Features of the manifestation of acute balanoposthitis in men. How balanoposthitis proceeds in men: symptoms and treatment Catarrhal balanoposthitis

Balanoposthitis is a disease that affects both women and men and even children.

Let's look at what balanoposthitis is, the main causes and symptoms of the disease. And also what is the danger of balanoposthitis and methods of its treatment.

ICD-10 code

N48.1 Balanoposthitis

Causes of balanoposthitis

Balanoposthitis is an inflammation that affects the head and penis in men. The disease can appear at any age, as the cause of inflammation can be a fungus, bacteria or contact dermatitis. Most often, children suffer from balanoposthitis. In childhood, the foreskin covers the glans penis, which significantly increases the risk of developing the disease. Boys with phimosis and narrow foreskin are susceptible to inflammation.

In some cases, inflammation appears due to violations of hygiene rules or poor mobility of the foreskin. Treatment of an inflammatory disease is aimed at eliminating painful symptoms and maintaining normal hygiene conditions.

As a rule, men are more likely to suffer from balanoposthitis in adulthood. The disease is a combination of prostitis and balanitis, that is, two separate diseases. So, with balanitis, inflammation affects the glans penis, and with pardon, the tissues of the foreskin. But most often, both problems occur at once, which is why the disease is called balanoposthitis.

The causes of balanoposthitis are varied, but, as a rule, inflammation appears due to a mixed infection. It is very difficult and not always possible to determine exactly which bacterium caused the disease. The most common causes of balanoposthitis: yeast fungus (the causative agent of candidiasis), streptococci, bacteroids, gardnerella. For the appearance of balanoposthitis, a combination of two factors is necessary - an infectious irritant and suitable conditions for its development. So, the infectious factor of the disease is the entry of the pathogen into the preputial sac.

The main causes and predisposing factors of balanoposthitis:

1. Unprotected intercourse with a partner who has vaginal dysbiosis. (In dysbiosis, the female vagina contains many bacteria that cause inflammation of the glans penis).
2. Anal sex without a condom and oral sex with a partner who has oral diseases.
3. Non-compliance with the rules of intimate hygiene leads to the fact that smegma begins to accumulate under the foreskin, which is an excellent field for the growth of any infections. It is smegma that causes inflammation and subsequently balanoposthitis.
4. The narrow foreskin and phimosis (the glans penis opens with difficulty or does not open at all) complicate the hygiene process, which leads to stagnation of decomposing smegma in the preputial sac.
5. Metabolic disorders and chronic diseases, for example, diabetes mellitus, are another cause of balanoposthitis. Drops of urine with a high sugar content fall on the glans penis and foreskin, which creates conditions for the development of infection.
6. Trichomonas or gonorrheal urethritis can also be the cause of balanoposthitis. Due to purulent discharge from the urethra, the resistance of the mucous membrane of the glans penis decreases, which leads to inflammatory manifestations.

All of the above causes and predisposing factors can cause balanoposthitis. Any infection that enters the glans penis immediately causes inflammation. Balanoposthitis proceeds for a long time, with periods of exacerbation, which is less treatable.

Balanoposthitis after sex

Balanoposthitis after sex is not uncommon. So, diseases of the vagina in a partner and unprotected intercourse are the main causes of balanoposthitis after sex in men. But the disease does not manifest itself immediately, but begins to mature. So, the incubation period of balanoposthitis depends on its type and can last from 2 days to several weeks, or even months. The danger is that during sex, partners pass pathogens to each other that cause discomfort. At the same time, even compliance with all the rules and norms of hygiene is not a protection against balanoposthitis after sex.

At the first signs of the disease, as a rule, neither men nor women are in a hurry to seek medical help. But, despite the manifesting painful symptoms, no one refuses sex. In some cases, hiding the symptoms of balanoposthitis in one of the spouses is the reason for infidelity. Timely diagnosis of the disease and treatment is an ideal option for preventing the development of infection and inflammation. But do not forget about the security measures that will help protect against balanoposthitis.

Balanoposthitis after circumcision

Balanoposthitis after circumcision occurs extremely rarely, since the procedure for removing the foreskin protects against the accumulation of bacteria and harmful microorganisms. Circumcision is the most effective and fastest method for eliminating balanoposthitis. Completely or partially removed foreskin opens the head of the penis and solves physiological problems. At the same time, the frenulum, which is the center of nerve endings, lymphatic and blood vessels, is not injured. Due to this, the operation avoids serious complications during the rehabilitation period.

If balanoposthitis is caused by phimosis, then circumcision allows you to solve two problems at the same time. The operation opens the glans penis and removes the foreskin, where bacteria and microorganisms accumulated, provoking inflammatory processes. Balanoposthitis after circumcision can occur if a man has a chronic form of this disease, erectile dysfunction, squamous cell carcinoma, or chronic prostatitis is impaired. In acute balanoposthitis, circumcision is contraindicated. Before the operation, it is necessary to eliminate the inflammatory process.

Is balanoposthitis transmitted?

Whether balanoposthitis is transmitted and how contagious this disease is is a very topical issue for patients who first encountered such an inflammatory process. Despite the fact that balanoposthitis is caused by fungal or bacterial microflora, the disease is predominantly not transmitted. So, for the occurrence of the inflammatory process, the presence of predisposing factors is mandatory. These factors include reduced protective properties of the immune system, damage to the integrity of the epithelial integument of the foreskin and the glans penis.

Urologists note that balanoposthitis is sexually transmitted, that is, a man can infect a woman. This is due to the fact that balanoposthitis is characteristic of both men and women. But a viral or fungal infection that caused the disease can easily infect a woman. This is possible with unprotected intercourse, that is, without a condom. Pathogenic or infected microflora of the female vagina can also cause infection in a man and the further development of balanoposthitis.

The main forms of balanoposthitis, sexually transmitted:

• Fungal balanoposthitis - the most common candidal balanoposthitis (thrush). The disease is transmitted during oral sex, since fungi can also multiply on the mucous membrane of the tongue and oral cavity.
• Gardnerella balanoposthitis is an inflammation caused by Gardnerella vaginali (anaerobic bacterium). The peculiarity of the bacterium is that it does not manifest itself for a long time. Unprotected intercourse provokes the development of balanoposthitis, which can turn into nonspecific urethritis.
• Circinar balanoposthitis - most often occurs due to infection with chlamydia. The peculiarity of this form is that red spots of a cylindrical shape with clearly defined boundaries appear on the glans penis. It is possible to become infected with circinary balanoposthitis during unprotected intercourse, oral and anal sex.

Symptoms of balanoposthitis

Symptoms of balanoposthitis appear individually for each patient and depend on the form of the disease. There are not so many typical manifestations of inflammation. The main symptoms are pain localized on the glans penis and itching. Very often, at the beginning of the development of the disease, the patient does not notice signs of an inflammatory process. And this is not surprising, since balanoposthitis is characterized by an atypical, asymptomatic course in the first stages of development.

But in most cases, the symptomatology of balanoposthitis manifests itself as skin hyperemia, swelling of the glans penis, plaque in the coronal sulcus and on the head, rash, swollen lymph nodes in the groin, erosive and ulcerative lesions.

The peculiarity of balanoposthitis is that the disease can be manifested by a large number of different symptoms, which at first glance are not interconnected. But professional urologists combine the symptoms of balanoposthitis into three groups:

1. Discomfort in the glans penis, causing inconvenience (pain, itching, burning, pain). Some patients note increased sensitivity and premature ejaculation due to balanoposthitis, which negatively affects the duration of sexual intercourse.
2. Cracks, ulcers, redness, dryness, irritation, red spots and other external signs of the disease.
3. Intense discharge from the head of the penis. Normally, smegma is formed in a small amount, but due to balanoposthitis, the discharge can be so intense that the patient has to carry out hygiene procedures and change underwear several times a day.

All of the above symptoms can appear both simultaneously and separately. But the presence of any of the above symptoms may indicate the presence of balanoposthitis. Without proper treatment, the disease begins to progress and becomes pustular-ulcerative, phlegmonous or gangrenous. In some cases, patients develop inguinal-femoral lymphadenitis. And due to the acute course of inflammation, chronic pain and hyperemia of the skin, phimosis may develop, as cicatricial wrinkling of the skin occurs.

The incubation period of balanoposthitis

The incubation period of balanoposthitis is the length of time from the moment of infection until the first symptoms of the disease appear. If we talk about balanoposthitis, then it is necessary to understand that infection can occur not only due to unprotected intercourse, but also due to a weakened immune system and the presence of chronic diseases.

Most often, balanoposthitis is caused by non-specific microorganisms: Proteus, Candida fungi, staphylococci, streptococci, E. coli. The appearance of inflammation can provoke the use of corticosteroids or long-term antibiotic therapy. In this case, it is meaningless to talk about the incubation period.

Balanoposthitis is a disease that does not have a time frame for the appearance of the first symptoms after infection. The incubation period of balanoposthitis depends on factors such as:

• What microorganisms caused the inflammatory process. Urologists note that microbes and bacteria of ureplasma, chlamydia, mycoplasma, gardnerella and Candida fungi can be transmitted during anal and oral sex, causing symptoms of balanoposthitis.
• The individual characteristics of the body and the protective properties of the immune system also play an important role in the incubation period of the inflammatory process.

So, if the patient's immune system is weakened, then due to external infection, the incubation period of the disease can last from several days to a week. If the immune system is normal, then the incubation period can last from three weeks to a month. But some types of balanoposthitis, for example, gardnerella, in the first stages are asymptomatic.

Temperature with balanoposthitis

Temperature with balanoposthitis is a rare symptom that occurs only in the acute course of the disease or in patients with a weakened immune system. As a rule, high temperature occurs due to the progression of the disease and the increase in painful symptoms. So, along with a high temperature, patients may experience hyperemia and swelling of the glans penis.

In some cases, the temperature with balanoposthitis indicates that there are several foci of inflammation in the body. With such symptoms, it is necessary to urgently seek medical help. The doctor will prescribe treatment to relieve painful symptoms and high fever. And after passing the tests and diagnostics, the urologist will prescribe treatment and preventive measures to eliminate balanoposthitis.

Allocations with balanoposthitis

Discharge with balanoposthitis is one of the symptoms of the inflammatory process in the body. In any healthy man, the formation of smegma (sebum secretion) occurs on the head of the penis. As a rule, the discharge is not significant and, if the rules of hygiene are observed, do not cause problems. With balanoposthitis, the discharge intensifies, which makes it necessary to carry out hygiene procedures several times a day. In some cases, due to heavy discharge, a man has to change his underwear.

If hygiene rules are not followed, discharge during balanoposthitis will intensify, causing concomitant symptoms: pain, burning, itching, swelling of the glans penis, and so on. In any case, heavy discharge for men is not the norm and requires the consultation of a urologist.

Forms

ICD 10 is an international classification of diseases. Balanoposthitis refers to urological diseases, in the registry and medical records it has the code N48.1

In addition to balanoposthitis, the group of urological diseases according to ICD-10 includes:

• N00-N99 Diseases of the genitourinary system.
• N40-N51 Diseases of the male genital organs.
• N48 Other diseases of the penis.
• N48.1 Balanoposthitis

Balanoposthitis in men

Balanoposthitis in men is the most common sexually transmitted disease. Balanoposthitis presents two different lesions - fasting and balanitis. Postitis is an inflammation of the tissue of the foreskin, and balanitis is an inflammatory process on the glans penis. The simultaneous presence of both diseases is called balanoposthitis. There is primary and secondary balanoposthitis, they differ in the nature of their occurrence. Let's take a closer look at the etiology of balanoposthitis in men.

• Primary balanoposthitis in men develops due to non-compliance with the rules of personal hygiene. The disease can also appear due to phimosis and the accumulation of smegma in the preputial sac. Because of this, mechanical irritation of the mucous membrane occurs, and then, in the process of decomposition, chemical irritation of the foreskin and glans penis. The causes of primary balanoposthitis may be associated with the use of strong antibiotics or the use of intimate hygiene products, which include chemicals.
• Secondary balanoposthitis in men develops against the background of chronic diseases (urethritis, diabetes mellitus, allergic diseases). Colds, mechanical trauma, temporary lack of hygiene measures, frequent change of sexual partners or hypothermia can serve as a factor in the development of the disease. This category of balanoposthitis requires special treatment, since the disease can recur.

Balanoposthitis in women

Balanoposthitis in women is a Trichomonas form of a fungal disease. The symptoms of balanoposthitis and the causes of its occurrence in women are no different from the symptoms and causes of this disease in men. Balanoposthitis can appear due to a yeast fungus, be a symptom of urethritis, or act as an independent disease. Balanoposthitis may appear due to chronic diseases, long-term use of drugs or reduced protective functions of the body. That is, the disease is of an infectious nature and very often appears along with candidiasis, that is, thrush.

In order to diagnose balanoposthitis and prescribe effective treatment, a woman needs to undergo a series of studies, take tests and smears. Based on the results of the tests, the doctor determines the form of the disease and its cause, draws up a treatment regimen.

Treatment of balanoposthitis in women and men is the same. In the early stages of the disease, the doctor prescribes regular hygiene procedures with furacilin solution or hydrogen peroxide. In advanced cases, the doctor prescribes general or local antibiotics. As a rule, the duration of treatment does not take longer than 7-10 days.

Complications and consequences

A question that interests many men who have been diagnosed with this disease. The danger of balanoposthitis is that without treatment, the inflammatory process from the head of the hollow member gradually affects the urethra, which leads to the development of urinary tract infections. And due to inflammation of the foreskin, cicatricial phimosis may begin to form. If the disease is chronic and often recurs, then this can cause reduced sensitivity of the glans penis and atrophy of the receptor apparatus. As a result, balanoposthitis negatively affects the quality of sexual life and potency in general.

Balanoposthitis is an infectious inflammation of the glans penis and foreskin. The disease has several varieties, which depend on the course of the disease and the localization of inflammation. The etiological factors of balanoposthitis are harmful microorganisms (fungi of the genus Candida, staphylococci, Escherichia coli, gardnerella).

Balanoposthitis is acute and chronic, and depending on the severity of inflammation: superficial, erosive and gangrenous. The danger of the disease is that it is transmitted during sexual intercourse. So, if a partner has colpitis of various etiologies, then this can cause infection of a man and the appearance of balanoposthitis.

Complications of balanoposthitis appear in those patients who refuse therapy or have not completed the treatment regimen prescribed by the urologist. Complications also arise due to improperly selected therapy and exacerbation of chronic diseases. Let's look at the main complications of balanoposthitis:

• Lymphagenitis is an inflammatory disease that affects the vessels of the penis and inguinal lymphadenitis. Due to the lack of treatment, such a complication can lead to amputation of the penis or lead to gangrene.
• Gangrenous balanoposthitis is a serious complication that occurs due to the advanced erosive form of balanoposthitis. With gangrenous inflammation, the patient's temperature rises, intoxication of the body, swelling, necrotic purulent sores on the genitals are observed. It is this form that always causes phimosis, and can also cause perforation of the foreskin and slowly healing ulcers.
• Oncology is the most dangerous of all possible complications of balanoposthitis. Malignant tumors of the penis are irreversible, accompanied by prolonged inflammation and other pathological symptoms.

Consequences of balanoposthitis

The consequences of balanoposthitis largely depend on the type and form of the inflammatory and infectious disease. The consequences are affected by the age of the patient and the characteristics of the body, the presence of chronic diseases and the symptoms that manifest themselves with balanoposthitis. Also, the consequences of the disease are affected by incorrect and untimely treatment. Let's look at the consequences of inflammation, which most often occur:

• Atrophy of receptors on the glans penis. This significantly reduces the sensitivity of the penis and leads to violations of sexual functions (problems with potency, decreased sensation during orgasm).
• An uncontrolled inflammatory process that occurs with balanoposthitis can move to other organs and cause a number of concomitant diseases.
• Urethritis, that is, inflammation of the walls of the urethra, is the most common consequence of balanoposthitis, causing cramps and pain during urination, as well as the accumulation of purulent masses in the urethra.
• A prolonged inflammatory process leads to deformation and compaction of the tissues of the penis. Scars, phimosis and paraphimosis appear on the penis (infringement of the glans penis). Paraphimosis causes severe pain, blueness and enlargement of the glans penis.

Diagnosis of balanoposthitis

Diagnosis of balanoposthitis begins with a visual examination by a urologist, microscopy, smears and bacterial culture to determine the pathogen and draw up a treatment plan. An analysis is mandatory to exclude syphilis, as well as a blood test to determine the level of sugar and consultation with an allergist. The peculiarity of balanoposthitis is that the disease, as a rule, does not cause difficulties in diagnosis. If balanoposthitis is suspected, the patient must undergo and pass a number of the following tests and diagnostic methods:

• Visual examination by a urologist.
• Bacterial culture of secretions from the surface of the head of the penis and urethra.
• Blood sugar and glucose levels.
• Research on sexually transmitted diseases.
• Serological tests for syphilis.
• Smears-imprints from the glans penis and foreskin.

In the process of diagnosing balanoposthitis, the doctor must differentiate such diseases as:

• Psoriasis.
• Cancer of the penis.
• Lichen sclerosus is a chronic lesion of the skin of the penis, which manifests itself in the form of whitish plaques.
• Leukoplakia of the penis.
• Reiter's disease is a ring-shaped lesion of the head of the penis that causes erosion on the mucous membrane of the penis.
• Balanitis Zun - redness of the head of the penis, the appearance of red shiny spots.

Analyzes for balanoposthitis

Analyzes for balanoposthitis is one of the diagnostic methods that allows you to accurately determine the type of inflammation and prescribe an effective treatment. Let's look at the main tests for balanoposthitis, which must be passed:

• Scraping from a damaged surface to identify pathogenic microorganisms and fungi. Most often, a culture method is used to differentiate bacteria.
• PCR (polymerase chain reaction) - used to determine vaginosis-associated microorganisms.
• Bacterial culture to detect anaerobic microflora (Gardnerella vaginalis, Mobiluncus spp.).
• Tests for sexually transmitted infections by PCR.
• Microscopy of smears-imprints from intact vesicles to detect genital herpes.
• Bacteriological studies of secretions from the head of the penis (streptococci, staphylococci).
• Blood sugar test and examination by an allergist.
• Cultural and bacterioscopic examination for trichomoniasis and gonorrhea.

Forecast

The prognosis of balanoposthitis completely depends on at what stage of the development of the disease the patient sought medical help, and how much the inflammatory process is running. As a rule, the prognosis of balanoposthitis is favorable. But some forms of the disease can become chronic or recurrent. With advanced or acute balanoposthitis, the urologist may prescribe circumcision, that is, excision of the foreskin. In especially difficult cases, the penis is amputated and a drain is placed to remove urine.

Balanoposthitis is an inflammatory lesion of the head and foreskin of the penis. The danger of the disease is that even newborn children are susceptible to it. And some forms of inflammation are transmitted during sexual intercourse and can occur in women. Compliance with the rules of intimate hygiene, changing underwear and using condoms during intercourse will help to avoid inflammatory lesions. But at the first symptoms of inflammation and any other ailments in the genital area, it is necessary to seek medical help and treat balanoposthitis.

Balanoposthitis in men is a disease that is characterized by inflammation of the glans penis, as well as the foreskin. This pathology cannot be called dangerous, since with timely measures taken, balanoposthitis is easily eliminated with the help of drug treatment.

Why can balanoposthitis appear?

How is balanoposthitis manifested (symptoms)?

The symptoms of balanoposthitis are quite pronounced, and therefore it is quite difficult to confuse them with other signs or diseases. As a rule, the patient begins to feel itching and burning in the head or foreskin of the penis. In addition, there are painful sensations with almost any touch to the genitals. Especially these symptoms are manifested during sexual contact, as well as during hygiene procedures.

In addition to these signs, a man can detect redness on the skin in the area of ​​\u200b\u200bthe head of the penis, sometimes on the foreskin. In this case, small erosions and bubbles may also occur. Over time, pus is released from the vesicles, which is accompanied by an unpleasant odor.

There are three degrees of balanoposthitis:

• catarrhal;
• erosive;
• gangrenous.

If you strongly start the development of the disease, balanoposthitis can take the form of gangrene, which is very dangerous for the male body and the functions of the genital organs.

Treatment of balanoposthitis with pharmaceutical products

How to treat balanoposthitis is primarily affected by the degree of neglect of the disease. When balanoposthitis appears, the first thing to do is prescribe drugs for local effects. Antibiotic ointments, such as Levomekol or synthomycin ointment, are well suited in this case. You can also use antiseptic solutions. Tablets are mainly used only in more advanced stages of the disease. Therefore, it is much better to start treatment immediately after the first symptoms appear.

Before applying the ointment to the surface of the penis, it is necessary to thoroughly rinse the groin area. During the treatment of balanoposthitis, it is necessary to increase the number of hygiene procedures per day. It is advisable to wash the penis after each urination. It is very important during therapy to prevent further spread of infection.

It is useful for balanoposthitis to make baths with medicinal solutions. These procedures will help get rid of unpleasant and painful symptoms. Do not use solutions and preparations containing alcohol for baths. It is necessary to carry out the procedure after each washing of the genitals. After that, a layer of ointment is applied to the area of ​​​​inflammation. The following preparations can be used as a solution for baths:

• Furacilin. It is not recommended to leave the solution for a long time, it is better to prepare it immediately before the procedure.
• Miramistin. A drug with antiseptic properties, you can use it in the form of a solution.
• Sanguirythrin. An antimicrobial agent, it is advisable to make a solution right before the procedure so that it does not lose its properties.
• Potassium permanganate. A pale pink bath solution should be made, the main thing is not to overdo it with the concentration. In general, potassium permanganate well reduces the discomfort from the disease and disinfects;
• Rotokan is a drug with an antiseptic effect. In addition, this tool well relieves inflammation and improves the process of cell repair.

After the procedure for washing the penis and baths, an ointment is applied to the skin at the site of inflammation (not too thick a layer so that it can be absorbed normally). The most common drugs that are available in the form of ointments are the following:

• Levomekol. The ointment relieves the inflammatory process well, and also has antiseptic properties. In addition, Levomekol is a fairly effective antibiotic that destroys bacteria from the surface of the skin, as well as in internal tissues. The only negative of the product is that the ointment is quite thick, so it does not penetrate well under the skin.
• Triderm. This ointment is one of the most effective drugs. It perfectly fights not only bacteria, but also fungi. Thanks to the hormones included in the composition, the ointment quickly reduces signs of inflammation.
• flumethasone pivalate. This ointment is a hormonal drug that effectively fights inflammation. But, unfortunately, the remedy does not affect the pathogens of the infection. Therefore, you can use such an ointment only to get rid of itching, burning and pain.

In the event that balanoposthitis is at a more advanced stage, the doctor prescribes medications that will actively fight pathogenic microflora. These can be antibiotics, if the disease appeared due to the multiplication of bacteria, or antiviral drugs. Sometimes therapy is carried out with the help of antifungal agents, if a man has candidal balanoposthitis.

Treatment of candidal balanoposthitis in men

The causative agent of candidiasis is present in the body of any person in a passive state. However, with a decrease in immune defense, the fungus becomes active and begins to multiply, and a person begins to notice some signs of inflammation that has appeared. As a rule, the symptoms of candidiasis are redness in the area of ​​​​the glans penis and foreskin, as well as itching and burning, in other words, balanoposthitis. In parallel with these signs, a man notices discharge from the urethra, similar to cottage cheese with a characteristic unpleasant sour smell.

Treatment of candidal balanoposthitis is carried out systemically. Firstly, local remedies are used, namely: ointments or creams Lamisil and Clotrimazole. First you need to wash the penis, and you need to do this several times a day. After that, it is recommended to use baths with healing solutions. Only after that, an ointment is applied to the area of ​​\u200b\u200binflammation.

To destroy fungi in the body, the drug Fluconazole is used. This tool actively destroys fungal microorganisms and makes the healing process faster. Rarely, in a neglected state or in the presence of other harmful microorganisms, antibiotics are used.

Since the fungus begins to actively multiply during a period of reduced immune protection, it is possible to additionally connect drugs that increase immunity to therapy. In addition, it will not be superfluous to drink a complex of vitamins.

In no case should you forget about your sexual partner. The causative agents of candidiasis are easily transmitted through sexual contact, therefore, in order to avoid relapse, the partner must also undergo treatment. For the duration of therapy, it is better to give up sex.

Erosive balanoposthitis

The erosive form of balanoposthitis is distinguished by the fact that painful areas appear on the head of the penis and foreskin, which greatly affect the genital organ. As a rule, small bulges first appear, after which the skin on these formations dies and falls off, leaving red wounds on the head of the penis.

Treatment of erosive balanoposthitis should be started immediately after the first erosions appear. This form of the disease is dangerous complications that may occur after it. For example, due to the large number of lesions on the skin, a man may lose the sensitivity of the penis, which, of course, will negatively affect the quality of his sexual life.

Often, due to erosive balanoposthitis, phimosis begins in men. The treatment of this disease in most cases is reduced to surgery. The advanced stages of balanoposthitis can provoke a narrowing of the urethra. Of course, such changes negatively affect the natural processes of the body and cause a lot of inconvenience to the patient.

Sometimes inflammation from the penis passes to the kidneys, which, of course. It negatively affects the patient's condition in general. The lack of treatment for balanoposthitis often causes, since the inflammatory process spreads through the organs of the reproductive system, depriving a man of the opportunity to have sex normally.

Erosive balanoposthitis is treated in the same way as a normal one, but in no case should its treatment be postponed.

Treatment of balanoposthitis at home

Various folk remedies can positively affect the healing process. As a rule, they are used only as an addition to the main therapy, however, sometimes men manage to completely get rid of the disease. This mainly occurs in the early stages, when inflammation has just appeared.

The most popular remedy that can be easily used at home are medicinal baths using herbal decoctions. Well suited for these purposes:

• chamomile,
• hypericum,
• sage
• and oak bark.

In addition to the fact that these plants relieve inflammation, they also have an antiseptic effect. Many patients after such procedures note a significant reduction in pain, itching and burning. In general, these funds contribute to a speedy recovery, especially if you use folk recipes along with medicines.

The same decoctions and herbal infusions can be used as compresses if the baths are not quite suitable. Aloe is also well suited for lotions, you can take juice from its leaves, or make a tincture. The compress should be applied to the area of ​​​​inflammation twice a day for about half an hour. Such a remedy is very effective in combating balanoposthitis of the head. Additionally, you can make bandages on the genitals with plantain leaves.

Sea buckthorn oil can be used as a good restorative agent. It needs to be applied regularly for fast results. It is necessary to smear the surface of the penis only after carrying out hygiene procedures.

In a similar way, you can use a tincture of calendula flowers, made on the basis of vegetable oil. These funds are so effective due to the fact that the oils penetrate well under the skin and eliminate the inflammatory process. In addition, the oil has a positive effect on the skin, eliminating the unpleasant signs of inflammation.

The only way to cure balanoposthitis quickly is to use complex therapy. You can not be limited only to folk remedies, an important point is the use of topical preparations. In addition, one should not forget about the rules of personal hygiene. If the measures taken do not give a result, you need to contact a specialist and undergo a full examination.

Is it possible to go to the sauna with balanoposthitis?

Of course, water hygiene procedures are useful for balanoposthitis, however, a sauna is not a suitable option.

• Firstly, in such places you can become infected with other harmful microorganisms, which will definitely aggravate the situation.
• Secondly, at elevated temperatures, pathogenic microflora can begin to develop faster.

You should also not forget that overheating of the body threatens to weaken the immune defense, which, again, will cause an acceleration in the reproduction of fungi or bacteria. For the period of treatment of balanoposthitis, it is advisable to refuse to visit baths, saunas, pools and other similar places.

Balanitis and balanoposthitis - what's the difference?

Balanitis and balanoposthitis are often confused with each other. However, these pathologies have a clear distinction.

Balanitis is an inflammation of only the head of the penis, and balanoposthitis is an inflammatory process that also covers the foreskin of the penis. The symptoms are the same and so is the treatment. Balanoposthitis is often accompanied by phimosis, especially in children. This is due to the fact that the inflammatory process from the surface of the foreskin penetrates inside.

As a result, pus or other unpleasant substances can be secreted from under the foreskin of a man or boy. Treatment of balanoposthitis should not be delayed, since when phimosis appears, you will have to do it.

Treatment of balanitis, as well as balanoposthitis, is carried out with the help of ointments. Baths with medicinal solutions can also help well in this situation.

It is much easier and faster to cure balanitis, therefore, when the first symptoms appear, namely, one should, without delay, consult a doctor and begin therapy.

Consequences of balanoposthitis

Acute balanoposthitis, if not properly treated, can develop into a chronic one. In this case, the man first appears on the head of the penis with erosion, that is, small wounds that gradually spread throughout the penis. In this case, the patient experiences severe pain and discomfort during movements and natural procedures.

Over time, the inflammation spreads to, causing the appearance of red stripes on the surface of the penis. Further, harmful microorganisms spread through the urination channels and organs of the genitourinary system. Often men develop prostatitis, as well as diseases of the urethra.

If left untreated or if the therapy is incorrectly prescribed, the inflammatory process can turn into gangrene of the genital organ. In this situation, drug treatment will be absolutely useless, the only way out in the formation of gangrene is the amputation of the diseased organ.

Balanoposthitis is a disease that at first glance seems completely harmless. However, the lack of treatment leads to serious consequences. It is necessary to take action immediately after the first symptoms are detected. According to patient reviews, the most effective treatment for balanoposthitis is with the use of complex therapy. Before starting treatment, it is necessary to undergo an examination with a doctor so that he correctly diagnoses and prescribes the right treatment.

Balanoposthitis in men is a disease in which the glans penis becomes inflamed, as well as the foreskin. The disease occurs at absolutely any age, and etiological factors can have both infectious and non-infectious genesis. Compliance plays an important role in the occurrence of the inflammatory process.

Balanoposthitis is mainly treated on an outpatient basis. You should not hope that the problem will go away by itself, an untreated disease can lead to serious reproductive disorders and even cause cancer of the penis.

Self-medication is unacceptable. In order to completely get rid of the disease, you should contact a specialist who can find out with the help of an examination the true causes of inflammation. According to the international classification of diseases, balanoposthitis has a microbial code 10: N48.1.

Provocative factors of development

Absolutely any disease develops under the influence of certain causes that are physical or infectious in nature, balanoposthitis is no exception. The causes of the disease are varied, first consider the infectious etiology of inflammation of the penis:

• , syphilis, human papillomavirus, genital herpes;
• gardnerellosis;
• candidiasis;
• streptococcal and staphylococcal infections.

Now consider the non-infectious causes of balanoposthitis:

• mechanical irritation of the skin of the head or foreskin of the penis;
• diabetes;
• psoriasis;
• lichen flat.

Experts identify other factors that affect the occurrence of the pathological process:

• failure to properly observe the rules of personal hygiene. Accumulations of dirt are a breeding ground for the active reproduction of pathogens;
• as a result of phimosis - narrowing of the foreskin, normal hygiene is simply difficult;
• allergic reactions;
• weakened immunity;
• promiscuity in sexual relations. This also includes unprotected sex and frequent sexual activity;
• exposure to chemicals that may be contained in condoms, as well as intimate hygiene products;
• autoimmune diseases;
• chronic diseases;
• diseases of the genitourinary system, in particular, cystitis, prostatitis.

Symptoms

The disease is characterized by pronounced clinical symptoms, the signs of balanoposthitis are generally difficult to confuse with something else. Usually, all patients complain of a burning sensation and itching in the area of ​​the glans penis and foreskin. In addition, any contact with the penis causes excruciating pain. Sexual intimacy, hygiene procedures - all this causes discomfort.

Also, the genital organ is hyperemic, in some cases even bubbles and erosion appear. Sometimes there is even a discharge of purulent secretion from the vesicles, which is accompanied by an unpleasant odor.

Consider the signs of balanoposthitis, depending on the cause of its occurrence:

• gonorrheal form is accompanied by lesions of the urethra;
• chlamydial type usually proceeds according to the type of balanitis, in which the head is covered with red spots with clear contours;
• trichomonas balanoposthitis is mostly a consequence of urethritis. Purulent accumulations have a characteristic yellow-white color of a frothy character with an unpleasant odor;
• with a candidal type, a white coating of a cheesy character appears in the form of lumps;
• the herpetic form is characterized by the appearance of vesicles on the penis with transparent watery contents. Often it occurs in a chronic form.

Now consider the features of the course of the disease depending on non-infectious etiological factors:

• diabetes. Depending on the age of the patient and the duration of the course of the disease, the symptoms may vary slightly. Patients complain of increased pain sensitivity, redness, as well as the appearance of cracks and ulcers;
• with psoriasis, the skin is affected not only on the penis itself. Red nodules appear, which are covered with scales;
• lichen flat. Flat nodules of irregular shape appear, which tend to merge with each other.

Stages of the disease

Clinical symptoms depending on the stage of the pathological process may differ:

1. Simple balanoposthitis. This is the mildest form of the disease. This stage can usually be cured in as little as one week. Simple balanoposthitis is characterized by the appearance of the following symptoms: redness, swelling, burning, itching, pain, maceration, erosion and purulent discharge from the urethra.
2. Erosive balanoposthitis is characterized by the formation of erosions on the head of the penis and foreskin. After the erosion heals, there is no trace left in their place. It all starts with the fact that a film forms on the penis, then it disappears, and erosion forms in its place. Usually this stage is also characterized by an increase in inguinal lymph nodes.
3. Gangrenous balanoposthitis is the most severe form of the disease. At this stage, the general condition of the patient is disturbed: the body temperature rises, weakness and general malaise appear. First, ulcers form, after healing of which scars remain. They, in turn, provoke the development of phimosis. Another complication of ulcers is the appearance of perforation in the foreskin.

Kinds

Depending on the nature of the course of the pathological process, balanoposthitis is of two types:

• spicy;
• chronic.

Acute balanoposthitis

The acute form is characterized by a sudden onset and a severe course of the disease. These types of balanoposthitis are acute:

• erosive;
• purulent;
• gangrenous.

Separately, I would like to say about the purulent form. It is caused most often by a fungal infection, as well as by staphylococci and streptococci. And sometimes the purulent type can be the result of diabetes, allergies, or purulent urethritis.

It is not difficult to distinguish this form; deep lesions of a purulent-necrotic nature appear on the surface of the foreskin and the head of the penis. The penis itself is enlarged and acquires a bright red hue.

Chronic balanoposthitis

Compared with the acute form, the chronic one does not have such pronounced clinical symptoms, and nevertheless, itching and rashes on the penis cause quite a few concerns. Men often report that during treatment, the symptoms begin to subside, but after stopping the use of medications, the disease may return again.

The main causes of chronic balanoposthitis are the following factors:

• chronic prostatitis;
• chronic candidiasis;
• STDs;
• chronic foci of infection, for example, otitis media, tonsillitis, sinusitis;

The chronic form appears as follows:

• itching and burning of the head of the penis, aggravated by intercourse;
• hyperemia and rashes;
• white bloom;
• pink papules;
• increased dryness and cracking.

Depending on the causes of occurrence, balanoposthitis is infectious and non-infectious. Let's talk about the types of infectious forms.

Infectious balanoposthitis

Let's single out the main types of infectious balanoposthitis:

• candidal balanoposthitis is caused by yeast-like fungi. It manifests itself in the form of swelling, hyperemia, red spots. If left untreated, erosions, ulcers, and profuse discharge may appear. The acute form can be manifested by acute pain and fever;
• the gardnerella form is characterized by the appearance of itching, burning of the penis, painful urination, as well as grayish discharge with an unpleasant odor;
• anaerobic balanoposthitis. Anaerobic bacteria cause the development of a mild or erosive form. The mild type is characterized by the appearance of an unpleasant fishy odor, light plaque and mild erythema. The erosive type is characterized by the occurrence of purulent erosions and raids that have a specific odor
• follicular balanoposthitis develops most often due to stagnation of urine or smegma. On palpation, the specialist detects dense small nodes. Usually the process spreads further, affecting the urethra;
• circinary balanoposthitis. Caused by a chlamydial infection. Characteristic spots appear in the head area, but roughness is not present.
• herpetic balanoposthitis is one of the most common types of the disease. It is characterized by a characteristic rash and is treated with corticosteroid and antiherpetic drugs;
• trichomonas form is a secondary process that develops against the background of urethritis;
• bacterial balanoposthitis is mostly diagnosed in boys under three years of age and is associated with the physiological characteristics of the body.

Other types

Despite the fact that these varieties are not so common, you should also be aware of them:

• allergic. Occurs due to the presence of an allergic agent or genital allergy. Patients complain of itching, burning, pain, swelling and redness. As the increased reaction progresses, spots, blisters and even erosion may appear. Food, condoms, gel ointments - all this can cause an allergic reaction;
• Balanoposthitis in diabetes mellitus develops in men in eighty percent of cases. Due to the polymicrobial etiological factor and the persistence of this form, the treatment process is very difficult. Patients note the presence of ulcerative lesions, bleeding of the head of the penis, as well as the presence of cracks and redness;
• the adhesive type most often occurs in young boys as a result of malformations. The child may be disturbed by bleeding wounds and discharge;
• xerotic balanoposthitis often occurs in a chronic form. Its appearance can be caused by such reasons: autoimmune processes, hormonal failure, mechanical damage, infectious agents, hereditary factor. Whitish spots appear on the penis, and atrophic changes in the skin are also activated. A whitish sclerotic ring is a clear sign of xerotic balanoposthitis. In dynamics, scars appear, leading to the development of phimosis;
• irritant. Stagnation in combination with insufficient hygiene form the appearance of an inflammatory process. A characteristic feature of this form is redness and sponginess of the skin on the genitals;
• a traumatic form may occur due to wearing tight squeezing underwear or pinching the penis with a zipper on the pants. Also, contact of the penis with an aggressive chemical agent, for example, when underwear is not rinsed well, can cause inflammation in the form of swelling and redness.

Possible Complications

The disease can lead to serious complications if the provoking factors of development are not eliminated in a timely manner or self-medication is carried out. Let's highlight the common complications that can occur against the background of balanoposthitis:

• inflammation of the inguinal lymph nodes;
• necrotic changes in the penis;
• inflammation of the lymphatic vessels;
• urethritis;
• decreased sensitivity of the penis as a result of atrophic changes;
• impotence;
• paraphimosis;
• decrease in orgasm.

Most of these complications are difficult to treat, and some of them are completely incurable. This should be an incentive to consult a doctor without hesitation in time.

Balanitis and balanoposthitis: what's the difference?

Despite the fact that many people confuse with balanoposthitis, these two pathologies have a clear difference! Balanitis is a disease in which the inflammatory process affects only the head of the penis, while the foreskin also suffers with balanoposthitis.

As for the clinical manifestations and the treatment process. These moments are similar in both diseases. Nevertheless, it is much easier to cure balanitis, therefore, if hyperemia and itching occur, it is better to consult a doctor without delay.

Balanoposthitis in a child

Balanoposthitis is a common problem in pediatric practice. It is this disease that is the most common reason for parents to visit a surgeon. In childhood, the disease is caused by such reasons:

• excessive release of smegma and its further accumulation;
• hypertrophic form of phimosis;
• failure to properly comply with the rules of intimate hygiene. Due to physiological reasons, the foreskin is narrowed in young boys. In general, it is normal to completely expose the head only by three or even five years. Some parents may try too hard, resulting in injury. Pathogenic microorganisms penetrate through microcracks, which provoke the inflammatory process;
• overheating of the penis due to wearing a diaper or warm clothes out of season;
• inflammation of the urinary system;
• antibiotic therapy can lead to the development of a fungal infection;
• an allergic reaction to drugs, food, care products, powders, etc.;
• irregular change of underwear.

Children begin to worry about the following symptoms:

• hyperemia and swelling of the penis;
• the foreskin is poorly retracted;
• the appearance of white-yellow discharge;
• frequent urination, which is accompanied by pain;
• itching and burning of the penis.

Balanoposthitis is treated by a urologist. As soon as you notice the appearance of the above symptoms, contact your doctor immediately. Inaction can lead to the development of phimosis, which will require surgical intervention.

If at the moment you do not have the opportunity to contact a specialist, the following actions will help alleviate the condition of the child:

• put the child in a bath with warm water;
• gently wash the penis with baby soap without fragrances and dyes;
• pull the skin of the penis up, while not exposing the head;
• inject a solution of furacilin into the gap using a syringe without a needle;
• you can immerse the penis in a herbal decoction, a solution of furacilin or potassium permanganate;
• on the head of the penis, you can drop a few drops of olive oil or vitamin A, E.

Analyzes

To make an accurate diagnosis, the following diagnostic methods will be required:

• general blood analysis. Despite the fact that this study is carried out to diagnose any disease, it can still show the presence of an inflammatory process. In the blood, leukocytosis and elevated ESR will be noted;
• general urine analysis. Proteinuria will be present, and on microscopic examination, the laboratory assistant reveals a high content of leukocytes in one field of view;
• bacteriological examination of urine allows you to identify the causative agent of balanoposthitis and determine the tactics of antibiotic therapy;
• PCR. This study is carried out at the gene level and allows you to identify the DNA of the pathogen, including its exact appearance;
• scraping from the urethra is performed to exclude syphilis.

Important! If a sexually transmitted disease is detected, the sexual partner must be examined!

How to treat balanoposthitis

Treatment is prescribed by a doctor based on the results of studies that indicate the causes of the disease, and also indicate the stage of development of the pathology. In most cases, the treatment of balanoposthitis begins with the use of local remedies in the form of ointments and creams. It all depends on the type of pathogen, for fungal infections, antimycotic agents are prescribed, for bacterial infections, antiseptics, in case of an allergic reaction, glucocorticosteroids, etc.

Let's single out the main tasks in the treatment of balanoposthitis:

• hygiene of the head and foreskin of the penis;
• elimination of an infectious agent;
• antiviral and antibiotic therapy.

Trays

Consider three popular and effective methods that will help get rid of the unpleasant symptoms of the disease:

• manganese baths. Potassium permanganate can be purchased at the pharmacy network in the form of a powder that is diluted with water. The substance is a powerful antiseptic that has a detrimental effect on pathogenic microflora. For young children, add enough potassium permanganate to the bath so that the water is painted over. In the case of older children, a weak solution is made and the penis is placed for ten minutes in a container of water;
• furacilin baths. The drug is sold in the form of solutions and tablets. Furacilin has pronounced antimicrobial and antiseptic properties. Dissolve two tablets of furacilin in a glass of water, then place the penis in the prepared product;
• herbal baths. As a basis, you can take such medicinal plants: chamomile, sage, plantain, succession, St. John's wort, oak bark. All these plants have pronounced anti-inflammatory and antiseptic properties. Two tablespoons of raw materials go to a glass of boiling water. The agent must be infused, cooled, after which it is filtered and used for the procedure.

Antibacterial drugs

Antibiotics for balanoposthitis are prescribed for advanced forms, when the general condition of the patient is disturbed, as well as for sexually transmitted diseases, and in the case of ulcerative and gangrenous forms. Consider broad-spectrum antibiotics prescribed for balanoposthitis:

• Cefazolin. Used for both oral and parenteral use.
• Ceftriaxone is available as tablets and powder;
• Azithromycin belongs to the group of macrolides.

Ointments

Consider a list of effective ointments:

• levomekol with balanoposthitis. The wide popularity of the ointment is explained by the combined composition and the negative impact on various types of pathogens. The composition of the drug includes two active ingredients: chloramphenicol and methyluracil. The first substance is a broad-spectrum antibiotic, and the second provides nutrition and restoration of the penis. Levomekol is prescribed for all types of balanoposthitis. Before applying it, hygiene procedures should be carried out. Bandages with levomekol can be left on all night. Treatment usually lasts three to five days;
• with balanoposthitis. It is advisable to use this drug in case of fungal infection. The ointment is applied twice a day, gently rubbing into the skin. Usually treatment lasts from two to four weeks;
• with balanoposthitis. The ointment has antimicrobial and antifungal activity. The active ingredient is gentamicin. Triderm is used from the age of two for both therapeutic and prophylactic purposes;
• akriderm with balanoposthitis. The ointment has hormonal activity and is used for the allergic form of balanoposthitis. The composition of the drug includes a corticosteroid, which quickly relieves the inflammatory process;
• xeroform ointment has drying, antiseptic and anti-inflammatory properties. The composition of the ointment includes two active substances: xeroform and vaseline.

Alternative treatment

Of course, there are non-traditional methods of treating balanoposthitis. They are safe, easy to use and effective, but this is subject to their proper use. Folk advice helps relieve symptoms, but they do not eliminate the problem itself and the cause of its occurrence.

Here are some recipes:

• chamomile. It is necessary to take three tablespoons of chamomile flowers and pour them with the same amount of boiling water. After the agent has cooled down, the resulting slurry is applied to the genitals. You can also use plants for disinfectant baths. To prepare a decoction, twenty grams of chamomile flowers are poured with a liter of boiling water;
• calendula and olive oil are taken at the rate of 1:10, respectively. For three weeks, the product is aged in the sun, while it is periodically mixed. After the tincture is filtered, it can be used to treat the affected areas;
• sage. A teaspoon of the product goes to a glass of boiling water. For half an hour, the remedy is infused, and then filtered. Use tincture in the form of compresses, as well as washings;
• aloe. Washed fresh leaves are applied twice a day to the affected area.

Surgery

Surgical intervention is an extreme measure, which is used when conservative methods are ineffective in complicated forms. Specialists perform circumcision, or circumcision, in the following cases:

• chronic form with frequent relapses. The operation is performed during the period of remission;
• appearance of cicatricial phimosis.

Is it possible to get balanoposthitis

Balanoposthitis does not belong to the category of contagious diseases, although it is caused by a fungal or bacterial infection. In order for the mechanism of the pathological process to start, only one pathogen is not enough, the presence of predisposing factors is necessary. Improper nutrition, the presence of somatic diseases - all this can reduce immunity and damage the integrity of the epithelial integument of the penis.

Is it possible to go to the sauna with balanoposthitis

Water procedures for balanoposthitis are extremely important, but a sauna or bath is perhaps not the most suitable option. Consider two main reasons for this:

1. In the sauna, you can easily become infected with other diseases that will further aggravate the course of balanoposthitis. You can also become a source of infection for others.
2. Elevated temperatures can provoke the activation of pathogenic microflora.

In addition, do not forget that overheating of the body affects the functioning of the immune system, weakening it, and this also negatively affects the health of a man with balanoposthitis.

Nevertheless, the opinions of experts on this issue are ambiguous. Some argue that high temperature and low humidity negatively affect the vital activity of pathogens. It is worth noting that much depends on the type of balanoposthitis. So, with a viral or bacterial nature, such procedures are possible and will have a therapeutic effect, while with a candidal lesion, the condition will only worsen.

Prevention

The disease is much easier to prevent than to treat. Simple recommendations will help reduce the likelihood of balanoposthitis:

• careful observance of the rules of intimate hygiene;
• regular washing of the genitals and change of underwear;
• exclusion of casual sexual contacts;
• condom use as protection;
• the sexual partner should conduct hygiene of the genital organs before sexual contact and regularly consult a gynecologist;
• when bathing young children, it is better to add a small amount of potassium permanganate to the water;
• with sexual opening of the glans penis in boys, it is difficult to carry out high-quality hygiene, so you first need to put it in a basin with warm water;
• the child must undergo a routine examination by a pediatric surgeon.

So, balanoposthitis - we can cure! If you went to the doctor in the early stages of the process, the healing process will be easy and fast. If alarming signs are found, do not despair and panic, modern medicine has learned to deal with the disease. Depending on the type of pathogen, ointments are used that have an antibacterial, antifungal, antihistamine, antiseptic effect.

The main thing is not to self-medicate, only a doctor will be able to determine the type of balanoposthitis, its stage and the course of the disease. Remember, prevention is the best cure. Compliance with the rules of personal hygiene and intelligibility in sexual relations will help prevent the disease.

Balanoposthitis is a urological pathology, and among patients in the office of a urologist or dermatovenereologist, a sixth of men seek help with this particular problem. The disease is accompanied by inflammation and is more often provoked by two or more pathogens (mixed infection).

Balanoposthitis - what is it?

Balanoposthitis is an inflammatory disease that affects the tissues of the inner layer of the foreskin and the glans penis. These zones are in contact with each other, so most often the infectious process that affects one of them is transmitted to the other.

Less often, only fasting occurs when the foreskin is inflamed, or only balanitis - inflammation of the head of the penis.

Different microorganisms can provoke the development of balanoposthitis:

• Bacteria are the most common pathogens, and in most cases, tissues are affected by several of their species at once. For example, with streptococcal-staphylococcal infections. These two types of bacteria are considered opportunistic, they normally live on human skin, but they can get on the genitals and, under certain conditions, begin to multiply uncontrollably. Of the pathogenic microbes, balanoposthitis is caused by gardnerella, pale treponema, chlamydia, gonococcus and others.

Attention! - hard chancre - often located on the head of the penis and may be accompanied by inflammation.

By the nature of the course, balanoposthitis happens:

1. Acute, when the symptoms are pronounced, and the disease progresses quickly;
2. Chronic - the symptoms are less intense, the course of the disease is replaced by periods of relapses and remissions.

Acute balanoposthitis in men is more common, its duration is 1-2 weeks. Without timely treatment of balanoposthitis or with illiterate self-medication without preliminary diagnosis, the disease becomes chronic, which lasts for months and even years.

There are many forms of balanoposthitis, the most common of them:

• candidal;
• herpetic;
• erosive;
• chlamydial;
• circinary;
• purulent;
• anaerobic;
• ulcerative pustular;
• gangrenous.

Candida balanoposthitis- this is one of the forms of candidiasis, which develops with a decrease in the body's immune forces and metabolic disorders, for example, in diabetes mellitus. The disease begins with itching, the appearance of a light coating on the surface of the penis, moderate hyperemia.

Without treatment, a bacterial infection can join the candidal lesion, and the course of the disease becomes chronic.

Pathogen chlamydial balanoposthitis are chlamydia, and pathology is one of the forms of urogenital chlamydia. It is manifested by pain during urination, discharge from the urethra, redness and a slight focal lesion of the head and foreskin.

Extensive erosions and ulcers are rare. Pathology is contagious, and without treatment, inflammation spreads to other organs - the urethra, epididymis, prostate gland. A serious complication of chlamydial balanoposthitis is Reiter's syndrome.

This is an autoimmune disorder that aggravates the course of the disease and leads to the appearance of a rash and damage to the joints and provokes the development of circinary balanoposthitis.

Herpetic balanoposthitis caused by the herpes virus type II, which, once on the mucous membrane of the genitals and then into the bloodstream, may not manifest itself for a long time. If immunity is weakened, the pathogen is activated, forming a rash on the genitals in the form of painful and itchy watery blisters.

Pathology is sexually transmitted and can affect other organs, in particular the brain.

The genital herpes virus is transmitted through contact with affected genitals and through bodily fluids.

• It is important for both partners to know: if the primary infection of a woman occurs during pregnancy, then due to the absence of antibodies to the virus in the mother's body, the risk of fetal death or the development of congenital anomalies of the child's central nervous system is high.

Erosive form of balanoposthitis destroys the epithelium and mucosa of the foreskin and glans penis, on which reddish-pink painful rough ulcers and erosions form.

Over time, an infection develops on the damaged tissues, purulent areas appear, necrosis along the edge of erosions, and inguinal lymph nodes increase. The treatment is long, but scars and scars do not remain after it.

How can you get balanoposthitis?

The surest way to get infected with balanoposthitis is to have unprotected sex with a carrier of the infection. During sexual contact, viruses, bacteria, fungi or protozoan microorganisms can get on the genitals.

Moreover, some of them, being part of the normal microflora of the female vagina (for example, staphylococci), once on the penis, can begin to actively multiply due to the reduced immunity of the man or other factors.

Therefore, after intimacy without a condom, it is important to use antiseptics (Miramistin, Chlorhexidine). The following factors also contribute to infection:

• Non-observance of intimate hygiene.
• Chaotic and frequent sexual life, which not only increases the risk of infection, but also leads to the appearance of microtrauma and irritation of the mucosa. Pathogens easily take root on the affected surface, while the intact skin and epithelial cover is a barrier to many microbes.
• Concomitant pathologies that contribute to the reproduction of microorganisms - diabetes mellitus, kidney disease.
• Features of the anatomy, for example, such an anomaly as, in which the foreskin is very narrow and does not expose the head of the penis sufficiently. Because of this, smegma accumulates under its leaf, which contributes to the reproduction of microbes.
• Exposure to chemicals.
• Cancer of the penis.
• Infectious diseases of the kidneys and urinary tract - urethritis, pyelonephritis, cystitis, as well as urolithiasis and.

Candidal balanoposthitis, photo

With balanoposthitis, the symptoms appear individually, depending on the causative agent of the disease. Most often, there is pain and itching of the epithelium, swelling and redness of the head of the penis, less commonly, symptoms are absent for a long time.

In acute balanoposthitis, the symptoms in a man are pronounced, among them:

1. Hyperemia and pain;
2. Discharge from the urethra;
3. Burning when urinating.

It is important to consult a doctor immediately when the first signs appear, otherwise an erosive-purulent lesion and chronic disease may develop. The chronic form is manifested by slight swelling, redness and irritation of the affected area, the formation of plaque.

Without timely therapy, the pain increases, and symptoms of balanoposthitis in men such as phimosis, difficulty urinating, and erectile dysfunction may also develop.

The independent disappearance of signs of an acute form of the disease does not indicate recovery - the source of inflammation remains in the body and can affect other organs, including the prostate gland.

The treatment regimen for balanoposthitis is determined by a urologist or dermatovenereologist based on the results of tests and examination of the affected area. Therapy involves the use of:

• Conservative methods are drugs that act on a particular group of pathogens. Tablets, injections and ointments for the treatment of balanoposthitis are prescribed depending on the pathogen (antifungal, antiviral, immunostimulating, and others).
• Surgical intervention indicated for the ineffectiveness of drugs. The operation consists in dissection of the foreskin narrowed as a result of inflammation or its circumcision.
• Alternative therapy is an auxiliary measure - the use of compresses, baths from herbal decoctions and other folk remedies.

With candida balanoposthitis in men treatment involves the use of:

• Antifungal drugs - topically, Clotrimazole, Lomexin, Candide, Pimafucin, Tetraborate, oral administration, Flucostat or Itroconazole;
• Laser phoresis and blood laser therapy;
• Trays and lotions with decoctions of calendula, barberry, chamomile, cloves.

The gangrenous form is treated with agents from the group of sulfonamides and antibiotics, locally applied solutions of antiseptics with an acidic environment - potassium permanganate, oxygen water, silver nitrate.

With herpetic balanoposthitis are shown:

• Antiviral drugs topically and orally (Acyclovir, Famvir, Valaciclovir);
• Immunomodulators and immunostimulants (Lokferon, Cycloferon, Likopid, Timalin, Viferon, Neovir).

If cicatricial phimosis occurs, then the foreskin is dissected or cut off, and then the affected area is lubricated with healing ointments - Panthenol, Levomekol, hormonal creams with progesterone, sinestrol.

Lotions with a 10% solution of carbolic acid are indicated for ulcerative pustular balanoposthitis. A 0.1% solution of rivanol is also used. The erosive form is treated with antibiotics and sulfonamides, bismuth powders.

Forecast

With balanoposthitis in men, treatment should be timely and be prescribed only by a specialist after the diagnosis. In this case, the prognosis is favorable and the risk of complications is practically absent.

After infection with herpetic balanoposthitis, the herpes virus remains in the blood for life, however, with a healthy lifestyle, a balanced diet, and immunity strengthening does not appear for many years.

Possible consequences of balanoposthitis:

• inflammatory lesions of the lymphatic vessels of the penis and adjacent areas (lymphangitis);
• infection and inflammation of the urinary tract and kidneys;
• severe pain syndrome, in particular when moving;
• urination during sexual contact;
• erectile dysfunction.

Urological disease, expressed in severe inflammation of the glans penis and foreskin. The disease is quite common among modern men, since it occurs not only with mechanical action on a delicate organ, for example, in the case of wearing too tight underwear, but also during unprotected sexual contact. In this case, the complications of the disease can be the most severe, up to gangrene of the genital organ. For what reasons does balanoposthitis develop in men, how to identify it and can it be completely cured?

Although balanoposthitis and balanitis (only the head of the penis becomes inflamed, the foreskin remains healthy) do not belong to sexually transmitted diseases, the pathogen can enter the body of a new carrier during intercourse. Representatives of pathogenic microflora include:

If there are no provoking factors, then microorganisms can live on a man's body for months without causing him any trouble. But as soon as favorable conditions come, the disease will begin to develop rapidly.

The main provoking factor is a weakened immune system. For example, if a man has not treated a cold for a long time, is irresponsible about his health, does not follow the daily regimen and diet, then microbes already receive all the conditions for rapid reproduction and development of balanoposthitis. The reasons for the onset of the inflammatory process of the penis include:

• injuries received, for example, during too aggressive sexual intercourse;
• gross violation of the rules of personal hygiene;
• too tight underwear;
• diabetes;
• phimosis, especially when trying to forcefully move the foreskin and expose the head of the penis;
• oncological diseases;
• exposure to chemical irritants;
• allergy.

All these factors contribute to the development of the inflammatory process, which is called balanoposthitis.

The disease is purely male, but the causative agent of the disease is transmitted from man to woman. In addition, a lady runs the risk of catching harmful products of the inflammatory process during unprotected intercourse, for example, purulent discharge.

Kinds

Since there are many causes of the onset of the disease, and the pathogens are diverse, doctors distinguish several main forms of balanoposthitis in men. Each of them differs in its symptoms and possible consequences, but the treatment of all is approximately the same:

• erosive form. It is characterized by the formation of reddish ulcers on the head and foreskin. They cause pain, over time, an inflammatory infectious process begins to develop.
• Candidiasis form. The main reason is a decrease in immunity. It is expressed in the appearance of a white coating on the genitals.
• allergic form. It occurs due to a negative reaction of the immune system to a chemical or biological stimulus. Symptoms are unstable, differ depending on the type of allergen.
• Chlamydia form. Symptoms and causes are similar to candidal balanoposthitis, it is more difficult to treat, pathogenic microflora quickly spreads among sexual partners.

If the disease is not treated, then over time it becomes chronic. In such a situation, therapy will become long and difficult, the disease can persist for months. Such balanoposthitis is dangerous in that in some cases the symptoms disappear, the man can “look through” the onset of the development of complications, believing that the disease has receded.

Symptoms

The initial stage of balanoposthitis is characterized by very vivid symptoms, the totality of which is characteristic only of this disease. The timing of their manifestation depends on the form of the disease and the specific pathogen, but usually they do not exceed a few days after the onset of the inflammatory process at the cellular level. The signs of balanoposthitis are as follows:

• the glans penis and the foreskin are covered with small sores;
• over time, a white coating is added to the sores;
• itching, burning, sometimes pain;
• discharge from the urethra with an unpleasant odor;
• discomfort in the penis, especially during intercourse (not recommended until completely cured) and urination;
• swollen lymph nodes;
• fever (not always).

If we are talking about the allergic form of balanoposthitis, then one of the main symptoms is swelling of the glans penis. At the same time, there will be no pain and burning sensations, but the itching will impress any man. All these signs are so characteristic that it is difficult to confuse balanoposthitis with another disease. This gives its "plus" - the diagnosis does not cause difficulties, which means that the treatment will be timely.

Diagnostics

Balanoposthitis is almost any inflammatory process that develops on the glans penis and foreskin. This allows you to quickly and accurately carry out primary diagnosis, but without identifying a specific pathogen, it is impossible to prescribe the correct therapy. At best, there will be no result. Moreover, you should not use alternative methods of treating the disease without first going to a specialist. Here is a list of doctors who can make a preliminary diagnosis and prescribe the necessary tests:

• therapist;
• venereologist;
• allergist;
• dermatologist;
• urologist.

You should start the examination with a therapist, but if it is reliably known that the symptoms appeared after contact with a certain irritant, for example, a new model of a condom, then go to an allergist.

The main tests that are assigned during the examination:

• general blood analysis;
• urine test;
• analysis of secretions of the penis;
• bioseeding;
• analysis for syphilis and other sexually transmitted diseases.

Sometimes ultrasound is prescribed, but only in the acute form of the disease, when the issue of surgical intervention is being decided.

Traditional treatment

Therapy for balanoposthitis in men is prescribed individually strictly after the examination. Self-selection of drugs is unacceptable, since there are many causes of the disease, there is no universal cure. Please note that along with drug treatment should be engaged in strengthening the immune system. To do this, you should streamline the daily routine and nutrition, as well as take immunomodulators and vitamin complexes. Without this, therapy will not be very effective.

Usually, doctors select drugs based on the causes of the disease and its stage. The most effective remedy for suppressing infection is ointment. These include:

(costs about 700 rubles);
• Levomekol (the cost usually does not exceed 130 rubles);
• Candide (it usually costs no more than 200 rubles, but in some regions the price reaches 400 rubles).

These ointments have a pronounced antiseptic effect that can suppress the activity of almost any pathogenic microflora.

But not everything is so smooth - if the patient is faced with a severe sexually transmitted disease, for example, syphilis, as well as balanoposthitis, which has become chronic, you will have to take antibacterial pills. The most popular among them:

• Azithromycin (considered one of the most effective remedies for balanoposthitis, costs about 150 rubles);
• Doxycycline (less effective drug, but safe for the gastrointestinal tract, costs about 30 rubles);
• Levomycetin (costs around 100 rubles, but you can find much better deals, mainly in online pharmacies).

Please note that the dosage and treatment regimen is prescribed only by a doctor. It takes into account possible allergic reactions, side effects of drugs, as well as the nature of the disease. Self-activity in the treatment of balanoposthitis is unacceptable!

Treatment at home

These methods can be classified as folk methods of treatment. Although they have been tested by generations of patients, it is still not worth resorting to them without a preliminary examination and the approval of a doctor - not all home methods are able to cope with microorganisms, and the degree of neglect of the disease should also not be discounted. The basis of home therapy for balanoposthitis is:

• baths with chamomile (pharmacy fee costs about 50 rubles);
• cauterization of ulcers with furatsilin (costs around 100 rubles);
• treatment of affected areas with Miramistin (the price is about 200 rubles, but in some outlets the cost can reach up to 700 rubles).

These techniques cannot replace the drug therapy prescribed by the doctor, they only supplement it and increase the effectiveness of the drugs. Please note that during the treatment of balanoposthitis, a man should exclude the use of alcohol and tobacco products, and also refrain from sexual intercourse. The sexual partner of the patient must undergo examinations and, if necessary, a therapeutic course with him.

Treatment usually does not take more than 10 days, but if the cause of the disease is a serious venereal infection, then therapy can take several months. The main thing is to undergo examinations in time and start treatment, otherwise the consequences can be very sad!

You can also watch a video where the doctor will tell you how balanitis and balanoposthitis differ, what needs to be done when these diseases are detected.