Description
The name “balanoposthitis” combines two diseases: posthitis – inflammation of the foreskin and balanitis – inflammation of the glans penis.
Therefore, balanoposthitis is an inflammation of the glans penis and foreskin. Often, balanoposthitis is detected in children and adolescents, since the predisposing condition for its development is phimosis (narrowing of the foreskin with partial or complete closure of the head of the penis) . Balanoposthitis is of an infectious nature. Opportunistic bacteria and fungi are always found on the skin of the foreskin, but to trigger the pathological process, certain conditions are necessary in which their number can increase sharply. For example, urinary retention and smegma due to phimosis, or neglect of the rules of intimate hygiene. Since the urethra passes through the head of the penis, in case of sexually transmitted diseases and urinary tract infections (pyelonephritis, cystitis, urethritis), impregnation of the foreskin and the development of inflammation can occur. The presence of allergic diseases and diabetes mellitus also predisposes to the development of balanoposthitis, since in these conditions the blood microcirculation is disrupted and the cells of the immune system are not able to penetrate the site of inflammation. In some rare cases, allergic and toxic balanoposthitis may develop.
Unprotected sexual intercourse with women with vaginal dysbiosis, as well as non-traditional forms of sex, serve as an excellent tool for the development of acute balanoposthitis. Constant sexual intercourse can lead to chronicity of the pathological process.
There are simple, erosive and gangrenous balanoposthitis.
- Simple balanoposthitis. The patient is bothered by itching and burning. An objective examination reveals swelling of the head and foreskin, their redness, and maceration of the skin. If left untreated, erosions and ulcers of various sizes appear with catarrhal and purulent discharge.
- Erosive balanoposthitis. In this form, itching and burning are accompanied by pain when urinating and walking. Upon examination, you can see areas of dead white epithelium and brightly demarcated painful red erosions. Due to severe swelling of the foreskin, balanoposthitis can be complicated by phimosis, as well as lymphangitis and lymphadenitis.
- Gangrenous balanoposthitis. A serious disease that has systemic manifestations in the form of a strong increase in temperature and general weakness. From erosions, deep purulent-necrotic ulcers develop with copious discharge, and perforation (formation of a hole) on the skin of the penis is possible. At this stage, amputation may be required to prevent the spread of the pathological process to internal organs.
Acute balanoposthitis develops against the background of a bacterial infection, while fungal and herpetic infections often lead to chronic balanoposthitis. Chronic balanoposthitis occurs with the formation of blisters and erosions, deterioration of the microvasculature at the site of infection, which can lead to wrinkling of the glans penis.
Factors and types of balanoposthitis
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- problems with personal hygiene;
- phimoses of various shapes;
- diseases of the immune system;
- allergic reactions;
- promiscuous sexual intercourse without contraceptives.
The symptoms of this disease directly depend on the type of balanoposthitis, so it is important to correctly diagnose it in order to prescribe effective treatment. Two types of illness can be distinguished;
- primary occurs when personal hygiene rules are not followed, so in order to get rid of the problematic condition, you should simply shower more often;
- secondary - is not an independent disease, therefore, in order to get rid of the first symptoms of the disease, the primary one should be treated; Most often in this case, the endocrine system and hormonal levels are affected.
Acute balanoposthitis is usually divided into several types:
- simple - is the lightest form, which is characterized by:
- burning;
- constant itching that increases urination;
- rapid redness of the head of the penis;
- the presence of inflammatory foci located in groups;
- swelling and wrinkling of the genitals;
- the presence of erosive lesions on the head of the phallus, which are merged into one spot;
- the appearance of discharge mixed with pus from the urethra.
- erosive - can be distinguished from other types quite easily, since the head and foreskin are completely covered with ulcers and erosions of varying intensity, which are dead flesh cells; the film may burst and cause painful damage to the skin, which gradually heals with properly prescribed treatment;
- gangrenous is the most terrible form, since it is characterized by such features as not only numerous lesions of the skin, but also:
- inflammation of the urethra;
- general intoxication of the body;
- rapid increase in body temperature;
- general malaise, weakness;
- the appearance of a huge number of erosive ulcers on the genitals;
- presence of bleeding areas;
- the occurrence of painful compression of the head by the foreskin, turning into phimosis (Spanish collar);
- the presence of painful scars that cannot be stretched;
- the presence of perforated holes that do not tighten over time.
Symptoms
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The onset is characteristically acute; patients are bothered by itching and burning in the area of the foreskin and glans penis. At the onset of the disease, patients may notice fever and general weakness. There is pain during erection and urination. The glans penis and foreskin are hyperemic, swollen, and painful when touched. Soon it becomes impossible to expose the head due to swelling of the foreskin. If no therapeutic measures are taken, the disease will soon turn into an erosive form: painful ulcers appear on the head, causing severe discomfort when urinating and walking. In the case of fungal balanoposthitis, patients can observe abundant curdling mass under the foreskin with an unpleasant odor. Due to swelling, constant irritation of the glans penis occurs, which leads to increased sexual excitability.
The listed symptoms do not necessarily have to appear together, but each of them should be a reason to seek medical help. In the absence of treatment, balanoposthitis is often complicated by lymphangitis (inflammation of the lymphatic vessels) and lymphadenitis of the inguinal lymph nodes. Lack of medical care at this stage often leads to gangrene of the penis.
Repeated acute balanoposthitis and its chronic form lead to a decrease in the sensitivity of the head of the penis, which is fraught with a decrease in potency and a decrease in the feeling of orgasm.
We treat balanoposthitis in men with simple methods
→ Home treatment → Urological diseases → Balanoposthitis
Attention! If you experience itching, redness of the glans penis or swelling, immediately contact a medical facility!
We treat balanoposthitis with medications
You should not refuse to use various medications at home to treat balanoposthitis in men. The most popular is Clotrimazole, which can be purchased at the pharmacy in the form of an ointment, aerosol or solution.
The drug contains an imidazole derivative, which is famous for its antifungal, antibacterial and anti-inflammatory effects. Apply a thin layer of Clotrimazole to the head of the penis and do not wipe off. Repeat the procedure 2 to 4 times a day for 10-14 days.
Important! Find out in our article about which doctor treats balanoposthitis.
To enhance the effect and quickly recover, it is recommended to take Diflucam tablets orally three times a day, 1 pc. For preventive purposes, Levorin and Nystatin are used, which effectively fight fungal infections.
Important! In our article you can learn about the symptoms, causes and treatment of candidal balanoposthitis.
We treat balanoposthitis in men with ointments
The most common ointment that contains an antibiotic is syntomycin ointment. Synthomycin liniment actively fights against many bacteria, including balanoposthitis microbes.
Apply the ointment to the head of the penis so that it gets between all the folds of the foreskin. You can apply a bandage over it. Treat before bed every day until complete recovery.
Triderm ointment is a combined preparation with antifungal and antibacterial properties. Effectively reduces itching, inflammation on the head and pain. For treatment to be effective, it is enough to smear the penis twice a day and this will lead to healing of the skin.
Levomikol ointment is quite often popular in the treatment of balanoposthitis in men. It contains methyluracil, which stimulates the restoration of the skin, and an antibiotic. Apply the ointment to the genitals before going to bed and apply a bandage, leave it until the morning. After three days of intensive treatment, significant improvement will occur.
Attention! Do not self-medicate without consulting your doctor!
Balanoposthitis - symptoms, video
Balanoposthitis is a fungal disease that can develop not only in men, but also in women. The main symptoms in women are: itching, burning in the genitals; not natural curd discharge; redness of the mucous membrane; urination is accompanied by pain.
Symptoms of balanoposthitis in men: redness of the glans penis, itching, burning, unpleasant odor, purulent discharge, possible swelling.
We looked at the symptoms, the video we recommend will tell you in more detail.
Important! Balanoposthitis in men in the photo, see our article.
We treat balanoposthitis with folk remedies
When treating balanoposthitis at home, it is first of all recommended to begin to properly follow the rules of hygiene for caring for the penis.
Thoroughly washing the head with various decoctions and medications will significantly reduce inflammation, relieve itching and unpleasant burning.
After treating balanoposthitis in men at home, it is recommended to use herbal tinctures as a preventive measure.
Important! You can learn about the treatment of balanoposthitis in a child on the pages of our website.
Oak bark
Take a tablespoon of oak bark, which you can buy at the pharmacy, and grind it into a fine powder. Pour boiling water over the herb and simmer for 15 minutes. The cooled broth (during this time it will infuse) can be added to the bath where you will rinse the penis. Repeat the process for 10 minutes every day, three times.
Soda
A solution of sodium bicarbonate (popularly called soda) can be used for bath procedures. Its advantage is that overdose is practically excluded and there are no allergic reactions. To treat balanoposthitis in men, dilute 1 tablespoon of soda in warm water.
Attention! The procedure using soda is contraindicated if the attending physician has prescribed antibiotics for treatment!
Potassium permangantsovka
Potassium permanganate dries well and kills most viral infections, and acts as an anti-inflammatory and antibacterial solution. It is recommended to take baths after each urination.
- Pour a small amount of dry manganese into warm boiled water, shaking it off, and mix well.
- After the crystals have completely dissolved, you should get water with a soft purple tint.
Rinse the penis in the bath, thoroughly washing the head, for 3-5 minutes. Each time before use, you must make a new solution.
Dioxidine solution
Dioxidine solution 1% works well as a disinfectant, so it is recommended to use it for rinsing the glans penis. Dissolve one ampoule (10 mg) in warm water and stir well. The time for the rinsing procedure can vary from 3 to 10 minutes, depending on the complexity of the disease.
Furacilin solution
Furacilin has antibacterial properties and is quite effective in treating balanoposthitis in men. You can buy a 0.02% solution of furatsilin at the pharmacy, dilute it according to the recipe and pour it into the bath. Rinse the penis, thoroughly washing the head, with the solution every morning and evening throughout the course of treatment.
Attention! It is strictly forbidden to rinse the penis with balanoposthitis with preparations containing alcohol!
Chamomile
Chamomile decoction can be used as an antiseptic. Take 1 tbsp. lie herbs, brew a glass of boiling water and let it brew for 15-20 minutes. Pour the strained broth into a bath of warm water and you can carry out the rinsing procedure.
Series
A light decoction of the string is good at destroying viral pathogens due to its antibacterial properties. For the procedure you will need one tablespoon of herb, which was brewed with boiling water and left for 30 minutes.
Attention! It is recommended to brew all herbs in a thermos or in an airtight container so that they infuse well and can maximize their properties.
Dill
The procedure for washing the glans penis during balanoposthitis can be carried out using a tincture of dill roots. Finely chop 100 g of herb, boil in 0.5 liters of water for 5-10 minutes, and leave for 40-50 minutes. Pour the strained broth into the bath and rinse the penis thoroughly.
Sage
Sage leaves relieve inflammation and relieve itching. Two tablespoons of fine herbs are steamed in 500 ml of water, after half an hour the tincture is ready for the rinsing procedure.
Aloe
This is a universal remedy for many fungal and viral diseases. A tincture based on it can be used for daily genital hygiene and treatment of balanoposthitis. And use the leaves for compresses.
Aloe tincture
Take the bottom leaf, grind it into a pulp, and pour 200 ml of boiling water. Let it sit for 20 minutes and pour the contents into the bath. Carry out the procedure every day until complete recovery.
Aloe compress
- Peel the thick aloe leaf from the peel and thorns.
- Grind to a homogeneous paste and apply to the head of the penis, having previously freed it from the foreskin.
- Wrap with a bandage and hold for 15-20 minutes. After this, remove the bandage and rinse the penis with any decoction.
Plantain
Necessary:
- take a fresh plantain leaf;
- Rinse it thoroughly and mash until the juice begins to come out.
Apply the resulting leaf mass to the head of the penis for half an hour, you can fix it with a bandage or stay in a lying position. Repeat the procedure 5-6 times a day, using a fresh plantain leaf each time. The course of treatment is until recovery occurs.
The disease balanoposthitis in men is extremely dangerous; if treatment measures are not taken in time, this can lead to surgical intervention.
Source: https://lechim-prosto.ru/lechenie-balanopostita-u-muzhchin-v-domashnih-usloviyah.html
Diagnostics
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Balanoposthitis is a urological problem. Diagnosis and treatment are carried out by a urologist, but consultations with a venereologist and an infectious disease specialist may be necessary to differentiate the infectious agent.
The main study is external examination. For confirmation, general blood and urine tests, biochemical blood tests, tests for markers of syphilis and HIV are used. If the healing process is slow, bacterioscopic and bacteriological examination of the discharge of the urethra and preputial sac may be required to prescribe more specific antibacterial therapy. In some cases, if a urinary tract infection is suspected, an ultrasound examination of the pelvic and abdominal organs may be required.
Treatment
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The uncomplicated form of balanoposthitis is treated by performing hygiene procedures. Often, one week is enough for recovery if the prescribed treatment is strictly followed. In addition to local forms of drugs, immunomodulators and vitamins can be prescribed internally for a general strengthening effect. If balanoposthitis develops against the background of diabetes mellitus, consultation with an endocrinologist is required to correct glucose-lowering therapy. Surgical treatment is indicated in cases where balanoposthitis has developed against the background of phimosis. A single-stage excision of the foreskin is performed in a circle, which allows you to expose the head of the penis and apply medications directly to the site of inflammation. After the simple and erosive forms of balanoposthitis are cured, complete recovery occurs. It is worth mentioning that surgical manipulations are resorted to in deeply advanced cases - gangrene of the penis, due to the fact that this is a life-threatening condition and amputation is necessary.
Features of treatment
The first priority if pain and redness of the foreskin occurs is to contact a medical facility for help. After all, self-medication is quite dangerous; it can lead to many complications, even amputation of the penis - in the most advanced cases. The most effective treatment for balanoposthitis at home is considered:
- Compliance with personal hygiene rules.
- The use of antibacterial creams and ointments.
- Baths with antiseptics such as chamomile or furatsilin.
In the treatment of the disease, special attention should be paid to the choice of ointment. The outcome of the disease depends on its quality, properties and components. List of the most prescribed drugs for balanoposthitis:
- Levomekol is an anti-inflammatory and antiseptic drug and has antibacterial properties. However, its ability to penetrate tissue leaves much to be desired, so the ointment is used in combination with others.
- Lorinden-S - has a wound-healing effect, used for erosive balanoposthitis.
- Clotrimazole is an antifungal drug that kills pathogenic colonies and blocks the growth and reproduction of microorganisms.
- Lokasalen has proven itself in the fight against autoimmune diseases and is also an antihistamine.
The method of using ointments is quite simple: you need to rub a little of the prescribed drug directly into the affected area. No dressings should be applied on top, this leads to a greenhouse effect, and a humid and warm environment is favorable conditions for the spread of infection.
Expert opinion
Artem Sergeevich Rakov, venereologist, more than 10 years of experience
To speed up the healing process, you can take antiseptic baths: you will need to dilute furatsilin or chlorhexidine with boiled water in a clean container, according to the instructions. After which you can make lotions using a bandage. Hold for a few minutes.
Medicines
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Uncomplicated forms of balanoposthitis do not require special treatment and local antibacterial and anti-inflammatory therapy is sufficient for recovery. Warm baths with potassium permanganate and hydrogen peroxide are used. Ointments: Triderm, Dermozolon, Lorinden-S, decamin, xeroform. There are also special powders (dermotol, xeroform) that do an excellent job with inflammatory swelling. Deterioration of the condition, development of the ulcerative-necrotic form of the disease requires the mandatory prescription of antibacterial drugs.
Folk remedies
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Disinfecting baths for balanoposthitis.
Baths with furatsilin. Furacilin is an over-the-counter pharmaceutical product that has proven itself in the treatment of external infections. Used for stomatitis, for compresses for pustules on the skin, paronychia. In this case, diluted in water at room temperature.
Dioxidine baths. A 1% solution of dioxidine is used externally for erosive and ulcerative forms of balanoposthitis.
Soda baths. Baking soda baths are used only in cases where antibiotic treatment is not prescribed.
When using baths, the average time of use is 5-10 minutes. If any signs of an allergic reaction appear (itching, rash, swelling), you should immediately stop using this product and consult your doctor about replacing it.
Herbal applications and compresses
Use the pulp of an aloe leaf: apply to the site of inflammation for 10-15 minutes. It is possible to grind the pulp to a homogeneous mass and use the resulting pulp as a compress or application. Make a fresh batch each time
The plantain, previously washed, is also crushed into a homogeneous mass and applied to the inflamed area for 30 minutes, after which it should be replaced with a fresh leaf. It is recommended to repeat at least 5 times a day.
Decoctions and infusions
Decoctions are prepared from chamomile, currant leaves, lingonberries, cranberries, burdock root, and water kras. They are suitable both for oral use in equal portions throughout the day, and for baths. It must be remembered that it is better to use herbal decoctions freshly prepared, remembering to let them cool, rather than preparing them immediately for a week in advance. Decoctions left standing for a long time lose their medicinal properties.
The information is for reference only and is not a guide to action. Do not self-medicate. At the first symptoms of the disease, consult a doctor.
Treatment of balanoposthitis at home: effective remedies
Balanoposthitis is an inflammation of the inner layer of the foreskin and the mucous membrane of the head of the penis. The disease occurs against the background of a bacterial, fungal, viral infection or becomes a complication of balanitis, thrush and diseases transmitted through intimate intimacy.
Men are concerned about itching, redness and swelling of the skin in the head area, and purulent discharge. If balanoposthitis is diagnosed, treatment at home will be comprehensive: anti-inflammatory ointments and tablets. Conservative therapy methods can be combined with folk remedies.
Drug therapy
If symptoms of balanoposthitis appear, a man should pay attention to genital hygiene. It is necessary to rinse the head of the penis with running warm water 3 or 4 times daily. It is not recommended to use regular soap for acute balanoposthitis, as it dries out the skin. An intimate gel with a neutral pH or baby soap are more suitable.
After washing, the head of the penis is treated with antiseptics: Miramistin, Chlorhexidine, Chlorophyllipt. A pale pink solution of potassium permanganate will also work. In addition, decoctions of chamomile, calendula flowers, sage, and St. John's wort can be used for treatment. It is useful to make baths with herbs.
Medicines are prescribed taking into account the cause of balanoposthitis.
Antifungal drugs (Diflucan, Clotrimazole, Nystatin) in the form of tablets or ointments for external use help get rid of thrush at home. Apply a thin layer of gels to clean skin 2 times a day.
The duration of treatment for thrush in men depends on the severity of the disease. In case of intense inflammation, bacterial infection, foul-smelling discharge, in addition to external agents, systemic broad-spectrum antibiotics are prescribed.
Therapy for purulent balanoposthitis is carried out with Oxycycline, Suprax, Azithromycin, but you can take the drugs only after consulting your doctor! Antibiotic therapy is ineffective for viral, autoimmune, cancer or fungal etiology of the disease.
Ointments for the treatment of balanoposthitis
Combined products for external use can help cure uncomplicated balanoposthitis at home:
- Levomekol;
- Triderm;
- Loriden S;
- Synthomycin liniment;
- Miramistin.
Treatment of candidiasis is carried out with antimycotics: Pimafucin, Batrafen 1%, Candide cream. In advanced forms of balanoposthitis, antibiotics and glucocorticoids are needed. Tetracycline, Erythromycin, and Gentamicin ointments have an antibacterial effect.
If gangrenous inflammation of the foreskin and glans progresses, the disease will have to be treated promptly.
Taking oral medications for purulent forms is combined with tissue treatment with glucocorticoid gels. Ointments Trimistin, Hydrocortisone, Advantan quickly “quench” inflammation, relieve swelling, redness and itching.
Dermatol powder has antiseptic and astringent properties. It dries the weeping mucous membrane of the head, accelerates the healing of ulcers, erosions, and reduces burning. Streptocide in the form of an ointment or powder will help speed up tissue regeneration.
For viral balanoposthitis, treatment with antiviral agents (Altevir, Viferon, Gerpevir) and immunomodulators (Immunal, Echinacea, Interferon) is necessary.
Therapy for chronic balanoposthitis
It is more difficult to treat the recurrent form of the disease than the acute form. During periods of remission, there are no signs of inflammation, but redness and irritation of the skin on the penis may persist. When the immune system is weakened or infected with sexually transmitted diseases, an exacerbation develops.
Treatment of chronic balanoposthitis should begin immediately after the first symptoms appear. Men need to carefully observe the rules of hygiene, take antiseptic baths, using folk remedies or pharmaceutical preparations. It is necessary to regularly treat the head of the penis with Levomekol or Bepanten. Usually this is enough to stop the progression of the pathology.
If the disease continues to develop, antibiotic therapy and sanitation of chronic foci of infection are carried out. In advanced stages of balanoposthitis, complicated by phimosis, surgical intervention is indicated to excise the foreskin. After circumcision, the head remains exposed, bacteria cannot accumulate in the preputial sac, which reduces the likelihood of relapses.
The use of folk remedies
Drug treatment of balanoposthitis can be combined with the use of alternative medicine recipes. Oak bark, calamus root, and plantain have bactericidal, anti-inflammatory, astringent and disinfectant properties. Peppermint, calendula, and thyme help treat fungus.
Herbs can be brewed with boiling water (2 tablespoons per 0.5 liter) and baths can be made in the prepared solution. Do not use hot water - this will lead to burns and increase inflammation. The solution should be at room temperature.
Collection recipe for balanoposthitis:
- calendula flowers - 1 tablespoon;
- boiling water – 250 ml;
- sea buckthorn oil – 1 teaspoon.
The herb is brewed, allowed to brew for 2 hours, then filtered and cooled. Add sea buckthorn berry oil to the decoction, ½ tsp. aloe vera juice and mix everything thoroughly. A piece of cotton cloth is soaked in the resulting product and applied to the exposed head. You need to keep the compress for 5–10 minutes. The procedure is repeated daily before bed until complete recovery.
Treatment with folk remedies is permitted only after examination by a doctor. With purulent balanoposthitis, intense inflammation, and a closed preputial sac, warming and oil applications are dangerous. Such methods will increase swelling and complicate the outflow of pus!
For purulent discharge, solutions of Dioxidine, baking soda, potassium permanganate, Furacilin, and Chlorhexidine have a good effect.
Doctors recommend making baths out of them. To prepare the remedy, take an ampoule of Dioxidin 1%, warm it to room temperature, dilute it with saline 1:1 and add it to 0.5 liters of warm water. The penis is lowered into the container and held for 10 minutes. Instead of Dioxidin, you can dilute ½ teaspoon of soda or 2 crushed Furacilin tablets for the same volume of liquid.
Features of diet and lifestyle
To successfully cure balanoposthitis at home, you will have to give up habits that are harmful to your health and follow a work and rest schedule. You need to go to bed no later than 11 pm.
00, sleep should be at least 6-8 hours. Hiking in the fresh air, swimming, and cycling are useful.
Regular exercise stimulates weakened immunity and normalizes metabolic processes in the body.
During treatment of balanoposthitis, you need to eat a balanced diet.
The menu must contain fresh products. The basis of the diet consists of vegetables, fruits, juices and water. Decoctions with a mild diuretic effect will help relieve swelling faster.
During therapy, sexual contact is limited. And subsequently, men need to avoid promiscuity and use barrier contraception to prevent infection with STDs.
Possible complications of balanoposthitis
Without timely treatment, the disease becomes chronic. Balanoposthitis “overgrows” with complications:
- phimosis;
- paraphimosis;
- necrosis of the head of the penis;
- erectile dysfunction, impotence;
- inflammation of the prostate gland;
- urethritis, cystitis, pyelonephritis;
- inguinal lymphadenitis.
Treatment of balanoposthitis at home is carried out with medications for local and internal use. The penis is treated with antiseptics, ointments with anti-inflammatory and wound-healing effects, and hormones. Additionally, folk remedies are used: they make baths with decoctions of medicinal herbs, apply compresses to the inflamed head. You will have to reconsider your diet and lifestyle.
Source: https://azbukaurologa.ru/plot/lechenie-balanopostita-v-domashnix-usloviyax