products. The disease can occur due to pathogenic pathogens entering the body or severe irritation of the skin on the penis.

The symptoms of acute balanoposthitis are pronounced. Men experience pain in the head of the penis, and the skin on the genitals turns red. At this stage of the development of the disease, it is important to consult a doctor and begin a course of therapy to prevent the development of complications. If acute balanoposthitis is not treated, literally after a few days it becomes purulent or ulcerative. This further complicates the therapeutic process. You cannot self-medicate the acute form of balanoposthitis and ignore its symptoms for a long time. This will lead to chronicity of the pathological process.

Acute balanoposthitis has several forms and in some cases can disappear on its own, without any treatment. This happens, for example, with catarrhal inflammation, when microbes multiply slowly, and the structure of healthy tissues is not disturbed. But you should still consult a doctor to prevent the unfavorable course of the disease.

Acute balanoposthitis in ICD-10

The International Classification of Diseases considers acute balanoposthitis as a separate disease belonging to the class of diseases of the genitourinary system and the subsection “diseases of the male genital organs”. If a man is diagnosed with acute balanoposthitis, his ICD 10 code is N48.1. This parameter is assigned to all types and forms of the disease.

Acute balanoposthitis in men and its types

Acute balanoposthitis occurs most often in adult men and lasts about 1-2 weeks. Treatment of the pathology must begin on time, otherwise the inflammatory process will become chronic and drag on for several months, or even years. Balanoposthitis can take the following forms:

• herpetic;
• candida;
• chlamydial;
• erosive;
• anaerobic;
• purulent;
• circinar;
• gangrenous;
• ulcerative-pustular.

Differential diagnosis of the disease usually does not cause any difficulties. A man should consult a doctor when the first symptoms of pathology appear. The specialist will conduct a thorough examination, prescribe a set of tests and, based on their results, confirm or exclude the diagnosis, and will also be able to prescribe the correct treatment. The symptoms of balanoposthitis are a little similar to syphilis. Taking this factor into account, the urologist issues a referral for RW analysis. The need for laboratory tests is due to the fact that the doctor needs to identify the causative agent of the infection that provoked balanoposthitis. For the purpose of research, a smear is taken from the mucous membrane of the urethra. General blood and urine tests, as well as a blood sugar test, help to exclude or confirm the presence of diabetes mellitus in a patient (this chronic endocrine disease often causes inflammation of the genital organ in men).

Acute balanoposthitis: treatment in men and its features

Treatment of acute balanoposthitis depends on its form, stage, and the body’s resistance to certain medications. Hospitalization in a hospital for this disease is not carried out. The man is undergoing therapy at home, according to a regimen drawn up by his attending physician. Treatment involves the use of antifungal medications (Fluconazole). At home, the affected areas of the genital organ are treated with an antibacterial solution of chlorhexidine. Diet is also required. The patient needs to avoid sweet, salty, peppery and pickled foods for the entire period of therapy. If a man is diagnosed with candidal balanoposthitis, it is better to avoid sexual contact during therapy, or use a condom for protection.

Acute balanoposthitis in boys - Komarovsky reveals the features of the disease

The famous Ukrainian pediatrician Evgeniy Komarovsky associates acute balanoposthitis in a child with the entry of pathogens into the body (staphylococci, streptococci, yeast, E. coli or herpes virus). This occurs due to poor hygiene and insufficient care of the external genitalia. In addition, acute balanoposthitis in boys (photo), according to Komarovsky, develops due to the influence of external unfavorable factors:

• wearing tight underwear;
• excessive genital hygiene using irritating chemicals;
• unauthorized retraction of the foreskin in infant boys;
• the child wearing diapers of the wrong size;
• obesity;
• avitaminosis;
• hypothermia;
• diabetes;
• allergic reaction to washing powder.

The emerging pathology provokes the emergence of questions that become relevant for parents. For example, Dr. Komarovsky is often asked how to treat acute balanoposthitis in children. The specialist advises using an integrated approach and be sure to consult with doctors about any therapeutic measures.

Traditional treatment of acute forms of childhood balanoposthitis is based on the use of the following medications:

• biseptol;
• amoxicillin;
• amoxiclav;
• cefuroxime;
• bicillin;
• antifungal drugs;
• non-steroidal anti-inflammatory drugs;
• flumethasone;
• prednisolone ointment.

Warm baths help effectively combat acute balanoposthitis in children. It is recommended to add the following ingredients:

• rivanol;
• furatsilin;
• dioxidin.

Antiseptic treatment of the affected areas of the penis is carried out with Miramistin or Chlorhexidine.

For acute balanoposthitis in boys, treatment with conservative methods does not always have a positive effect. In this case, the doctor recommends circumcision of the foreskin. The best folk remedies for acute childhood balanoposthitis are antiseptic decoctions based on chamomile, oak bark, aloe, calendula, sage, and St. John's wort. The child should be given more liquid (teas, fruit drinks, juices, clean water). This will increase the number of urinations and help flush out pathogens naturally. To relieve pain, the child can be given ibuprofen.

Acute balanoposthitis, regardless of the patient’s age, can take different forms. The most common are herpetic, purulent, and fungal.

Herpetic balanoposthitis

Herpetic balanoposthitis is a complicated form of acute balanoposthitis. The disease affects the tissues of the head of the penis.

Why does herpetic balanoposthitis occur (photo)?

The development of herpetic balanoposthitis occurs under the influence of viruses, bacteria, and fungal infections. The cause of the disease is also a strong mechanical impact on the genital organ (for example, constant irritation with urine or rubbing with tight clothing). Herpetic balanoposthitis sometimes becomes a consequence of skin pathologies (for example, psoriasis).

The disease in question is of infectious origin and develops as a result of the herpes virus entering the patient’s body. Herpetic balanoposthitis can be recognized by a specific vesicular rash covering the surface of the head of the penis. Against the background of the rash, the skin of the penis becomes very red, and the reproductive organ itself becomes swollen. The patient most often has no subjective sensations, but sometimes the disease is accompanied by severe burning and itching in the area of ​​the head of the genital organ.

Herpetic balanoposthitis in men: photos, treatment

Therapy for herpetic balanoposthitis is carried out using anti-inflammatory corticosteroid ointments. Additionally, local antiviral treatment of the disease is carried out. Inflamed areas of the genital organ are treated locally - with ointments, pastes or creams.

One of the reasons why herpetic balanoposthitis does not go away when treated with medications is the weakened immunity of the patient. In order for the treatment of the disease to be successful, it is necessary to include immunostimulating drugs in the treatment complex. They will increase the body's resistance to adverse external factors.

Balanoposthitis of the herpetic form is characterized by a chronic relapsing course. Its treatment is carried out periodically and is aimed at preventing exacerbations.

Purulent balanoposthitis

The purulent form of balanoposthitis is always characterized by sudden and rapid development. The occurrence of acute inflammation and the formation of a purulent process are provoked by stagnation of urine and secretory secretions under the preputial sac. Purulent balanoposthitis is often a complication of advanced phimosis. The disease is very severe, has unpleasant symptoms, pain and serious complications.

Purulent balanoposthitis in children: symptoms and treatment

Purulent balanoposthitis in a child (photo) occurs for the following reasons:

• microorganisms belonging to a special, pyogenic microflora get onto damaged skin or inside the urethra;
• active destruction of healthy tissues by pathogenic bacteria (Escherichia coli, streptococci, staphylococci);
• worsening of the condition with ordinary catarrhal balanoposthitis;
• spread of purulent processes occurring in the kidneys or bladder to the urethra and urethra (with purulent cystitis or pyelonephritis).

Basically, purulent balanoposthitis in boys is a consequence of untimely attempts to lift the foreskin. Incorrect actions by parents lead to tears and small cracks appearing on the skin, into which infection penetrates. Bathing a baby in a bath with a lot of foam, using irritating hygiene products, and rarely changing diapers can also trigger the occurrence of acute purulent balanoposthitis.

Purulent forms of inflammation of the head and foreskin of the penis are accompanied by severe redness of the skin on the reproductive organ and its swelling. In particularly difficult situations, the head of the penis turns blue. In individual cases, the child may develop rashes, the boy becomes capricious, restless, constantly cries and complains of soreness in the genital organ. Another sign of purulent balanoposthitis is the appearance of diaper rash in the folds of the skin, in the groin area. Diaper rash does not disappear after using special ointments, powders or creams.

Purulent balanoposthitis in newborn male babies can be a consequence of damage to the mucous membranes of the oral cavity. Outwardly, it looks like an accumulation of milk clots. Stomatitis can also provoke inflammation of the genital organs in childhood.

Purulent balanoposthitis in men: signs and factors

The occurrence of purulent balanoposthitis in an adult is associated with insufficient or improper hygiene of the external genitalia, advanced inflammation or phimosis. With this form of the disease the following symptoms occur:

• swelling of the penis, a pronounced inflammatory process with redness of the skin;
• discharge of pus with an unpleasant odor from under the foreskin or from the urethral canal;
• the formation of pustules and ulcers on the surface of the head of the penis.

Correct and timely treatment of purulent balanoposthitis prevents the development of complications, helps destroy pathogens and helps maintain health.

Purulent balanoposthitis in a child: treatment

Therapy for purulent forms of balanoposthitis is carried out with special creams or ointments. Dermatologists recommend using Levomekol and Lorinden ointments. Warm baths with the addition of furatsilin and potassium permanganate will have an additional therapeutic effect.

Compared to ordinary inflammation, purulent balanoposthitis is considered a more dangerous condition. Its development in children is accompanied by a deterioration in health and an increase in body temperature. To speed up the process of treatment and recovery, surgical opening of existing abscesses is performed, followed by washing of the pathological areas with antiseptic solutions. Control over the treatment process for adult men is carried out by a surgeon, dermatologist or venereologist, and for little boys - by a pediatrician. Drug therapy can be supplemented with herbal decoctions and tinctures of chamomile, calendula, and oak bark. They rinse the affected organ and use it to create healing compresses and lotions.

At the diagnostic stage, purulent balanoposthitis must be differentiated from fungal inflammation, in which pus can also be released from the penis.

Fungal balanoposthitis

Fungal balanoposthitis is a common type of inflammatory process in the male genitourinary system. The causative agent of the disease is fungi of different structures, but most often the inflammatory process develops due to the entry of Candida bacilli into the urethral canal.

Fungal balanoposthitis in men - photos, etiology and symptoms

The causative agents of fungal balanoposthitis live on the mucous membranes of the oral cavity, in the female vagina or in the intestines. They infect the body through sexual contact, as well as through the use of common household items (towels, soap) or due to poor hand hygiene.

Clinical manifestations of fungal infection in men may be absent for a long time. Symptoms appear only when the immune system is weakened (for example, as a result of prolonged antibiotic therapy).

Fungal balanoposthitis (photo) is accompanied by the following symptoms:

• pain in the penis during sexual intercourse;
• burning, itching and dryness at the site of development of the inflammatory process;
• difficulties when trying to remove the head of the genital organ;
• cutting pain occurs during urination;
• severe redness of the skin of the foreskin and glans;
• a white-gray cheesy coating with a sour odor on the skin of the reproductive organ.

If the infection during fungal balanoposthitis spreads to the internal mucous membranes of the urethral canal, urethritis develops. With this complication, sharp pain occurs, and blood and mucus are released when urinating. Advanced fungal balanoposthitis leads to the development of cystitis, pyelonephritis, vesiculitis or prostatitis. However, if you go to the hospital in a timely manner, the course of treatment is quick and successful.

Fungal balanoposthitis: treatment

Balanoposthitis of a fungal nature is treated with medication and folk methods. After diagnosing this form of the disease, the doctor prescribes systemic medications (Fluconazole, Nystatin, Ketoconazole), local medications (Mikogel, Dermazol), treatment with antiseptic solutions of Miramistin, Chlorhexidine, Furacilin, Dioxidine and a weak mixture of potassium permanganate and water. During treatment, the patient should avoid sexual intercourse. At the same time as the man, his sexual partner must undergo a therapeutic course. It is advisable to include vitamin supplements and medications that strengthen the immune system in the course of treatment. Also, a patient with fungal balanoposthitis should reconsider his diet. Preference should be given to lean meat, cereals, fish, fruits, vegetables, and nuts. It is better to avoid sweets, salty and smoked foods, flour and bakery products, and canned foods.

Traditional medicines prepared on the basis of calendula (oil infusion, decoction), chamomile, sage, and St. John's wort will also help speed up the process of treating fungal balanoposthitis.

Balanoposthitis and its treatment

For balanoposthitis in men, treatment (photo) always begins with a set of diagnostic measures. The doctor invites the patient to undergo tests to identify the cause of the developing pathology and determine the type of pathogen. The results of laboratory tests are used as a basis when drawing up a treatment plan.

How to cure balanoposthitis - drugs, ointments, tablets or surgery?

Before starting treatment for balanoposthitis, the doctor gives the patient recommendations, compliance with which helps prevent the development of complications and relapses of the disease.

The first rule for successful treatment of the disease is daily hygiene of the foreskin and glans.

Fighting the infectious agent with local means (herbal decoctions and tinctures, antiseptic solutions to relieve inflammation).

The use of antiviral and antibacterial drugs (the treatment regimen is developed by the urologist individually for each patient).

Men suffering from inflammation of the foreskin and head of the genital organ, first of all, want to find out how and how balanoposthitis is treated (tablets, ointments, antiseptics or surgical methods). The attending physician determines the method of therapy based on the complexity and severity of the disease, the form of balanoposthitis, and the presence of complications. The main ways to combat this disease are described below.

Regardless of the form of balanoposthitis, local anti-inflammatory ointments (combined and corticosteroid) are used for its treatment. Dermatologists and urologists advise giving preference to the drugs Triderm and Levomekol.

If balanoposthitis occurs with complications, as an additional treatment, the patient is prescribed medications that strengthen the immune system and increase the resistance of the immune system to attacks by pathogens.

Balanoposthitis of the candidiasis form is treated with antifungal agents (Clotrimazole ointment, Nizoral).

To cure anaerobic balanoposthitis, antibiotics are used (for example, Azithromycin).

Treatment of balanoposthitis through surgery is carried out if phimosis develops against the background of the disease. In this situation, the man's foreskin is cut off.

Alternative medicine and its techniques relieve pain and eliminate swelling in balanoposthitis of any form. Compresses, baths, washing the skin of the penis and penis with herbal infusions or antiseptics - all these methods help cope with pain and alleviate the patient's condition during an acute inflammatory process.

How to treat balanoposthitis in men?

Therapy for balanoposthitis in adult men is based on an integrated approach. The doctor prescribes medications from the following list:

• ointments (synthomycin, Levomekol, Triderm);
• medications (Clotrimazole solution or aerosol, Diflucam tablets, Nystatin, Levorin);
• folk remedies (decoctions of oak bark, chamomile, string, dill, sage; solutions of potassium permanganate, soda, dioxidin, furatsilin; aloe, dill and plantain juice).

An adult patient can treat balanoposthitis with ointments and creams at home. To disinfect the inflamed genital organ before applying the ointment, use antiseptic compounds. For example, many doctors recommend using furatsilin for balanoposthitis (treatment (photo) is carried out by adding the named remedy to a healing bath). Furacilin is also used to create lotions. The drug is an antimicrobial drug that helps fight gram-positive and gram-negative microorganisms. They treat wounds, purulent inflammations, and bacterial dysentery. Its analogues are a solution of potassium permanganate, chlorhexidine, and hydrogen peroxide. The advantage of furatsilin is that it is available over-the-counter in pharmacies. The anti-inflammatory, antimicrobial regenerating drug Bepanten has the same advantage. It comes in the form of a cream, lotion or ointment. Bepanten cream gives a good therapeutic effect for balanoposthitis in children. It is prescribed for the prevention and treatment of the disease, eliminating rashes from constant contact with diapers in newborn babies, as well as treating diaper rash.

Balanoposthitis in a child: treatment

Children's balanoposthitis is treated by a urologist. Therapy for the disease is mandatory, since the inflammatory process will not go away on its own. Moreover, the absence of medicinal measures will lead to aggravation of the problem - the pathological condition of the foreskin and glans will become chronic. Before starting treatment, the doctor prescribes a set of tests for the small patient and conducts differential diagnostics. If balanoposthitis is diagnosed in a child (photo), treatment is based on the use of conservative methods. It is recommended to use ointments, baths with herbal decoctions, antibacterial tablets, lotions, antiseptic solutions (a good remedy is Miramistin ointment or solution for balanoposthitis in a child). If the disease is severely advanced, the child is sent to a surgeon and his foreskin is cut off. In the early stages of balanoposthitis, antiseptic powders help well. They remove diaper rash.

Balanoposthitis and diabetes: treatment of combined pathologies and its features

Particular attention should be paid to the treatment of balanoposthitis that develops against the background of diabetes mellitus. Primary treatment in this situation is aimed at eliminating the symptoms of diabetes. If you immediately take measures to treat the inflammatory process on the reproductive organ, they will not give any result. Balanoposthitis, in fact, is a complication of diabetes mellitus. If you do not get rid of the underlying disease, inflammation of the head of the penis and foreskin will become chronic. To relieve the symptoms of balanoposthitis, it is necessary to normalize the level of glucose in the patient’s blood (after all, diabetes itself is an incurable chronic pathology). The treatment process is controlled by a urologist and endocrinologist. You should not self-medicate, since balanoposthitis can cause complications in the form of decreased sensitivity of the head, painful sexual intercourse and problems with urination. Circumcision of the foreskin in diabetes is not advisable until blood glucose levels are stabilized.

The main conservative method of treating balanoposthitis involves the use of antibiotics and ointments.

Antibiotics for balanoposthitis

When balanoposthitis develops in men (photo), treatment with antibiotics helps eliminate inflammation, prevent re-infection with pathogens and overcome pathogenic microflora. Usually, after diagnosing balanoposthitis, doctors prescribe medications to the patient in the form of ointments, creams or tablets. If the disease is in the acute stage, treatment is carried out with intramuscular injections. The course of antibacterial treatment is developed individually for each patient. There is no universal cure for this disease. The action of one or another group of antibiotics is aimed at destroying pathogens of a certain category. Before starting antibiotic therapy, the doctor uses test results and symptoms to determine the nature of the disease. The main indication for immediate initiation of antibiotic treatment is advanced forms of non-infectious balanoposthitis, as well as complications that arise after injuries. In addition, a course of antibacterial treatment is carried out when pathogens of sexually transmitted infections are detected in the patient’s body.

Balanoposthitis in men: treatment with antibiotics. When is it recommended to use antibacterial drugs?

Antibiotics for balanoposthitis in men receive mixed reactions from patients in reviews. The reason for the ineffectiveness of these drugs is often associated with incorrect identification of the form of the disease. Antibacterial therapy does not give the desired results if balanoposthitis is caused by fungi or viruses or is non-infectious. The doctor’s task before prescribing a course of antibiotics is to do allergy tests of the medications that the patient will take. The presence of an allergy to a certain group of drugs is a contraindication to starting antibiotic therapy.

What antibiotics treat balanoposthitis?

The attending physician can answer the question of how to treat balanoposthitis and which antibiotics are most effective for this disease. He carefully studies the patient’s medical history, looks at test results, determines the type of pathogen, and selects a group of medications and dosage. If balanoposthitis occurs against the background of sexually transmitted diseases, the course of treatment is controlled by a venereologist. If the nature of the disease is different, the patient is treated by a urologist.

To find out which antibiotics to take for balanoposthitis, a man needs to undergo a full examination. Most often, the doctor prescribes medications in film-coated tablets. In order for them to give the desired therapeutic effect, they must be taken correctly.

Do not take tablets before bedtime.

It is better to take medications in tablets 1 hour before a meal or 2 hours after a meal.

The medicine should be taken with plenty of water (at least 1 glass).

You need to take the tablets with non-carbonated purified water (boiled or distilled). Do not take tablet medications with milk, tea, coffee or juice.

Antibacterial treatment of balanoposthitis is most often carried out using drugs from the following list.

Triderm. A preparation for external use containing antifungal and hormonal components, as well as the antibiotic gentamicin. The ointment is suitable for compresses and rubbing, the duration of use is 1-2 weeks. The drug can be combined with oral medications. The use of Triderm does not lead to adverse side effects associated with the development of a fungal infection.

Suprax (against sexually transmitted infections). A drug in capsules from the group of cephalosporins with the active substance cefixime. The product is well tolerated by the body, is highly resistant to enzymes that can destroy antibiotics, and is suitable for patients with weakened immune systems. Suprax actively affects gonococci, pneumococci, salmonella, E. coli, streptococci. However, it does not provide a therapeutic effect in the fight against listeria, staphylococci, and Pseudomonas aeruginosa. The daily dosage of the drug is 1 capsule. The treatment period is determined by the doctor individually.

Suprax (antimicrobial, helps remove purulent microflora, staphylococci and streptococci). Medicine in film-coated tablets. The active component furazidan effectively destroys pathogenic microorganisms, staphylococci and streptococci. With its help, suppuration is quickly removed, pain and discomfort when urinating are reduced. An overdose of a medicine can cause side effects.

Azithromycin. One of the most effective drugs for balanoposthitis of any form. The antibiotic is suitable for the treatment of diabetic, non-infectious, sexually transmitted forms of pathology. The drug is available in capsules and contains azithromycin. The duration of therapy depends on the general condition of the patient and the type of infectious agent. Azithromycin should not be combined with other medications. The use of other medications is permitted a few days after completion of treatment with this drug.

Doxycycline. Tetracycline group drug in tablets. Suitable for the treatment of balanoposthitis of various forms, there is no adverse effect on the functioning of the digestive organs. The medicine has a minimal number of contraindications; it can be used to treat balanoposthitis in weakened and elderly patients. The dosage and duration of treatment are calculated individually, but the doctor immediately draws attention to the fact that Doxycycline should be combined with laxatives containing magnesium, iron supplements, and antibiotics from the penicillin group.

Levomycetin. A popular remedy for balanoposthitis. The active components of Levomycetin have a good effect on many pathogenic microorganisms (Staphylococcus aureus, smegma microbacteria, streptococci, Staphylococcus aureus, gonococci, Pseudomonas aeruginosa). The active substance of the same name is quickly absorbed into the blood and gives the first therapeutic effect after 2-3 hours. The advantage of Levomycetin is that pathological microorganisms slowly get used to its components. The tablets destroy the existing bacterial microflora and suppress its vital activity. Most often, Levomycetin is used to treat initial forms of balanoposthitis.

Antibiotics provide a powerful antibacterial effect, but their use for balanoposthitis is not always possible. Find out what contraindications exist for using this drug.

Balanoposthitis and antibiotic treatment, side effects and contraindications

Potent antibacterial drugs cannot be used to treat balanoposthitis if the following factors are present:

• malignant tumors;
• autoimmune diseases;
• severe chronic pathologies;
• liver and kidney failure;
• blood clot formation, thrombosis;
• allergies to antibiotic components;
• heart failure.

An incorrectly formulated course of treatment or an overdose of the drug leads to the development of side effects. They are associated with the following unfavorable conditions:

• dizziness;
• headache;
• convulsions;
• vomit;
• nausea;
• convulsions;
• persistent stool disorder;
• loss of consciousness;
• temporary deterioration of visual functions.

To enhance the therapeutic effect of taking antibiotics, the urologist prescribes additional auxiliary agents to the patient.

Therapy for balanoposthitis after antibiotics or how to supplement the main course of treatment?

Treatment of balanoposthitis in adult men, on the one hand, benefits the body by killing pathogenic microflora. But at the same time, such drugs also destroy beneficial microorganisms, reduce the patient’s immunity and provoke the development of a fungal infection. To reduce the negative effects of antibiotics, they should be supplemented with other medications. For example, to prevent and prevent fungal diseases (mycoses, candidiasis), the patient must take antifungal medications (Pimafucin, Clotrimazole, Pimafucort, Miconozol).

It is convenient to combine oral medications against balanoposthitis with medicinal ointments, alternating courses of 7-10 days. If there is damage to the skin of the genital organ, appropriate medications are used to accelerate regeneration (Levomekol ointment is considered the best remedy in this category).

Antiseptic treatment of the inflamed genital organ is also important and necessary. It is carried out using special solutions (Chlorhexidine, Miramistin). The preparations are suitable for creating lotions, douching, and washing the affected organ. There are no contraindications to the use of antiseptics; the course of therapy with their use is 1-2 weeks. Antiseptic solutions can treat acute and chronic forms of balanoposthitis.

Homemade antibacterial remedies in the form of decoctions and infusions of chamomile or a weak solution of potassium permanganate can be used to create healing baths. If small wounds and ulcers appear on the head and foreskin of the genital organ, they are cauterized with Fukortsin or similar antiseptics for topical use.

Traditional methods of treatment

For patients diagnosed with balanoposthitis, alternative treatment is prescribed to achieve an auxiliary therapeutic effect. It is used to eliminate severe and unpleasant symptoms of the disease. In general, home therapy for balanoposthitis is allowed only in the initial stages of the disease, when it has not yet been complicated by concomitant ailments. Having noticed the first signs of the disease, a man should immediately strengthen the rules of intimate hygiene. Sometimes, to eliminate the onset of pathology, it is enough to thoroughly wash the head of the penis for several days with antibacterial soap and warm water.

If water procedures with soap do not give a positive result, you should begin antiseptic treatment of the genital organ. Washing the penis with antibacterial solutions of Miramistin or Chlorhexidine is carried out during the 1st week. Before using antiseptics, the head of the penis is washed with the same water and soap. Furacilin and hydrogen peroxide give a good effect in home treatment of initial forms of balanoposthitis. It is better not to use other solutions for disinfecting an inflamed organ (iodine, alcohol tinctures, potassium permanganate), as they provoke a decrease in the sensitivity of receptors on the genital organ and burns.

The ineffectiveness of antiseptics indicates reduced immunity, and in this situation the problem can only be solved with the help of a urologist. He will select the necessary medications and prescribe the dosage, focusing on the individual parameters of the patient’s body. To achieve the highest effectiveness of treatment of balanoposthitis, a daily change of underwear and hygiene procedures will help, during which the secretory fluid accumulated there is thoroughly washed out from under the folds of the foreskin.

Balanoposthitis: folk remedies for treating the disease, giving the best effect

In patients with balanoposthitis, treatment at home (photo) is based on the use of herbal remedies for external and internal use. Medicines prepared according to recipes from the folk piggy bank help to overcome inflammation and cope with the disease. These include:

• decoctions and infusions of medicinal herbs (chamomile, calendula);
• antiseptic solutions (furacilin, miramistin, chlorhexidine);
• applications and compresses of antimicrobial ointments (the best therapeutic effect is provided by Levomekol, and fungal balanoposthitis is recommended to be treated with Candida or Clotrimazole).

At home, you can make baths for balanoposthitis using herbal decoctions or antiseptics. With their help, itching, burning, inflammation, swelling and redness of the genital organ are eliminated. Regular use of baths allows you to get rid of ulcers on the penis and purulent discharge. Disinfecting baths help eliminate the symptoms of balanoposthitis at the very beginning of its development. Below is a selection of 5 good recipes for preparing such baths.

• Furacilin. To prepare the solution, you need to buy a 0.02% solution of furatsilin at the pharmacy. Before the procedure, fill the bathroom with water at room temperature. The active component of the antiseptic drug is the substance nitrofuran. Some patients experience individual intolerance to the drugs. It is necessary to clarify this point in advance and, if such a feature is present, to refuse treatment of balanoposthitis with furatsilin.
• Potassium permanganate (potassium permanganate). This component is diluted in boiled water in proportions of 1:5000. The finished solution of potassium permanganate should turn out pale pink. Crystals of potassium permanganate must be completely dissolved in water, since solid particles of the substance cause a burn when they come into contact with the skin. Take a bath with potassium permanganate for 3-10 minutes.
• Soda. A good component that can cure balanoposthitis is soda (sodium bicarbonate). It is added to antibacterial baths before bathing. The product does not cause allergic reactions on the skin, and there is no risk of overdose when using it. Soda in the amount of 1 tbsp. diluted in water at room temperature. The duration of the procedure reaches 3-10 minutes.
• Dioxidine. Baths with the addition of 1% dioxidine solution are recommended for the treatment of purulent forms of balanoposthitis. The bath is taken for 10-15 minutes and it is very important that the antiseptic solution gets onto all areas of the penis and even under the foreskin (where pus usually accumulates).
• Oak bark. Dry oak bark, ground into powder, is an excellent antiseptic. A decoction for baths is prepared from it (1 tablespoon of powder is poured into 1 glass of boiling water and boiled over low heat for about 20 minutes). Next, the broth is cooled and infused for half an hour, then the product is added to the bath, after diluting with 1 glass of water at room temperature. The duration of the treatment procedure is 10-15 minutes.
• After taking a disinfectant bath, it is not recommended to vigorously wipe the penis with a towel. It is better to blot the organ with clean, dry wipes. After such treatment, be sure to wear clean underwear.

How to treat balanoposthitis in men at home

Home therapy for balanoposthitis in adult men is based on solving several important problems.

Careful intimate hygiene of the genital organs. The penis must be washed daily with soap and the head must be cleaned of accumulated secretory fluid. If balanoposthitis is detected in a timely manner in men, treatment at home for this pathology is successfully carried out using hygienic measures alone. Just a few days of thorough cleansing of the genital organ with soap and water - and drug therapy may not be needed at all.

To cure an advanced form of balanoposthitis, it is necessary to use local antiseptics for 1 week. Chamomile decoction helps a lot.

If antiseptic therapy at home is ineffective, the patient can work on strengthening the immune system. General strengthening therapy is based on the total saturation of the weakened body with vitamins. It is recommended to drink decoctions and teas from black currant leaves, burdock roots, and aspen bark. It is necessary to include fresh juices in your diet and adhere to a diet.

Treatment of balanoposthitis in men at home also depends on the form of the disease. For example, garlic and garlic oil help get rid of a fungal type of illness. In addition, the fragrant cloves have a powerful bactericidal effect. Garlic can be taken orally or applied to the glans penis as a compress. The second treatment option is recommended to be carried out with caution in order to prevent burns to the sensitive tissues of the penis.

A highly effective remedy for home treatment of balanoposthitis in an adult are applications and compresses from medicinal plants. They are applied fresh to the inflamed head of the penis and changed every 30 minutes. To create applications for balanoposthitis, phytocomponents from the following list are used.

Aloe. The plant relieves swelling, inflammation, itching and pain well. To treat balanoposthitis, use leaves of a 3-year-old plant, plucked from the lower part of the trunk and previously peeled. Aloe juice is suitable for creating lotions and compresses.

Plantain. The plant has long been famous for its analgesic and anti-inflammatory properties. Before use, fresh leaves of the plant are washed, kneaded and fixed on the affected area with a bandage. Every half hour the used piece of paper is replaced with a new one.

Eleutherococcus. Natural broad-spectrum antibiotic. It is best to use it in the form of tea, brewing 1 tablespoon in 200 ml of water.

Yarrow. A healing tea is also prepared from this plant, which helps destroy enterococci and streptococci. Add 1 tsp to 1 glass of boiling water. dried yarrow herb, leave for 1 hour, filter and consume internally.

Honey. The main bee product is used to enhance the healing effect of medicinal herbs. If the patient has no contraindications to the use of honey (for example, individual intolerance or allergies), it can be added to herbal teas, infusions and decoctions.

Calendula. Olive oil mixed with calendula flowers is a good treatment for balanoposthitis, complicated by wounds and ulcers on the genitals. To prepare the medicinal composition, 20 g of dried and carefully crushed calendula flowers are poured into a glass container, then poured with olive oil (1/3 cup), closed with a lid and left in the sun or in a warm, dry place for 3 weeks. Then the calendula oil is filtered and used to treat the affected areas of the penis.

Sage. The dried plant in an amount of 20 g is dissolved in 0.5 liters of boiling water. Then the composition is removed in a warm place for half an hour, after which it is filtered and used to create compresses or rinses of the penis.

St. John's wort. St. John's wort flowers (30 pieces) are crushed and poured with boiling water (200 ml). The finished composition is infused for 1-2 hours, filtered through gauze and washed with it on the penis.

Chamomile. Dried flowers of a medicinal plant (30 g) are brewed with boiled water (30 ml). Then gauze is moistened with this mixture, and chamomile flowers are placed on it. The finished compress is applied to the inflamed area of ​​the genital organ.

Cabbage. A compress of cabbage leaves, finely chopped and mixed with vinegar and boiled beans, is used to lubricate the head of the penis. It is recommended to carry out the procedure before a night's rest, and to wrap the penis in a towel or terry cloth after applying the cabbage and bean paste.

Traditional methods of therapy help eliminate balanoposthitis in a child, and treatment at home with their use demonstrates a good effect. A good remedy for this disease would be regular laundry soap. It is grated and diluted with clean boiled water to form a semi-liquid paste. Then the inflamed penis is washed with this mixture.

Balanoposthitis: how to treat at home with diet

Treatment of balanoposthitis at home (photo) is recommended to be supplemented with proper nutrition. Lifestyle correction for this disease requires the fulfillment of several important conditions.

The patient should get proper rest and adhere to an optimal sleep schedule.

You should completely give up alcohol, energy drinks, cocktails, beer, stop smoking and not expose your body to stress during the entire treatment and after it.

You need to adhere to a balanced diet, exclude fatty, spicy, overcooked foods from the menu, add berries, dairy products, fruits and vegetables to your diet.

If you have balanoposthitis, you should not drink strong coffee or tea.

Every man should remember that alcohol and alcoholic beverages provoke the development of obesity, reduce immunity and generally go very poorly with taking medications. During the treatment of balanoposthitis, exposure to tobacco tar and nicotine vapor on the body is extremely undesirable. The patient should stop smoking classic cigarettes and their electronic substitutes.

Personal hygiene during balanoposthitis is best done in the shower. Taking hot baths, going to the bathhouse or sauna is stopped for a while. Traditional methods of treating balanoposthitis can be included in complex therapy, used together with antibiotics and ointments.

Ointments for balanoposthitis

Men whose doctors have diagnosed balanoposthitis use ointment to treat this disease as part of a comprehensive therapeutic regimen. Its analogues are antibacterial gels and creams. Do ointments always help cure balanoposthitis? Can they be replaced with tablets or is it better to use such medications in combination? This will be discussed further below.

Balanoposthitis in men - treatment with ointments or tablets, what to choose?

Ointments, gels and creams for balanoposthitis most often have increased fat content and a dense texture. They contain not only active antimicrobial components, but also pure paraffin, cosmetic lanolin, natural wax, oils of synthetic and vegetable origin. After application to the skin, they form a thin film on it. Fatty formulations are ideal for the treatment of erosive and simple balanoposthitis. To treat a fungal type of illness, it is better to use a cream with a light structure.

Therapy for balanoposthitis with ointments is good because the drugs act on the affected area locally and practically do not penetrate into the blood. The active components of the remedy are quickly eliminated from the body without accumulating in the internal organs. Male patients often ask urologists the question of which forms of antibacterial drugs for balanoposthitis can be called more effective - are they ointments, tablets? Doctors pay attention to the fact that oral medications can be used in the complex treatment of the inflammatory process simultaneously with ointments and creams. The difference between these drugs is the method of action. The tablets are taken orally and provide a general therapeutic effect and eliminate the causes of the disease. Ointments work locally, on the surface of the skin, helping to cope with the consequences of the inflammatory process (burning, itching, redness of the skin). In addition, the active substances take longer to be eliminated from the body after taking the tablets.

Treatment of balanoposthitis: the best ointment

Ointment for balanoposthitis in men is selected individually by the attending physician. There are several main drugs recommended for use in the treatment process. Ointments from the following list are considered the best in the fight against inflammation of the male genital organ.

• Triderm. Reviews about the treatment of balanoposthitis with Triderm are mostly positive. Patients call this remedy effective and the best for treating inflammation of the head of the penis and foreskin. The drug gives a good effect in all forms of the disease. Triderm for balanoposthitis in men is used for 3-4 weeks. They apply it to the affected areas of the genital organ three times a day. The anti-inflammatory and antibacterial drug contains 3 important components: gentamicin (helps cope with the activity of pathogenic microorganisms), clotrimazole (destroys fungal agents), betamethasone (anti-inflammatory and antiallergic ingredient). True, there are situations when Triderm does not help with balanoposthitis. This occurs due to the patient’s individual intolerance to the components of the drug, as well as in advanced cases when balanoposthitis is accompanied by phimosis and surgical intervention is required to eliminate the disease.
• Clotrimazole. The drug actively fights pathogenic microorganisms and bacteria. The ointment includes methyllaraben, paraffin and active ingredients that help fight the cause of the disease and eliminate the inflammatory process. The ointment is applied to the inflamed areas of the skin of the penis 2 times a day. The course of therapy is 3 weeks, but in individual cases and in the presence of complications, the doctor can extend it to 1 month.
• Miramistin. This drug kills pathogens and bacteria quite quickly, so doctors recommend using it to treat bacterial-type balanoposthitis. Apply a thin layer of ointment to the skin of the penis once a day, before going to bed at night. Miramistin can be used in the form of compresses (a bandage or gauze soaked in it is applied to the affected areas of the penis and held there for 2-3 hours).
• Levomekol. An antibacterial agent against balanoposthitis, containing the active component methyluracil. This drug treats acute and chronic inflammation well. Pediatricians and urologists recommend using Levomekol for balanoposthitis in a child. This ointment gives the best effect if used as part of a compress. The drug is applied to a bandage folded in several layers, and then applied to the inflamed skin of the penis 1-2 times a day.
• Pimafukort. An effective medicine to combat balanoposthitis, it perfectly relieves inflammation, destroys the causative agent of the disease, and removes pain. Due to the presence of several components in the composition of the product (hydrocortisone, natamycion, neomycion), there is a complex therapeutic effect on the body. It is recommended to apply the ointment 3 times a day for 3 weeks. True, Pimafucort has a number of side effects (skin itching, formation of stretch marks, skin rash).
• Lamisil. The action of this drug is aimed at destroying microbes and fungi. Doctors recommend using Lamisil as an additional remedy against acute balanoposthitis. At the same time, experts point out that Lamisil is not suitable for people with very sensitive skin and children under 12 years of age. Most often, the drug is applied to damaged skin of the genital organ, but in severe situations it is used as part of a gauze compress. It is applied in the evening and left on the penis overnight.
• Fluconazole. Answering the question of how to treat fungal balanoposthitis and which ointments help best in the fight against this disease, urologists immediately recommend Fluconazole. The drug is ideal for the treatment of candidal balanoposthitis; it is quickly absorbed into the skin and has a long period of action. Fluconazole is applied to the affected areas of the penis once a day, before going to bed at night.
• Pimafucin. The action of this product is aimed at destroying fungal infections and yeast bacteria. To increase the effectiveness of the medicine, it is combined with Pimafucin tablets (they are taken orally).
• Akriderm. An antiallergic medicine that can treat not only balanoposthitis, but also allergic rashes of a different nature. The ointment quickly eliminates itching and inflammation in the external genitalia. The manufacturer's instructions recommend using it for 3-4 weeks.
• Syntomycin ointment. This drug has the same principle of action as Triderm cream for balanoposthitis. Synthomycin ointment can treat any form of balanoposthitis, including pathology accompanied by suppuration. The drug is applied 3 times a day, in a thin layer, to the skin of the inflamed reproductive organ.

All of the above ointments are only an additional aid for balanoposthitis. They help relieve acute symptoms, but do not always have an effect on the cause of the disease. In addition, such drugs have many side effects, due to which the doctor has to adjust the treatment regimen.

Diseases that are characterized by an inflammatory process of the male genital organ bring many problems, inconveniences and completely deprive a man of self-confidence and interfere with a normal sexual life.

• redness, swelling, burning of the foreskin;
• painful, difficult urination;
• painful sensation during sexual intercourse;
• the appearance of ulcerative lesions of the skin;
• accumulating white plaque in the coronal sulcus;
• increased dryness of the skin.

Important! If you have symptoms of the disease, you should immediately contact a urologist to prevent complications of the disease.

Symptoms of balanoposthitis may be similar to other diseases of the genital organ, so it is very important to correctly diagnose the disease.

The main methods for diagnosing balanopostin are:

• analysis of skin scrapings for bacterial culture;
• smear microscopy;
• testing with potassium hydroxide;
• detection of papilloma virus;
• screening for diabetes.

It is very important to correctly determine the nature of the disease in order to apply effective treatment and avoid complications of the disease.

Video: "What is balanoposthitis or balanitis?"

Treatment

Drugs

The most common drugs for the treatment of balanoposthitis:

• ointments with an anti-inflammatory effect (Lokoid, Elidel);
• antifungal ointments (Clotrimazole, Terbinafine, Miconazole);
• ointments containing the active ingredient flumethasone pivalate (Locacorten);
• Levomekol ointment;
• Acyclovir (tablets) is prescribed when the cause of the disease is herpes;
• Fluconazole (tablets) cures candidiasis;
• Metronidazole (tablets) is prescribed for balanoposthitis caused by Trichomonas;
• penicillins are prescribed for the gonorrheal form of the disease;
• broad-spectrum antibiotics are prescribed in case of illness from other pathogens (Azithromycin, Ceftriaxone).

Which doctor to go to for balanoposthitis is a pressing question for many patients who are experiencing pain and discomfort in the groin area for the first time. As a rule, the first symptoms of balanoposthitis - itching, burning, cracks, skin hyperemia, the appearance of ulcers, swelling of the head and foreskin of the penis - force a man to seek medical help.

Many patients, when the symptoms described above appear, mistakenly seek help from a dermatovenerologist. But this is wrong, since the doctor does not diagnose and treat inflammation of the glans and foreskin of the penis. Only a urologist should conduct a visual examination, diagnosis, differentiate balanoposthitis from other inflammatory diseases and prescribe a treatment regimen.

A urologist is a doctor who specializes in the diagnosis, therapeutic and surgical treatment of diseases of the male genital organs and urinary system. Also, a urologist deals with the prevention of inflammatory diseases, including balanoposthitis.

Treatment regimen for balanoposthitis

The treatment regimen for balanoposthitis completely depends on the type of inflammation, its stage, neglect, and involvement of the pelvic organs and lymph nodes in the pathological process. Broad-spectrum antibiotics are used as systemic therapy. But before drawing up a treatment regimen, the urologist must establish the etiology of the disease. So, if the disease is caused by staphylococcal infections, then treatment is simple and takes no longer than 7-10 days. But if balanoposthitis occurs due to gonorrhea, syphilis and other sexually transmitted diseases, then treatment is complex and takes more than one month.

In addition, if balanoposthitis has a secondary form, that is, it arose against the background of chronic and pre-existing diseases, then in order to eliminate the symptoms of the inflammatory process, it is necessary to cure the primary cause of the disease. But do not forget that prolonged irritation of the glans penis due to a pathological inflammatory process can lead to a decrease in the sensitivity of the nerve endings located on it.

Treatment of balanoposthitis with ointments

Treatment of balanoposthitis with ointments refers to local therapy. As a rule, patients with balanoposthitis are prescribed antiseptic ointments. One of these drugs is Levomekol ointment. The disease is also treated with broad-spectrum antimycotic ointments. For example, Clotrimazole and Batrafen ointment. Triderm ointment is a complex of antibiotics, corticosteroids and antimycotics, that is, the drug is effective in the treatment of balanoposthitis and other infectious and inflammatory lesions of the genital organs.

If balanoposthitis has a mycotic etiology, then broad-spectrum topical antimycotics, Candide, Candibene, Batrafen, Canesten, Clotrimazole ointments are used for treatment. If catarrhal balanoposthitis is subject to treatment, then topical steroid ointments are used, for example, Laticort.

Treatment of balanoposthitis with ointments is an effective therapy that is effective both in the first stages of the disease and as a complex treatment for balanoposthitis. Ointments must be used until the symptoms of the disease completely disappear. In addition to using ointment, the urologist may prescribe immunomodulatory drugs to speed up the healing process.

Cream for balanoposthitis

Balanoposthitis cream allows you to eliminate the symptoms of the disease in the first stages. The cream for inflammation of the glans and foreskin of the penis can be used both as monotherapy and used for complex treatment.

With the yeast etiology of balanoposthitis, both partners should undergo treatment using creams. The most popular antifungal creams effective for balanoposthitis: Clotrimazole, Nizoral, Lamisil. Very often, treatment of balanoposthitis using creams is supplemented with therapy using antibiotics to improve the effectiveness of the drug and the patient’s rapid recovery.

Treatment of balanoposthitis at home

Treatment of balanoposthitis at home is possible only after consultation with a urologist and in the case when the inflammation has not taken a pathological form and has not caused phimosis. The simplest and most effective method of treating balanoposthitis at home is maintaining intimate hygiene and regularly changing underwear. In addition to basic self-care rules, patients are advised to treat the affected glans and foreskin using disinfectant solutions. For these purposes, a solution of furatsilin, hydrogen peroxide, potassium permanganate, as well as special ointments and creams are suitable.

Do not forget about traditional medicine, which also allows you to stop the inflammatory process. I use medicinal herbs to prepare solutions and medicinal baths. Let's look at a few recipes that can be used to treat balanoposthitis at home:

• Sage decoction. Pour boiling water over a couple of tablespoons of dry herbs and place in a steam bath for 10 minutes. As soon as the broth has cooled, it must be filtered through a gauze compress and rinsed the affected genital organ.
• You can also prepare a disinfectant solution from oak bark to treat balanoposthitis at home. Pour boiling water over a tablespoon of oak bark and place on fire for 20 minutes. After the broth has cooled, it can be used for compresses and medicinal baths, 2-3 times a day.

Remedies for balanoposthitis

Remedies for balanoposthitis can cure the disease. There are many medicines and drugs that help in the treatment of infectious and inflammatory diseases. Let's look at the main remedies for balanoposthitis.

• Antiseptic ointments

Ointments have a disinfecting effect and help get rid of the painful symptoms of the inflammatory process. The most popular and effective antiseptic ointment for balanoposthitis is Levomekol. The ointment contains active ingredients that penetrate deep into the tissue, so the ointment is recommended for use at any stage of balanoposthitis.

Another popular remedy with a wide spectrum of action is Clotrimazole cream, Batrafen and other composite ointments, which consist of antibiotics, corticosteroids and antimycotics. In some cases, therapeutic therapy is carried out using Lamisil ointment, and in case of simple or erosive balanoposthitis, Dermozolon, Gioksizon or Lorinden-S ointments are used.

• Therapeutic baths

In addition to ointments, other medications are also used to treat balanoposthitis. Thus, Miramistin bath solution has proven itself well. The product has high bactericidal activity against pathogens. The solution is used for compresses, baths and injection into the urethra. In addition, the entire genital area is treated with Miramistin for disinfection. A solution of Sangviritrin, Rotokan and Furacilin has antimicrobial effects. After therapeutic water procedures, it is recommended to lubricate the affected area with antiseptic ointment.

• Antibiotics

These are the remedies for balanoposthitis that are prescribed in advanced cases of the disease. In particularly severe forms of the disease, the urologist prescribes a course of intensive antibacterial therapy. Most often, patients are prescribed: Nevigamon, Oletrin, Biseptol, Levomycetin, Furagin and other antibiotic drugs.

Miramistin for balanoposthitis

Miramistin for balanoposthitis is an effective bactericidal agent that has proven itself to have a quick and effective effect in therapeutic therapy. The wide spectrum of action of Miramistin allows you to treat balanoposthitis of any etiology. The drug is a synthetic drug with high bactericidal activity against harmful microorganisms.

Main indications for use of the drug:

• Prevention in venereology of sexually transmitted diseases (genital herpes, candidiasis, syphilis, trichomoniasis, gonorrhea).
• Treatment and prevention in dermatology of diseases such as streptoderma, staphyloderma, candidomycosis of the skin and mucous membranes and others.
• In obstetrics and gynecology for the treatment and prevention of wounds and inflammatory processes.
• In urology, for complex treatment of urethritis, urethroprostatitis, balanoposthitis, balanitis and posthitis.
• Miramistin is also used in surgery, otorhinolaryngology and dentistry. The drug is also effective for superficial skin damage due to household injuries, for the prevention of infectious infection.

The drug is available in the form of a solution and ointment. Miramistin for balanoposthitis is used for baths and compresses. A gauze bandage is moistened with the solution and applied to the affected part of the genital organ for several minutes. In addition to baths, it is recommended to administer Miramistin into the urethra, but not more than 3 ml. It is necessary to treat the entire pubic area with the solution.

The peculiarity of this medicine is its side effects - a short-term burning sensation that goes away after a couple of minutes. But this kind of reaction does not require discontinuation of the drug. Miramistin is contraindicated for use in patients with individual intolerance to the active components of the drug. Miramistin can be used during pregnancy and lactation. To date, no cases of Miramistin overdose have been recorded, so the drug is considered a safe and effective remedy in the treatment of balanoposthitis and other infectious and inflammatory diseases.

Levomekol for balanoposthitis

Levomekol for balanoposthitis is used to speed up the healing process. The ointment is a combination preparation that contains the immunostimulating substance methyluracil and the antibiotic chloramenicol. The drug is effective against most bacteria. And the bactericidal effect consists of inhibiting protein biosynthesis in the cells of harmful microorganisms.

• Levomekol is effective against: gram-positive aerobic and anaerobic bacteria, including Clostridium perfringens, Streptococcus spp., Staphylococcus spp.; gram-negative anaerobic and aerobic bacteria.
• Indications for use of the drug are based on the action of its active components. Levomekol is prescribed for purulent wounds, boils, trophic ulcers and 2-3 degree burns, as well as for purulent-inflammatory skin diseases.
• It is recommended to apply the ointment to gauze bandages or sterile napkins and apply to the affected areas. The dressings must be changed every day, applying a new ointment. For purulent abscesses, it is allowed to inject the ointment into the wound cavity using a syringe, after warming the medicine to 36 degrees.
• Side effects of Levomekol for balanoposthitis manifest themselves in the form of allergic reactions. This is only possible if there is an individual intolerance to the active components of the drug. It is hypersensitivity that is the main contraindication to the use of the ointment.
• When using Levomekol during pregnancy, there is a possibility of resorptive action and absorption. The drug is produced in aluminum tubes of 25, 30 and 40 g of the drug. Levomekol is dispensed without a doctor's prescription.

Triderm for balanoposthitis

Triderm for balanoposthitis works effectively both in the early stages of the disease and in complicated and advanced forms. Triderm is a combination drug that contains clotrimazole, betamethasone dipropionate and gentamicin. This composition of the ointment has anti-inflammatory, antipruritic, antiexudative, antiallergic, antifungal and antibacterial effects.

• The ointment is recommended for use in various forms of bacterial and infectious skin lesions. Triderm is effective in the treatment of eczema of any location, including inflammation in the groin area.
• A small amount of ointment should be applied to the affected areas of the skin, rubbing thoroughly. As a rule, the duration of treatment using ointment takes from 2-4 weeks, and the frequency of use is up to three times a day.
• In case of individual intolerance to the active components of the ointment or with prolonged use of the drug, adverse reactions are possible. The ointment can cause and intensify itching, irritation, burning, and dry skin. In some cases, Triderm causes inflammation of the hair follicles, hypertrichosis (hair growth), acne and other skin reactions.
• The ointment is contraindicated for use in patients with hypersensitivity to its components, as well as in case of chickenpox, tuberculosis and syphilis of the skin, skin reactions after vaccination.
• The drug is produced in aluminum tubes of 10 and 30 g. The ointment is dispensed from pharmacies without a doctor's prescription.

Furacilin for balanoposthitis

Furacilin for balanoposthitis is used for therapeutic baths and lotions. Furacilin is an antimicrobial drug that is active against gram-negative and gram-positive microorganisms.

• Furacilin is used to treat wound infections, purulent-inflammatory processes, and bacterial dysentery.
• The method of use of the drug depends on the type of skin lesion. So, for purulent-inflammatory diseases, the drug is dissolved in aqueous or alcoholic solutions. For bacterial dysentery, it is prescribed to be taken orally. It is possible to apply compresses with furatsilin to the damaged surface.
• The drug may cause adverse reactions such as dermatitis and skin inflammation. If taken orally, vomiting, loss of appetite, allergic rashes and dizziness may occur. Long-term use of the drug can cause neuritis, that is, inflammation of the nerves.
• Furacilin is contraindicated for use in case of individual intolerance to nitrofuran and its derivatives. The drug is prescribed with extreme caution to patients with kidney disorders and diseases.
• Furacilin is produced in the form of powder and tablets for the preparation of solutions. The drug is available over-the-counter.

Chlorhexidine for balanoposthitis

Chlorhexidine for balanoposthitis is used for washing, as well as medicinal baths and compresses. Chlorhexidine is a local antiseptic with a bactericidal effect. The drug is effective against: Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamidia spp., Bacteroides fragilis, Treponema pallidum, Gardnerella vaginalis, Ureaplasma spp. and is moderately active against Proteus spp. and Pseudomonas spp. The peculiarity of chlorhexidine is that the drug does not have a systemic effect and is not absorbed into the systemic circulation.

• The drug is used for the prevention and treatment of diseases caused by microorganisms sensitive to the active components of the drug. Chlorhexidine is used for infectious diseases, in ENT and dental practice, before and after surgery, to disinfect mucous membranes and skin. The drug is used in gynecology and urology to treat inflammation and infections.
• Chlorhexidine for balanoposthitis is used as a solution for preparing baths, compresses and washes. Perhaps introducing a solution into the urinary canal. As a rule, in urological practice this drug is used to flush the bladder.
• In rare cases, Chlorhexidine causes adverse reactions, such as skin rash and itching, dermatitis, dry skin and photosensitivity. The drug is contraindicated for use in cases of hypersensitivity to its components, as well as for patients suffering from dermatitis. An overdose of the drug is impossible.
• Chlorhexidine is produced in the form of a solution in 100 ml bottles made of polymer material with a nozzle. The drug is produced in 0.05% and 20%. Available without a prescription.

Hydrogen peroxide for balanoposthitis

Hydrogen peroxide is used as an antiseptic for balanoposthitis. I produce peroxide in the form of a 3% solution for treating wounds and affected skin surfaces. Hydrogen peroxide is widely used in the treatment of gynecological and urological diseases. The medicinal solution is an oxidant. When it comes into contact with the affected area of ​​the skin or mucous membrane, the drug begins to release oxygen. Thanks to this chemical reaction, the activity of organic substances decreases and mechanical cleansing of the skin occurs. The only drawback of hydrogen peroxide is its temporary effect, which disappears a couple of hours after treating the wound.

• Hydrogen peroxide is recommended for use in the initial stages of balanoposthitis, that is, at the first symptoms of the disease. Peroxide interacts with smegma and helps reduce the number of fungi and pathogens that cause the disease.
• When using hydrogen peroxide for balanoposthitis, it must be taken into account that the chemical reaction of the substance can cause a burning sensation. And given that the affected glans and foreskin of the penis are sensitive in themselves, the use of the drug can even cause pain. To reduce pain, you can use diluted hydrogen peroxide, 1-2%.
• If balanoposthitis is accompanied by phimosis, then hydrogen peroxide will not bring the expected therapeutic effect. A positive result from treatment can be achieved only after excision of the affected foreskin.

Clotrimazole for balanoposthitis

Clotrimazole is used as an antimicrobial agent for balanoposthitis. The ointment is used for external use. The composition of the drug includes clotrimazole, paraffin, methylparaben, cetostearyl alcohol, microcrystallin. Clotrimazole in the treatment of balanoposthitis is effective when the inflammation is caused by Candida fungi. Clotrimazole can be used to treat balanitis, mycoses, pityriasis versicolor, vulvovaginal candidiasis and urogenital candidiasis.

• The ointment must be applied to the affected area of ​​skin in a thin layer, 2-3 times a day. It is best to use the ointment after hygiene procedures, applying to dry skin. The duration of use of the ointment depends on the degree of damage, but, as a rule, Clotrimazole is used for balanoposthitis for 2-4 weeks.
• The drug may cause adverse reactions such as skin redness, allergic or contact dermatitis and burning at the application sites. If the above symptoms appear, you should stop using the ointment and the painful symptoms will subside in a few days.
• Since Clotrimazole has low absorption, an overdose is excluded. The ointment is not recommended for the treatment of balanoposthitis in patients with hypersensitivity to the active ingredients of the drug. The ointment is not prescribed to patients under three years of age, as well as to women during pregnancy and lactation.

Potassium permanganate for balanoposthitis

Potassium permanganate for balanoposthitis has proven itself as an effective antiseptic. With the help of potassium permanganate, that is, potassium permanganate, you can cure balanoposthitis and other diseases caused by pathogens, and also significantly accelerate wound healing. Potassium permanganate is used to treat inflammation of the glans and foreskin of the genital organ, both in the early stages and in advanced cases.

• Potassium permanganate is used for baths, lotions and douches. It is very important to observe the dosage of the drug, since a highly concentrated solution of potassium permanganate can cause burns to the genitals.
• Potassium permanganate is used to treat acute, recurrent and chronic forms of balanoposthitis. There are no contraindications to the use of the product.

Pimafucort for balanoposthitis

Pimafucort for balanoposthitis is considered one of the most effective antibacterial, antifungal and anti-inflammatory drugs. The drug contains a combination of hydrocortisone, neomycin and natamycin. The medicine is used only for external use. Pimafukort is active against bacteria with gram-negative properties (Proteus spp., Klebsiella, E. Coli), as well as microorganisms with gram-positive characteristics. The drug has antifungal effects and is effective in the treatment of balanoposthitis and infectious skin lesions caused by Aspergillus, Candida, Microsporum, Trichophyton, Torulopsis, Trichomonas and Fusarium.

• Pimafukort is prescribed for otomycosis and mycosis of the skin, superficial dermatoses, pyoderma, inflammatory and infectious skin lesions.
• The ointment is applied to the mucous membranes and skin 2-4 times a day. The duration of use of the drug is determined by the urologist, but may be more than a month.
• The drug causes side effects that manifest themselves as an exacerbation of the underlying disease. But after stopping the ointment, the symptoms go away. Long-term use of Pimafucort can cause the development of stretch marks on the skin, in areas where ointment or cream is applied. In rare cases, the drug causes thinning of the skin, contact dermatitis and hypertrichosis. But all side effects are temporary and disappear after discontinuation of the drug.
• Pimafucort is contraindicated for patients under one year of age with allergic reactions to the components of the drug. Pimafukort ointment and cream are contraindicated for use in the treatment of ulcerative skin lesions, anogenital itching, skin tumors, open wounds and acne.
• The drug is produced in the form of ointment and cream. Both forms of release have an aluminum tube and are available in a dosage of 15 g. Pimafucort is dispensed from pharmacies without a doctor's prescription.

Fluconazole for balanoposthitis

Flucanazole for balanoposthitis is used if the inflammation is caused by the candidiasis form of the disease. The advantage of fluconazole over analogue drugs is that it is a single dose (dosage of 150 mg). The drug has an antimicrobial effect and inhibits the synthesis of fungal microorganisms. Flucanazole is rapidly absorbed and remains in the blood plasma for a long period of time.

• The main indications for the use of the drug: cryptococcosis, cryptococcal meningitis, systemic candidiasis, candidal balanoposthitis, treatment and prevention of fungal diseases.
• The drug is taken orally and intravenously. The daily dose in both applications is 150 mg. The duration of use of the drug depends on the nature of the disease. Flucanazole is usually taken for 7 to 30 days.
• As a rule, Flucanazole is well tolerated, but adverse reactions are also possible. The drug causes flatulence, skin rash and diarrhea. The drug is available in 50, 100, 150 and 200 mg, 0.2% solution and 5 mg syrup per 1 ml.

Lamisil for balanoposthitis

Lamisil for balanoposthitis is a broad-spectrum antimicrobial drug. The drug belongs to the group of allylamines. Lamisil is used to treat fungal infections of the nails, skin and hair. Active against Trichophyton tonsurans, Trichophyton rubrum, Trichophyton verrucosum, Trichophyton mentagrophytes, Trichophyton violaceum), fungi of the genus Candida, Epidermophyton floccosum, Microsporum canis, Pityrosporum orbiculare.

• The main indications for use of the drug are based on the action of its active components. Lamisil is prescribed for mycoses and onychomycosis, yeast skin lesions, and lichen versicolor.
• Lamisil is used 1-2 times a day, depending on the type of pathogen and the severity of the disease. Before applying the drug, the affected area of ​​the skin must be dried. For severe skin lesions, the drug can be applied to the skin with gauze bandages at night. A positive therapeutic effect is observed after 3-5 days of using Lamisil. For extensive skin lesions, it is recommended to use Lamisil in spray form.
• As a rule, the drug is well tolerated, but allergic reactions in the form of rash, itching, burning, and skin hyperemia are possible. To eliminate side symptoms, you must stop using the drug. In rare cases, Lamisil causes nausea, diarrhea, vomiting and liver dysfunction.
• Lamisil is contraindicated for use in cases of hypersensitivity to the active components of the drug. The drug is not prescribed for children under 12 years of age, as well as for women during pregnancy and lactation.
• In case of overdose, Lamisil causes headache, nausea, vomiting, and dizziness. The drug is produced in the form of 1% spray 30 ml and 1% cream in tubes of 15 and 30 ml.

Pimafucin for balanoposthitis

Pimafucin for balanoposthitis is used to treat the inflammatory process. Pimafucin is an antifungal drug, a group of macrolides, which has a detrimental effect on yeast and dermatophyte fungi. The peculiarity of this drug is that resistance does not develop to it. The drug does not affect the entire body, but only affects the affected area - the skin and mucous membranes. Pimafucin is produced in the form of tablets, cream and vaginal suppositories. As a rule, for balanoposthitis in men, the drug is used for baths and rinses, but women are prescribed vaginal suppositories.

• Pimafucin is used in the treatment of intestinal candidiasis, candidal otitis, fungal infections of the skin and nails, balanoposthitis, vulvaginitis and other inflammatory lesions of the genital organs caused by yeast fungi.
• The drug is contraindicated for use in patients with hypersensitivity to the components of the drug. Side effects of the drug manifest themselves in the form of nausea, unstable stools, and burning in the genital area.
• Pimafucin for balanoposthitis is used in the form of a cream. The frequency of use of the drug is prescribed by the urologist. Treatment lasts until the symptoms of inflammation disappear.
• If Pimafucin is used to treat chronic balanoposthitis, then in addition to the cream, the use of tablets of the drug is mandatory. As a rule, both partners undergo preventive therapy for balanoposthitis.

Akriderm for balanoposthitis

Akriderm for balanoposthitis is used as a local drug with pronounced antiallergic, antipruritic, anti-edematous, and anti-inflammatory properties. The composition of the drug includes the substance and group of corticosteroids - betamethasone dipropionate.

• Akriderm is used in the treatment of patients who suffer from skin diseases of inflammatory or allergic etiology. The drug is effective in the treatment of chronic and acute forms of balanoposthitis. Akriderm ointment and cream are prescribed for the treatment of psoriasis and non-allergic forms of dermatitis.
• The drug is used for external use. Akriderm is not recommended for application to mucous membranes and large areas of skin. The ointment is applied in a thin layer, gently rubbing into the skin. The duration of use and dosage of the drug is prescribed by the urologist. As a rule, the drug is applied to the affected skin 2-3 times a day, and the duration of use is 2-4 weeks.
• Akriderm causes local adverse reactions - itching, burning, stretch marks, dryness and irritation of the skin. With prolonged use of the drug in occlusive dressings, the development of maceration and skin atrophy, secondary infection and hirsutism is possible.
• The drug is contraindicated for use in the treatment of balanoposthitis in patients with hypersensitivity to the active substance of the drug. The drug is not prescribed for patients with skin diseases of bacterial, fungal or viral etiology. And also for patients with trophic ulcers, skin cancer, sarcomas and acne vulgaris.
• Akriderm is contraindicated for use on open wounds and for patients with diabetes or tuberculosis. The drug is used with extreme caution for the treatment of balanoposthitis in children over one year of age. An overdose of Akriderm for balanoposthitis manifests itself in the form of allergic reactions and a reversible decrease in the functions of the adrenal cortex.
• The drug is produced in the form of an ointment in aluminum tubes of 15 and 30 g, and also in the form of a cream, in aluminum tubes of 15 and 30 g. The drug is sold without a doctor's prescription.

Bepanten for balanoposthitis

Bepanten for balanoposthitis is prescribed to patients to accelerate the regeneration process of damaged skin. The active substance of the drug is dexpanthenol. The drug has regenerating, moisturizing and anti-inflammatory properties. Bepanten cream and ointment can be used on any area of ​​the skin, including for the treatment and prevention of weeping wounds that do not heal. The drug penetrates the systemic bloodstream, binds to plasma proteins and destroys pathogens. Bepanten is excreted unchanged in feces and urine.

• Bepanten is used for the treatment and prevention of balanoposthitis, diaper rash, and diaper dermatitis in children. Bepanten cream is recommended for preventive care of the mammary glands, when cracks and irritation of the nipples appear. Bepanten ointment effectively relieves irritation and mechanical damage to the skin, accelerates the healing process of minor wounds, burns and scratches. The drug can be used to treat chronic ulcers, after skin grafting and anal fissures.
• The ointment must be applied to clean, dry skin and damaged areas. It is recommended to use the drug 2-3 times a day. The duration of treatment depends on the form and severity of balanoposthitis, on the individual characteristics of the patient’s body and the doctor’s prescriptions.
• Bepanten causes side effects that manifest themselves in the form of allergic skin reactions. The drug is contraindicated for use in case of hypersensitivity to the components of the drug. An overdose of Bepanten when applied topically is not possible.
• The drug is produced in the form of ointment 5%, 30 g each in aluminum tubes, cream 5%, 30 g each, and lotion 2.5%, 200 ml each in a bottle. The drug is dispensed without a doctor's prescription.

Lamisil spray for balanoposthitis

Lamisil spray for balanoposthitis is used for external use. The spray is a topical antifungal drug. The active ingredient of the drug, terbinafine, has a wide spectrum of action. Lamisil is active against yeast fungi. When applied topically, the drug is not absorbed and begins to quickly act on damaged areas of the skin. A positive therapeutic effect is observed after seven days of regular use of the drug.

• Main indications for use: fungal infections caused by dermatophytes Trichophyton Microsporum canis and Epidermophyton floccosum. Various lichen Pityrosporum orbiculare and inflammatory skin lesions.
• The spray is used 2-3 times a day, depending on the severity of the disease and the doctor’s recommendations. Before applying the spray, the skin must be cleaned and the affected areas of the skin dried. It is recommended to spray the drug only on wounds in order to moisturize them.
• Lamisil spray may cause side effects that include skin redness, burning, and itching. But when you stop using the drug, the unpleasant symptoms go away.
• Lamisil spray for balanoposthitis is contraindicated for use in patients with individual intolerance to the active components of the drug. The drug is not prescribed for the treatment of balanoposthitis in pediatric patients. Local application of the spray does not cause an overdose. But if the spray gets into the eye or mouth, the drug causes a burning sensation, dizziness, nausea, vomiting, and diarrhea. Treatment of the above-described manifestations is symptomatic.
• Lamisil spray must be stored out of the reach of children and away from sunlight, at a temperature not lower than 30°C. The drug is dispensed without a doctor's prescription.

Hyoxysone for balanoposthitis

Hyoxysone for balanoposthitis is used as an antimicrobial and anti-inflammatory agent. The main indications for use of the drug are based on the action of its active components. Hyoxysone is used for the treatment and prevention of infected eczema, wounds, pustular skin lesions, erosions, mucosal defects and neuroallergic skin inflammations. The ointment contains oxytetracycline hydrochloride and hydrocortisone acetate.

• Hyoxysone is used externally. The ointment is applied in a thin layer to the affected area of ​​the skin 1-3 times a day. The duration of use of the drug depends on the form of balanoposthitis and its stage, as well as on the recommendations of the urologist. Please note that before using the drug, it is recommended to determine the sensitivity of the disease microflora to it. To do this, you can apply a little ointment to the affected area and wait a couple of hours. If an allergic reaction does not occur and an improvement in the condition of the skin is observed, then the ointment can be used.
• Side effects of Hyoxysone manifest themselves in the form of allergic reactions on the skin. The drug is contraindicated for use in viral and allergic skin diseases, skin tuberculosis and mycoses. With extreme caution, the drug is prescribed for patients with a history of the diseases described above.
• Gioksizon is produced in aluminum tubes of 10 g. The drug must be stored in a cool, dry place and used only as prescribed by a urologist.

Fukortsin for balanoposthitis

Fukortsin for balanoposthitis is prescribed for external use. The drug has antimicrobial and antifungal properties. The solution for external use contains phenol, boric acid, resorcinol and basic fuchsin.

• Indications for use of the drug are fungal and pustular skin lesions, superficial defects of the mucous membranes, erosions, cracks, superficial wounds, abrasions. For balanoposthitis, the solution is used to heal cracks and erosive wounds on the head and foreskin of the penis.
• Fukortsin solution is used 2-4 times a day, making medicinal baths, lotions or compresses. After applying the drug and drying the skin, creams and ointments must be applied to the treated area of ​​skin.
• The drug may cause side effects, which manifest themselves in the form of short-term pain and burning. Fukortsin is contraindicated for use in case of individual sensitivity to the components of the drug. The solution is not recommended to be applied to large areas of the skin, as some substances of the drug penetrate into the blood and cause toxic side reactions (breathing disorders, decreased blood pressure, dizziness).
• Fukortsin solution is produced in 10 ml bottles. The drug must be stored in a place protected from moisture and inaccessible to sunlight. Fukortsin is dispensed without a doctor's prescription.

Syntomycin ointment for balanoposthitis

Synthomycin ointment for balanoposthitis is the most popular medicine that is in every medicine cabinet. The ointment contains synthomycin or chloramphenicol, as well as excipients: sorbic acid, castor oil and others. The ointment is used for external use. The drug is a topical antibiotic with a broad spectrum of action.

• Synthomycin ointment is active against gram-positive (staphylococci and streptococci) and gram-negative cocci (gonococci, meningococci), many bacteria (Escherichia coli and Haemophilus influenzae, salmonella, Shigella, Klebsiella, Seratia, Yersinia, Proteus), rickettsia, spirochetes, and some large viruses.
• Syntomycin ointment for balanoposthitis is used to treat pustular skin lesions and ulcerations. The ointment is effective for furunculosis, long-term non-healing wounds, 2-3 degree burns, purulent-inflammatory diseases and deep skin infections.
• The ointment is applied in a thin layer to damaged areas of the skin. You can use bandages and compresses with ointment, changing them every day. The duration of treatment using the product takes from 2 to 5 days.
• Adverse reactions of synthomycin ointment occur with prolonged use of the drug, which causes contact sensitization. The ointment may cause burning sensations, redness, itching, swelling and rashes on the skin. Adverse symptoms disappear after stopping use of the ointment.
• Syntomycin ointment is contraindicated for use in case of toxic and allergic reactions to the active ingredients of the drug. Local application of syntomycin ointment does not cause an overdose.
• The drug is available in aluminum tubes and is sold without a doctor's prescription. Syntomycin ointment is recommended to be used as a prophylactic agent to prevent the development of symptoms of balanoposthitis at the first signs of inflammation.

Cycloferon for balanoposthitis

Cycloferon for balanoposthitis is used as an antiviral and immunomodulatory agent. The effectiveness of the drug is due to its wide range of biological activity. Cycloferon has anti-inflammatory, antiviral, antitumor and antiproliferative properties.

• The drug is prescribed for viral infectious diseases and fungal skin lesions. Cycloferon is produced in the form of a solution, tablets and ointment. Cycloferon for balanoposthitis is effective both in the first stages of the disease and in the treatment of advanced and complicated forms of inflammation.
• Cycloferon causes allergic reactions in patients with individual intolerance to the active components of the drug.
• The drug is contraindicated for use in case of liver cirrhosis and allergic reactions to the components of the drug. Cycloferon fully interacts with other drugs that are used in the treatment and prevention of balanoposthitis.
• Cycloferon is produced in the form of tablets, injection solution and ointment. When drawing up a treatment regimen, the doctor chooses the most suitable form of release of the drug.

Baths for balanoposthitis

Baths for balanoposthitis are used to treat an inflammatory disease that is not complicated by phimosis. To prepare baths I use Miramistin, Furacilin, Dioxidine Solution and warm baths with potassium permanganate. The duration of this procedure is from 5 to 15 minutes. During the bath, the affected genital organ must be moistened and gently watered with the solution to achieve maximum therapeutic effect. After the bath, the foreskin and head of the penis must be carefully dried using a sterile gauze pad and lubricated with an antiseptic.

• If balanoposthitis is caused by yeast, then warm baths with a solution of baking soda (sodium bicarbonate) are especially effective. But the use of antibiotics is prohibited.
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Antibiotics for balanoposthitis

Antibiotics for balanoposthitis can be used to treat severe forms of the disease. But many urologists do not support the practice of using antibiotics. This is because antibiotic drugs have many side effects that can cause additional health problems in other organs and systems.

But in some cases, antibiotics for balanoposthitis are the only way to cure the disease. Antibiotics can be prescribed at very advanced stages of the inflammatory process or when test results confirm infectious balanoposthitis. The drugs are prescribed by the attending physician, individually for each patient. Self-administration of antibiotics can cause uncontrolled adverse reactions. Treatment with medications is effective when the drug is chosen correctly. Broad-spectrum drugs are less effective, so they require a long period of use, but have a negative impact on the general condition of the body.

Injection of antibiotics can also be used to treat balanoposthitis. But the dosage and duration of such treatment are individual for each individual case of balanoposthitis. Antibiotics are not a universal remedy that can replace local therapy or hygienic measures. Moreover, in some forms of inflammation, antibiotics are ineffective and leave negative consequences.

Folk remedies for balanoposthitis

Folk remedies for balanoposthitis allow effective and safe methods using medicinal plants to cure inflammation of the glans and foreskin of the penis. Let's look at the most popular and effective remedies for balanoposthitis:

• As an anti-inflammatory agent, it is recommended to apply washed, fresh aloe leaves to the affected organ. To do this, the leaves need to be peeled and mashed a little.
• Chamomile compresses are one of the most popular methods of treating inflammation. Dried chamomile flowers should be poured with boiling water and simmered over low heat. As soon as the broth has cooled, strain it and use it as compresses or baths, applying it to the sore spot.
• If balanoposthitis is accompanied by ulcerations and erosions, then for treatment it is recommended to use an infusion of calendula flowers and olive oil. Mix a third of a glass of oil with a spoon of calendula flowers, cover with a lid and leave in the sun for 21 days. Use the resulting mixture to wipe the areas of erosion, after filtering the oil.
• Plantain is also an effective remedy in the treatment of balanoposthitis, which relieves inflammation well. Take a few plantain leaves, wash them and apply them to the affected surface, securing them with a gauze bandage. It is recommended to change dressings every 30 minutes. In this case, the maximum therapeutic effect can be obtained if the bandages are applied every 3-4 hours.
• Sage tincture can be used as a remedy for medicinal baths. Pour a couple of tablespoons of sage into 500 ml of boiling water and simmer over low heat. As soon as the broth has cooled, strain through cheesecloth and use as a lotion or wash.
• St. John's wort decoction baths also have a healing effect. Grind a spoonful of dried St. John's wort flowers to a powder and pour a glass of boiling water. After 20-30 minutes, strain the solution and use as compresses or baths.
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Chamomile for balanoposthitis

Chamomile for balanoposthitis is one of the most popular medicines for the treatment of inflammation. Chamomile has antiseptic, anti-inflammatory, analgesic, antispasmodic, and sedative properties. If the plant is taken orally, it activates the digestive glands, since chamomile also has choleretic properties, relieving intestinal spasms. Chamomile has vasodilating and disinfectant properties.

Chamomile can be used as a decoction for balanoposthitis. To do this, pour boiling water over a spoonful of dried chamomile flowers and simmer over low heat until it becomes mushy. As soon as the broth has cooled, it must be placed on gauze and applied to the inflamed foreskin and glans penis. The broth can be filtered and used for medicinal baths and washes.

Thus, there are several methods for treating balanoposthitis, each of which depends on the type and stage of the inflammatory process, the manifested symptoms and the individual characteristics of the patient’s body.

Balanitis or inflammation of the skin on the head of the penis is a disease that is quite common in boys and men, regardless of their age.

Often, posthitis is added to the affected skin on the head of the penis - inflammation of the foreskin. The therapy prescribed by the doctor in this case corresponds to the diagnosis of balanoposthitis.

When solving the problem of how to cure balanitis or how to treat balanoposthitis, you need to understand that these diseases are similar both in their causes and symptoms. Therefore, the treatment regimen for balanoposthitis is practically no different from the treatment methods for balanitis.

Candida fungi, bacteria, viruses, staphylococcus, streptococcus, high blood sugar, tight mobility of the foreskin - this is not the entire list of possible causes that can provoke balanitis or balanoposthitis. It is advisable to begin the treatment of these diseases by identifying the cause of their occurrence. Only by being exactly sure what infection is causing this disease will the doctor be able to select the right treatment methods, prescribing effective therapy, the use of which will quickly relieve inflammation of the glans penis and foreskin.

Therefore, when faced with this unpleasant illness, you should not neglect professional consultation with a doctor, identifying the disease from photos located on the Internet and prescribing medications yourself.

Doctors in the print media and on television constantly warn that independent diagnoses based on photographs and pictures from medical reference books, as well as self-medication, provoke the transition of an acute form of the disease to a chronic one.

• Increasing attention to the hygiene of the glans penis is one of the main principles of successful healing;
• Local elimination of the infectious agent using antiseptic solutions (hydrogen peroxide, furatsilin) ​​and herbal decoctions can eliminate inflammation of the foreskin;
• Antibacterial or antiviral drug therapy. Increasing the body's immunity with the help of a course of immunomodulator drugs. The treatment regimen is selected and prescribed by the doctor.

Treatment methods for balanoposthitis

1 .Drug therapy.

The doctor prescribes pharmacological drugs in the form of solutions, ointments, tablets, based on the cause of the disease. For example:

2 .Surgical treatment of balanoposthitis or circumcision is usually carried out for phimosis (stiffness) of the foreskin. Under no circumstances should you try to expose the head of the penis yourself. This will lead to more trauma and increased inflammation.

3 .Methods of alternative medicine: baths, compresses, washing the glans and foreskin of the penis with herbal infusions are widely used as adjuncts in the treatment of balanoposthitis and balanitis. Therapy in combination with herbal remedies proceeds more quickly and effectively.

Which doctor treats balanoposthitis?

This question, first of all, appears in the stronger half of humanity when pain symptoms and discomfort occur in the genital area. Men who exclude the possibility of sexually transmitted diseases by their behavior are alarmed by the appearance of itching, pain, burning, redness, cracks, rashes of small pimples (ulcers) on the head of the penis, as well as its swelling. After all, many of them do not know that these are signs of the clinical picture of balanoposthitis - a common disease in men.

Often, patients who observe the above symptoms in themselves mistakenly seek advice from a dermatovenerologist. This is not true. The diagnosis - inflammation of the penis (head and/or foreskin) - can be made by a urologist based on a visual examination of the patient and based on the results of tests that make it possible to clarify the cause of balanoposthitis, while excluding diseases with similar symptoms.

A urologist is a doctor who has undergone in-depth specialization in diagnostics, therapeutic and surgical treatment, as well as the prevention of diseases of the urinary system and male genital organs, and treats balanoposthitis.

How long does it take to treat balanoposthitis?

Urologists, answering patients’ questions “How long does it take to treat balanoposthitis?” explain that the timing of full recovery depends on many factors:

1. From the cause of the disease;

2. From the individual responsiveness of the body to the therapy;

3. On the degree of damage and the stage of development of the disease. For example:

Balanoposthitis: treatment at home

If you have a simple form of the disease, not burdened with complications, then balanoposthitis can be treated at home. This statement does not mean that you should engage in treatment yourself, making a diagnosis using a photo from the Internet. Such a decision can only worsen an already unpleasant situation. Therefore, before using medications, it is necessary to consult a doctor.

Treatment of balanoposthitis at home involves not only the use of ointments, disinfectant solutions and other medicines, but also the use of herbal therapy recipes. It is this comprehensive approach that will allow you to get rid of the disease in the shortest possible time.

How to cure balanoposthitis at home? What folk remedies should I use? - many patients are confused in search of answers to these questions. In this situation, the main thing is:

• Strictly follow the doctor's instructions;
• Follow the rules of personal intimate hygiene, washing the head several times a day with water and baby soap and treating it with an antiseptic such as chlorhexidine, furatsilin or miramistin. As a disinfectant solution when treating balanopastitis at home, you should not use alcohol, iodine, or potassium permanganate - these substances can reduce the sensitivity of receptors. Daily clean underwear is a necessary condition for effective treatment of the disease at home;
• To speed up the healing process, it is worth including recipes for alternative, traditional medicine in a comprehensive therapy program:

1. Aloe compress is an effective and simple herbal remedy for treating balanoposthitis at home (photo). For the compress you will need several peeled and washed leaves of perennial aloe without thorns. Using a knife to cut off the skin of the leaf on one side, apply it to the inflamed area on the skin and hold for about 15 minutes. The procedure must be performed twice a day until complete recovery.

2. Compress made from plantain leaves. The leaves of this medicinal herb have powerful anti-inflammatory properties, so they are often used to treat balanoposthitis at home. Take the washed leaves, knead them in your hands and apply to the affected skin, apply a bandage for half an hour. In the first days, in order for the painful symptoms to disappear as quickly as possible, such compresses must be done every four hours.