Balanitis: causes, symptoms and treatment of glans inflammation
The term balanitis refers to an inflammation or infection of the glans. Sometimes the process also extends to the foreskin, giving a classic picture of balanopostitis
Most of the time, the causes of balanitis are infectious, most often mycotic in nature and sometimes bacterial
Let’s not forget, however, irritative forms of balanitis, often due to contact with synthetic fibres, or in response to excessively acidic vaginal PH during unprotected intercourse.
The presence of an excessive foreskin, sometimes with a phimotic attitude, or a short frenulum, which prevent normal hygiene, can be predisposing causes of balanitis.
There are also particular forms such as balanopostitis in diabetics or forms of autoimmune dermatitis such as lichen sclerosus.
How it manifests: symptoms of balanitis
Balanitis usually manifests as redness of the glans, sometimes spreading to the foreskin, itching and serous discharge resulting in difficulty with penetrative activity during sexual intercourse.
Care and treatment of balanitis
The main prevention of balanitis is obvious: it would be first and foremost to have protected intercourse in order to avoid contamination during sexual activity, whether of a fungal or bacterial nature.
It would be advisable for patients with an excess foreskin or phimosis to undergo minor circumcision surgery.
In fungal forms, local antifungal therapy is usually recommended for about 10 days, often combined with the use of neutral or alkaline soaps, in addition to classic washes with water and bicarbonate of soda.
For bacterial forms of balanitis, classic antibiotic therapy is recommended.
Andrology once recommended, excluding viral and bacterial forms and therefore including only irritative forms, the use of salt and water washes twice a day and the application of 2 – 3 drops of almond oil, again twice a day, with the aim of modifying the PH and making the big man’s skin more trophic, thus reducing redness.
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