Balanitis and balanoposthitis: treatment of delicate male problems. Balanoposthitis in men: home treatment Dioxidin for balanoposthitis

  • Date: 01.12.2021

Balanoposthitis is an inflammation of the foreskin and glans penis. It is manifested by edema, redness of the skin, pain during sexual intercourse. Treatment of balanoposthitis at home is carried out with antibacterial or antifungal drugs. To relieve symptoms, traditional medicine is used, which relieve pain and swelling, disinfect and heal inflamed mucous membranes.

Primary and auxiliary treatment

Features of the drug treatment of balanoposthitis depend on the cause of inflammation of the genitals in men. The basic therapy is based on:

  • antibiotics;
  • antihistamines;
  • antifungal medications;
  • corticosteroids;
  • antiseptics.

To relieve symptoms, alternative medicine is used in the form of lotions, baths, compresses, ointments, etc. But before starting treatment, consult your doctor. Folk remedies cannot replace basic therapy. Self-medication of balanoposthitis is dangerous with complications - phimosis, impotence, urethritis, penis cancer.

How to cure balanoposthitis at home: the best recipes

With infectious inflammation of the head of the penis and prepuce, home treatment is carried out with infusions and decoctions of medicinal herbs:

  • oak bark;
  • chamomile;
  • St. John's wort;
  • mother-and-stepmothers;
  • turns;
  • yarrow.

The duration of herbal medicine for balanoposthitis depends on the rate of healing of the affected skin areas. Before using the decoctions, an allergy test is carried out: a little liquid is applied to the wrist for half an hour or an hour. In the absence of undesirable reactions - redness, itching, rash - it is used as directed.

To achieve the desired effect in the treatment of balanoposthitis, folk remedies with pronounced pharmacological properties are used - disinfecting, regenerating, anti-inflammatory, antibacterial, immunostimulating.

Oak bark

Oak bark contains tannins, catechins and pectin. It has anti-inflammatory activity. With systematic use, it eliminates the swelling of the head of the penis, eliminates itching.

Recipes with oak bark for balanoposthitis:

  • Recipe number 1. 20 g of raw materials are poured into 250 ml of water. Boil in an enamel bowl for at least 5-7 minutes. Filter the cooled broth, add 100 ml of boiled water. A cheesecloth folded in four is moistened in a liquid. Apply to the affected area for a quarter of an hour 3 times a day.
  • Recipe number 2. 1 tsp chopped bark is steamed with 300 ml of boiling water. Leave in a container under a closed lid for 3 hours. The genitals are washed with the filtered infusion up to 5 times a day.

Before treating balanoposthitis, you need to make sure that there are no allergic reactions. The course of therapy with oak bark products is 2 to 4 weeks.

Very often, treatment of balanoposthitis in men at home is carried out with sodium bicarbonate. It shifts the pH of the skin to the alkaline side, which prevents the growth of pathogenic bacteria. For inflammation of the foreskin, apply:

  • Soda baths. 1 tbsp. l. sodium bicarbonate is diluted with ½ liter of warm water. Optionally add 5-7 drops of eucalyptus essential oil. The head of the penis is lowered into a container with a solution for 10 minutes. The procedure is performed in the morning and in the evening for 2 weeks in a row.
  • Lotions. Dissolve 1 tsp in 200 ml of boiled water. soda. Gauze is moistened in the solution and applied to the genitals for 20 minutes up to 2 times a day. Treatment is carried out daily for 7-10 days.

Soda baths and lotions are contraindicated for ulceration and scratches on the head of the penis.

Potassium permanganate

Potassium permanganate has pronounced antiseptic properties. It is used to kill viral, bacterial and fungal infections. With balanoposthitis, baths are effective:

  • potassium permanganate is added to warm boiled water (0.5 l) at the tip of a knife;
  • in a solution of a pale purple hue, wash the head of the penis;
  • perform the procedure 2 times a day.

Depending on the extent of the lesions, treatment takes 7-14 days. To achieve maximum effect, the solution is prepared immediately before use.

chamomile

Pharmacy chamomile has combined properties - antimicrobial, antiseptic, softening, wound healing. To cure balanitis or balanoposthitis, use:

  • Broth. 1 tbsp. l. raw materials are boiled in 300 ml of water for 2 minutes. Cool for 25-30 minutes and filter. The head of the penis is lowered into the broth for 10-15 minutes, 2 times a day.
  • Infusion. 20 g of chamomile are poured into a thermos. Pour ½ liter of boiling water. Leave for 3-4 hours. The genitals are washed with the filtered liquid in the morning, afternoon and evening.

Folk remedies with chamomile are effective in treating any form of balanoposthitis. It is recommended to make baths after hygiene procedures. The therapeutic course is 2-4 weeks.


In isolated cases, pharmacy chamomile provokes allergic reactions - peeling of the skin, pinpoint rashes, redness. If the condition worsens, treatment should be discontinued.

Succession

Sequential baths are effective for inflammatory skin diseases, pustular rash. To cope with balanoposthitis, you should:

  • pour 25 g of chopped herbs with 600 ml of boiling water;
  • leave in an airtight container for half an hour;
  • strain the liquid through cheesecloth.

The ready-made infusion is used to wash the genitals with balanoposthitis up to 4 times a day. It retains its medicinal properties for no more than 8-12 hours. Therefore, urologists advise to prepare the infusion daily before use.

Dill

The herb and rhizome of dill have antispasmodic, capillary-protective and wound-healing effects. With systematic use, they reduce vascular permeability, accelerate skin regeneration. As a result, puffiness and redness are eliminated.

Dill recipes for the treatment of balanoposthitis:

  • Tincture. 2 tsp chopped rhizomes are mixed with 100 g of dill herb. Pour into a glass container and pour 500 ml of vodka. Insist in a dark place for 10 days. In the tincture, a cotton pad is moistened and the lesions on the penis are wiped with it 2 times a day. The course of treatment is 10-14 days.
  • Broth. 50 g of raw materials are boiled over low heat in 500 ml of water for 3-5 minutes. Filter the cooled broth, add 10-20 drops of tea tree essential oil. The head of the penis is lowered into the broth for 10 minutes twice a day.

Due to possible side effects, alcohol tincture is not used for erosion, gangrenous form of the disease.

St. John's wort

If a man suffers from candidal balanoposthitis, use herbal remedies based on St. John's wort. It has anti-inflammatory and regenerative effects, stimulates local immunity. When treating a fungal infection, the following recipes are used:

  • Herbal decoction. 2 tbsp. l. dry flowers are boiled in 200 ml of water for 3 minutes. Insist in a sealed container for 1.5-2 hours, then filter. A cotton-gauze pad is moistened in the liquid and applied to the penis for half an hour. The procedure is performed 3 times a day for 1 week.
  • Collection of herbs. St. John's wort, calendula flowers, nettle are mixed in equal proportions. 3 tbsp. l. herbs are poured into a thermos. Pour 700 ml of hot water. After 3 hours, the infusion is filtered and diluted with 200 ml of boiled water. The head of the penis is lowered into the solution for 15 minutes, 2 times a day.

If balanoposthitis is caused by a fungal infection, 10 drops of tea tree oil can be added to the prepared solution.

Sage

A plant with pronounced anti-inflammatory and wound healing properties. Therefore, the treatment of balanitis at home is carried out with a herbal decoction:

  • 20 g of sage herbs are poured into ½ liter of boiling water;
  • insist in an enamel pan under a lid for 2 hours;
  • filter through cheesecloth.

The liquid is used for baths, compresses or washing the genitals 3-4 times a day. Treatment is discontinued after the foreskin has healed.

Aloe

Aloe tree leaves contain essential oils, phytoncides, amino acids and other bioactive substances. They provide the plant with anti-inflammatory, wound healing and antiseptic properties. In the treatment of infectious balanoposthitis, compresses are effective:

  • 3-4 leaves are passed through a meat grinder;
  • pour 150 ml of boiling water;
  • after 2 hours, the liquid is filtered;
  • moisten gauze in the infusion;
  • fix the compress on the head of the penis with a bandage;
  • in a quarter of an hour it is removed.

To speed up recovery, the procedure is done immediately after waking up and before going to bed for 1.5 weeks in a row.

Plantain

Plantain leaves relieve inflammation, stop bleeding and destroy microbial flora. They contain substances that prevent the growth of pyogenic bacteria.

Features of plantain treatment:

  • 3-5 leaves are chopped with a knife or passed through a meat grinder;
  • the herbal mass is spread on cheesecloth;
  • the compress is fixed in the area of ​​the head of the penis with a bandage;
  • after 20-30 minutes are removed.

Treatment takes 7 to 15 days. Means based on plantain prevent suppuration, strictures (narrowing) of the urethra in acute balanitis and fasting. Compresses are done no more than 2 times a day.

Prohibited measures for inflammation

Before proceeding with the treatment of balanoposthitis, it is necessary to determine the cause of the inflammation. During therapy, it is strongly discouraged:

  • make hot compresses;
  • drinking alcohol;
  • squeeze out abscesses on the penis;
  • visit baths and saunas.

If the cause of the inflammation is a bacterial infection, antibiotics Doxycycline, Unidox are included in the therapy. Additionally, drugs are used that prevent dysbiosis: Linex Forte, Acipol, Enterohermina.


The formation of purulent-necrotic ulcers on the head of the penis indicates the transition of balanoposthitis to a gangrenous form. It is fraught with phimosis and paraphimosis, which can only be treated with surgery.

Balanoposthitis is an inflammatory lesion of the preputial sac and the glans penis in men. The basis of therapy is drugs of etiotropic action - antibiotics, antihistamines and antifungal drugs - which eliminate the cause of the pathology. Complement the treatment with alternative medicine - lotions, ointments, baths. But if after using them there is itching, redness or rash, consult a doctor.

With the disease balanoposthitis, treatment should be aimed at eliminating, first of all, the etiological factor.

  • Primary balanoposthitis often develops as a result of hygiene disorders, therefore, first of all, you need to think about hygiene measures.
  • Secondary balanoposthitis requires treatment of the underlying disease. For example, syphilitic or gonorrheal requires specific antibacterial treatment. There are known forms of balanoposthitis in systemic and endocrine diseases. Balanoposthitis often develops in diabetes mellitus, it is difficult to treat for a long time and depends on the compensation of the underlying disease.

With all types of balanoposthitis, treatment methods are divided into general, which act systemically, and local, which are directed directly to the glans penis and the foreskin.

  • To general methods of treatment includes antibiotic therapy and the use of drugs to stimulate immunity.
  • To local medicines include ointments, creams, gels and antiseptic solutions. Ointments and gels are different in composition, they can have antibacterial, anti-inflammatory, anti-allergic, antifungal and other actions.

In order to eliminate phimosis that provokes balanoposthitis, after eliminating the signs of inflammation, an operation is performed.

  • What are the terms of treatment for balanoposthitis?
    With a disease, balanoposthitis, treatment continues until the symptoms disappear completely and the cause is eliminated. The terms of treatment depend on the form, severity of the disease and on the type of pathogen, and in acute balanoposthitis, on average, it is from two to three weeks.
  • Tortured balanoposthitis - what to do?
    First of all, you need to pay attention to hygiene and conduct a full examination of yourself and your sexual partner in order to identify the cause. After that, according to the doctor's prescription, it will be necessary to undergo a course of treatment.
  • How to treat balanoposthitis so as to cure it forever?
    To do this, you need to apply all the recommendations of the doctor. If balanoposthitis has become chronic, then it is quite difficult to cure it. Immunity to balanoposthitis is not developed. To prevent relapses and re-illnesses, it is necessary to follow the rules of hygiene and avoid casual sexual intercourse.
  • Found balanoposthitis - which doctor should I go to?
    Balanoposthitis is treated by specialists in the field of urology and venereology.
  • What is the prescribed treatment for balanoposthitis in diabetes mellitus?
    In diabetes mellitus, treatment of balanoposthitis should be primarily aimed at treating the underlying disease, which consists in the selection of antidiabetic drugs. It is combined with local and systemic antibacterial treatments.

The main list of antibiotics in tablets for balanoposthitis

Antibiotics for balanoposthitis are often taken in tablets, and they are prescribed taking into account the etiology. Since balanitis and balanoposthitis can be caused by any microorganisms, including Escherichia coli, streptococci, staphylococci, Neisseria, as well as Koch's bacillus, Clostridia and other microorganisms, both aerobic and anaerobic, the treatment is first carried out with antibiotics with the widest spectrum of action. and then corrected for sensitivity.

  • Taking antibiotics by mouth is not carried out for mild forms of balanoposthitis... Systemic antibiotic therapy is connected either in severe cases, for example, with a purulent form, or with sexually transmitted diseases.
  • Antibiotics are not used for fungal infections, allergies and viral diseases.
  • Of the drugs with a wide spectrum of action, antibiotics from the group Levomycetin and Doxycycline.
  • Macrolides are used - Erythromycin, Oletetrin, Roxithromycin.
  • Quinolone derivatives are also used, for example Nalidixic acid or Nevigramon, nitrofuran derivatives ( Furagin) and oxyquinoline derivatives ( Nitroxoline).
  • With anaerobic infection, good results have been shown Azithromycin.
  • Of sulfonamides, you can use Biseptol.
  • In the case of a specific infection, drugs of the penicillin series, cephalosporins, for example, are used Tsiprolet.
  • For candidal balanoposthitis, antifungal drugs are used, such as Clotrimazole or Flucanosole.
  • For chlamydial and ureaplasma infections, use drugs from the metronidazole group.

The medicine for balanoposthitis for systemic action can be taken not only in the form of tablets. An effective effect is exerted by drugs in the form of intramuscular injections and intravenous infusions, which are carried out depending on the nature of the symptoms of balanoposthitis and the severity of the condition.

Both partners must undergo antibiotic treatment. For the period of antibiotic treatment, there are restrictions on alcohol intake.

Ointment for balanoposthitis Levomekol and its analogues

Local treatment for balanoposthitis is carried out with the help of ointments. In case of a disease, balanoposthitis, the ointment for treatment must correspond to the cause of the disease.

  • For fungal diseases, creams and ointments based on antifungal drugs are prescribed - this is Clotrimazole, Miconazole, Candide, Fluconazole... The combination of antifungal and hormonal drugs is contained in the ointment Pimafukort.
  • To suppress autoimmune reactions, inflammation and allergies, hormone-based ointments are used, for example Oxycort or Locacorten, Lorindel, Lamisil, Dermozolone other.
  • Triderm is a combined preparation consisting of an antifungal agent, an antibiotic Gentamicin and hormone. It is used for allergies, eczema, neurodermatitis and dermatomycosis. Triderm indicated as a topical agent in the presence of a mixed infection.

Levomekol ointment from balanoposthitis

The combined drug Levomekol has a wide spectrum of action. Levomekol is prescribed for balanoposthitis in case of proven non-specific bacterial infection.

It consists of two components - antibacterial chloramphenicol and methyluracil stimulating tissue regeneration. The combined use of these medicinal substances in Levomekol ointment has a pronounced antimicrobial, anti-inflammatory and wound healing effect.

Ointment Baneocin from Balanoposthitis

Baneocin has strong antibacterial activity, which can also be used in the form of ointments. It is composed of neomycin and bacitracin, two powerful antibiotics that together have a broad spectrum of action. It can be used when microorganisms are sensitive to it with limited and superficial inflammation.

They also actively use ointments with antiseptic and drying effects, for example, with zinc oxide.

Given the different etiology of the disease, only with the help of a specialist can you choose the best ointment for balanoposthitis. The use of ointments is carried out for a long time, it is applied to the affected area from two to three times a day.

Miramistin, Chlorhexidine and other solutions for balanoposthitis

Local treatment for balanoposthitis is also carried out using solutions containing antiseptics. A man can carry out these activities on his own, at home.

The widely recommended solutions of potassium permanganate, or potassium permanganate, must be taken with caution. This is due to the fact that the dissolution of potassium permanganate crystals in water does not occur to the end, and chemical trauma to the skin or mucous membrane on which this solution is applied can occur.

Of the solutions, an aqueous solution should be noted Chlorophyllipta, which has an active antibacterial and anti-inflammatory effect. Apply rinsing Furacilin, Rivanol, Dioxidin.

With sores and erosions, you can cauterize them with an antiseptic Fukortsin or liquid Castelani... It acts on both bacteria and fungi.

Proven efficiency has Chlorhexidine with balanoposthitis. Its full name is chlorhexidine bigluconate. It has an antiseptic and anti-inflammatory effect, it is used in the form of baths, instillations or irrigations.

Balanoposthitis has a similar effect on disease. Miramistin... Both of these drugs have an antibacterial effect on a wide range of microorganisms, but they should be used with caution, as they can cause dry skin and mucous membranes.

How to use miramistin with balanoposthitis?

The use of Miramistin with balanoposthitis is desirable as directed by a doctor and under his supervision. Surface treatment is carried out after hygiene measures from one to several times a day.

From non-drug remedies, folk methods can be noted, for example, the use of decoctions and infusions of antiseptic herbs, chamomile, currants, sage, oak bark, and in some cases soda. Such funds are usually used for milder forms of balanoposthitis, and it is better to consult a doctor before using them in an adult or child.

Anaerobic balanoposthitis, chronic, erosive and chlamydial: how to treat?

Some specific forms of balanoposthitis have specific treatment options. In case of anaerobic balanoposthitis disease, treatment should include both systemic therapy and local measures.

  • Antibiotics are used from the group of lincosamides ( Lincomycin) and nitroimidazoles ( Metronidazole, Metrogyl, Tinidazole other). It is better to determine the sensitivity and adjust antibiotic therapy after the results are obtained.
  • They use vitamin complexes and agents that stimulate the immune system.
  • A solution of potassium permanganate is used locally, hormone-containing creams; when local ulcers or erosions appear, they can be cauterized with preparations based on silver.

In case of a disease, erosive balanoposthitis, treatment requires the identification of the pathogen and the appointment, first of all, of etiotropic drugs.

  • A distinctive feature of the treatment of this form will be frequent washing, up to four times a day, antiseptic solutions.
  • Can be applied Levomekol, which has a broad antibacterial spectrum of action and promotes tissue regeneration.
  • Also use Fukortsin, Chlorophyllipt, cauterization with silver preparations, for example Protargolom.

If chlamydial balanoposthitis is detected, treatment should be carried out systemically, with antiprotozoal drugs, and topically with antiseptics and ointments.

  • Chlamydial balanoposthitis often gives complications in the form of urethritis and becomes chronic, so its treatment should be carried out as early as possible and strictly following all the doctor's prescriptions.
    With a disease of chronic balanoposthitis, treatment should be aimed at increasing immunity and eliminating the pathogen, both local and general means.
  • If chronic balanoposthitis contributes to the presence of phimosis, then the operation is performed.
  • In some cases, circumcision is performed.

Attention

In all cases of balanoposthitis, which suggest an infection, it is imperative to treat not only the sick person, but also his partners with whom there was unprotected intercourse.

In both children and adults, remedies for balanoposthitis should be selected individually, taking into account the sensitivity and pathogen or action on the etiotropic factor, after examination and under the supervision of a specialist.

After the disappearance of the symptoms of inflammation with balanoposthitis, a second examination and tests are carried out to confirm the cure of this disease. The transferred balanoposthitis does not guarantee that it will not recur, especially if hygiene and phimosis are not observed for all ages and promiscuous sexual intercourse in adults.

The price for the treatment of Balanoposthitis consists of a consultation with a urologist, tests and the cost of medicines, and the most expensive will be tests and determination of sensitivity to antibiotics. A consultation with a urologist in different cities costs from 500 to 1500 rubles.

There are purely male diseases that bring a lot of unpleasant minutes to the stronger sex. Moreover, without timely initiated adequate treatment, these pathologies can lead to very serious consequences. Such diseases include balanoposthitis.

What is balanoposthitis

Balanoposthitis is an inflammatory lesion of the head of the male genital organ and prepuce (foreskin). According to various statistics, the disease affects 3 to 7% of men of all ages with uncircumcised foreskin.

The disease can occur in different forms: acute or chronic, periodically exacerbating.

Most often, inflammation occurs under the influence of microbial pathogens - various cocci, Proteus, Escherichia coli, as well as specific sexually transmitted flora (chlamydia, gonococcus, Trichomonas, fungi, herpes viruses).

Balanoposthitis is an inflammation of the glans penis and inner lobe of the foreskin.

The disease manifests itself as soreness, burning and itching in the area of ​​the head of the penis, swelling and hyperemia (redness) of the foreskin. Cracks, ulcers, erosion with serous or purulent discharge may appear on the head.

A common complication of balanoposthitis (especially chronic) is phimosis (narrowing of the prepuce), urethritis (inflammation of the urethra), decreased sensitivity of the head of the penis, which negatively affects the sexual health of a man.

Video: urologist about the disease

Pathology treatment methods

Noticing unpleasant symptoms, many men decide to go to see a doctor and turn to a dermatovenerologist. It is not right. The urologist deals with the treatment of balanoposthitis.

The therapy regimen is always developed individually, taking into account the causes of the disease and the predisposing factors that must be eliminated. The form of pathology, the stage of inflammation, the involvement of other reproductive and urinary organs in the process are determined.

A man is prescribed drugs to combat the causative agent of an infectious and inflammatory process - antibiotics, antiviral or antifungal agents. Local therapy is mandatory - baths, rinsing, treatment of the affected area with special ointments, creams, antibacterial and anti-inflammatory drugs.

The timing of treatment depends on the cause of balanoposthitis, the causative agent of the infectious process, and concomitant diseases. The acute form caused by staphylococci is treated for no longer than 10 days. Against the background of infections transmitted during sexual contact (gonorrhea, syphilis and others), the pathology is treated much longer, sometimes for more than one month.

The chronic process requires long-term therapy, often it is necessary to resort to surgical intervention. Secondary balanoposthitis, which has arisen against the background of already existing pathologies, requires the initial elimination of these diseases.


The acute form of balanoposthitis, caused, for example, by staphylococci, heals faster than the chronic process

Treatment is usually carried out at home, hospitalization is required only in case of a complicated process and the need for surgery. For the entire period of treatment, a man should refrain from sexual intercourse.

Local treatment

The first condition for effective treatment is thorough hygiene of the glans penis and foreskin.

A man is prescribed topical agents:

  • Trays with potassium permanganate (potassium permanganate):
    • dilute several crystals of the agent in boiled water to obtain a light pink solution;
    • lower the penis with the abducted foreskin into a container with a solution for 5-7 minutes;
    • repeat the procedure 1 to 3 times daily in accordance with the medical prescription.
  • Furacilin rinsing:
    • you can use a ready-made solution or a product in tablets, while 2 tablets are dissolved in 250 ml of water;
    • rinsing the diseased organ is carried out according to the same principle as with a solution of potassium permanganate.
  • Miramistin solution. The wide spectrum of action of the drug allows it to be used for any form of balanoposthitis:
    • the solution is used to treat the entire penis, perineum, pubic area;
    • make baths with the drug;
    • you can moisten a gauze napkin in the product and apply it like a compress on the head for 3-5 minutes.
  • Chlorhexidine for baths, compresses and washings is applied twice a day.
  • Fukortsin as an antiseptic and healing agent - it is treated with the affected surface 2-4 times a day.
  • Compresses with Dioxidine solution - apply for 5-10 minutes twice a day.
  • Baths with 2% sodium bicarbonate solution (a tablespoon of soda per liter of warm water) are effective for candidal balanoposthitis.

After a therapeutic bath or rinsing, the penis should be blotted with a gauze napkin (preferably sterile) and the agent prescribed by the doctor should be applied in the form of an ointment.

Photo gallery: solutions for baths and compresses with balanoposthitis

Fukortsin is an antiseptic agent intended for the treatment of inflamed skin integuments A solution of potassium permanganate is used for medicinal baths for inflammation of the head of the penis Aqueous solution of furacilin is used for washings and baths for balanoposthitis Antiseptic agent Miramistin is used for compresses and washes for inflammation Sodium bicarbonate solution is recommended trays for balanoposthitis caused by yeast
Dioxidine is an antiseptic agent used for compresses and washing of the foreskin Chlorhexidine has a wide spectrum of antimicrobial activity, it is prescribed for washing with balanoposthitis

For the treatment of various forms of pathology, local remedies are prescribed in the form of creams and ointments. In this case, one drug can be prescribed or several drugs can be combined with each other.

  • Levomekol. An ointment effective for any form of ailment with two active ingredients - methyluracil (regenerative agent) and chloramphenicol (antibiotic). The agent is applied to the head of the penis under a sterile bandage and left overnight, the procedure is repeated for 3-5 days.
  • Synthomycin ointment (synthomycin liniment). Broad-spectrum antibacterial external agent. The ointment is effective for ulcerative and purulent balanoposthitis. It is applied once a day under a bandage.
  • Xeroform ointment. It is prescribed for simple balanoposthitis, has a strong anti-inflammatory, antiseptic and drying effect. It is applied to the diseased organ at night for 5 days.
  • Triderm or Akriderm. They are effective both in the early stages of the disease and in the chronic form with complications. The composition includes the antibiotic Gentamicin, the antifungal agent Clotrimazole, the glucocorticoid Betamethasone (there is no antifungal component in Akriderm). The tool has antimicrobial, anti-inflammatory and antimycotic effect, relieves itching and swelling. The ointment is rubbed into the affected areas after washing the head of the penis with antiseptic agents three times a day.
  • Rosamet cream. The active ingredient is Metronidazole, which has antimicrobial activity. The cream should be applied twice a day to the inflamed areas.
  • Futsidim (Fusiderm) - 2% cream with fusidic acid as the main component. The medicine should be applied to the skin of the foreskin and glans three times a day for a week.
  • The combined drug Pimafukort in the form of an ointment or cream. Assign 2-4 times a day for balanoposthitis caused by fungal flora in combination with bacterial. The ointment has powerful anti-inflammatory, antimicrobial and antifungal effects due to the combination of hydrocortisone, the antibiotic aminoglycoside neomycin and natamycin with antifungal properties.
  • Bepanten (active ingredient is dexpanthenol). An effective remedy for the healing and regeneration of skin lesions. Bepanten cream or ointment eliminates inflammation and moisturizes the skin. The product should be applied to cleansed, dry skin three times a day.
  • Eplan cream. Effective wound healing, bactericidal, analgesic, regenerating agent. Recommended for ulcerative, erosive, simple balanoposthitis.
  • Hyoxysone is a combined drug with an antibiotic and hydrocortisone. Effective for erosive balanoposthitis. The ointment is applied to the cleansed affected area in a thin layer 1 to 3 times a day.
  • Baneocin is an antibacterial agent. It is prescribed for inflammation caused by bacterial flora. The ointment is applied to the affected skin 1-2 times a day under a bandage.
  • Tetracycline ointment is an antibiotic in the form of an external agent.
  • Zinc ointment. Has a drying and anti-inflammatory effect, is applied to the affected area twice a day.

With balanoposthitis against the background of autoimmune reactions of the body, which is accompanied by severe itching, burning, pain, edema, hormone-based ointments are prescribed:

  • Lorinden (Lokakorten, Lokasalen);
  • Prednisolone ointment;
  • Dermozolone;
  • Locoid;
  • Elidel;
  • Advantan;
  • Gistan.

Usually, such funds are used 1-2 times a day, applying them to thoroughly cleansed inflamed areas. Hormonal agents are contraindicated in neoplasms, pustular lesions, bacterial infections.

Candidal balanoposthitis is treated with external antifungal agents:

  • Fluconazole (Diflucan);
  • Lamisila;
  • Mikogala;
  • Terbinafine;
  • Miconazole.

These funds are rubbed into cleansed skin twice a day, the course can be long - from 2 to 4 weeks.

With the viral etiology of balanoposthitis, Cycloferon is prescribed (it comes in the form of an ointment, solution and in tablets). The agent has pronounced immunomodulatory, antiviral properties and can be prescribed both at the initial stage of the disease and for the treatment of advanced forms.

The timing, frequency of application, dosage of all of the above funds are set by the doctor individually.

Photo gallery: external remedies for treatment

Eplan cream is used as a bactericidal and wound healing agent for erosive and ulcerative balanoposthitis. Bepanten - a powerful healing and regenerating agent Clotrimazole in the form of an ointment is used for candidal balanoposthitis. penis and foreskin Fusiderm - an antibacterial drug for external use Pimafukort has antifungal and antibacterial activity Sinaflan ointment is used for erosive and ulcerative balanoposthitis, accompanied by itching, edema and pain Antiviral and immunomodulatory drug for the treatment of balanoposthitis with cycloferon and antiviral and immunomodulatory drug for the treatment of balanoposthitis with cycloferon and antiviral and immunomodulatory drug for the treatment of cycloferonitis and antibiotic etiology. Baneocin has a pronounced antibacterial activity Pimafucin is prescribed for candidal balanoposthitis The combined drug Triderm is effective against fungal and bacterial flora Liniment syntomycin is used to treat infectious balanoposthitis Levomekol - the most popular remedy for the treatment of acute balanoposthitis

Antibacterial and antiviral therapy

With an uncomplicated course of the disease, primary catarrhal balanoposthitis, antibiotics are not prescribed; hygiene procedures and local anti-inflammatory drugs are enough to get rid of unpleasant symptoms. Antibacterial drugs cannot be dispensed with in case of gangrenous, ulcerative, purulent form of pathology, when the general condition of the patient is disturbed and there is a threat of severe complications. In this case, certain conditions must be observed:

  1. The drug is prescribed by a doctor, taking into account the microflora and its sensitivity to antibiotics.
  2. The medicine is used in the dosage prescribed by the urologist.
  3. The drug must be drunk strictly on time, without interrupting the course and without prolonging it on your own.

In case of a nonspecific infection, the doctor may prescribe antibiotics of the following groups:

  • cephalosporins:
    • Cefazolin, Ceftriaxone in tablets or injections (the intramuscular route of administration is more effective);
  • macrolides:
    • Azithromycin, Zimax, Sumamed, Zitrolide in tablets (drugs are contraindicated in renal or hepatic insufficiency).

Antibiotics for specific infections:

  • gonorrheal balanoposthitis is treated with the appointment of Cefixime (beta-lactam antibiotic), drugs from the group of fluoroquinolones - Ofloxacin, Ciprofloxacin, Nevigramon (nalidixic acid);
  • balanoposthitis against the background of chlamydia requires the appointment of antibacterial agents from the group of tetracyclines (Doxycycline), macrolides (Clarithromycin) or lincosamides (Clindamycin);
  • the disease caused by Trichomonas is treated with Metronidazole (Trichopolum, Metrogyl);
  • with candidal balanoposthitis, antifungal agents are prescribed - Fluconazole in capsules (Flucostat, Diflucan).

Balanoposthitis caused by herpesvirus is treated with special antiviral drugs - Acyclovir (Cyclovax, Zovirax, Cevirin, Supraviran), Inosine pranobex (Groprinosin, Novirin, Gropvirin).

Photo gallery: antibacterial and antiviral agents for balanoposthitis

Azithromycin - a drug from the macrolide group, prescribed for nonspecific infectious balanoposthitis Cefixim is effective for balanoposthitis against the background of gonorrhea Ceftriaxone is an antibiotic from the group of cephalosporins, effective for acute complicated balanoposthitis Clindamycin is prescribed for primary chlamydial infection for the treatment of broad spectrum gonorrhea - antibiotic - an antiviral drug of direct action, used for herpetic balanoposthitis Groprinosin is prescribed for the defeat of the herpes virus Metronidazole is used to treat balanoposthitis caused by Trichomonas

Features of therapy for various forms of the disease

Before starting treatment, the urologist must find out the exact cause of the pathology. In acute catarrhal or erosive balanoposthitis, most often only local treatment is required - baths with antiseptics and herbs, compresses, the use of ointments and creams. Urologists treat secondary balanoposthitis against the background of other infections with the use of systemic antimicrobial and other means aimed at eliminating the root cause.

Chronic balanoposthitis can develop against the background of long-term diseases, for example, diabetes mellitus, or sexually transmitted infections, for example, circinar balanoposthitis against the background of chlamydia. Such forms require appropriate therapy:

  • genital infections are treated with antibiotics (topically and systemically);
  • diabetes mellitus - hypoglycemic (hypoglycemic) drugs, type 1 diabetes - insulin replacement therapy.

Elimination of provoking factors is of great importance, since sometimes chronic balanoposthitis is caused not by infections, but by violation of hygiene standards (from complete neglect of personal hygiene to excessive cleanliness with the use of aggressive detergents). The urologist should explain to the patient the basics of hygienic care of the genitals - regular washing of the genitals without the use of alkaline soap, using baby soap or mild detergents with a neutral pH level. A significant role is played by the protection of the penis during sexual intercourse, especially oral or anal.

You should also not exclude an allergic reaction to condoms as a possible cause of balanoposthitis.


Genital hygiene for men should be carried out with the help of special detergents

Treatment of chronic pathologies, healthy sexual habits, balanced nutrition, physiotherapy, support of immunity, including with the help of immunomodulators and vitamin-mineral complexes - these are important components of successful disposal of the chronic form of the disease.

Surgical treatment of balanoposthitis

With persistent balanoposthitis with constant relapses and the development of complications in the form of phimosis, the urologist will most likely recommend an operative intervention for the man - circumcision of the foreskin. Such a measure can sometimes be the only treatment option for a disease that develops against the background of diabetes. The operation is performed only under the condition of normal blood sugar levels, therefore, surgical treatment is preceded by conservative antidiabetic therapy.

The operation to circumcise the foreskin (circumcisio) can be performed only after the elimination of acute inflammation.

The indications for surgical treatment are:

  • chronic course with frequent relapses, not amenable to conservative treatment;
  • phimosis as a complication - due to chronic inflammation, scar tissue forms on the foreskin, which does not allow the head of the penis to be completely exposed, which leads to a constant inflammatory process without remission.

The operation is performed on an outpatient basis under local anesthesia. Hospitalization is required in rare cases if the patient has severe concomitant diseases. Circumcision can be complete or partial, with the preservation of the upper skin flap, which subsequently mimics the foreskin.


Circumcisio (circumcision of the foreskin) is the most effective treatment for chronic balanoposthitis

Circumcisio is the most effective way to treat balanoposthitis, allowing you to quickly get rid of the unpleasant symptoms of inflammation and significantly improve the quality of your intimate life.

Traditional methods

Balanoposthitis is a disease in which the use of folk remedies is fully justified. Plants with anti-inflammatory, antimicrobial, regenerating properties are used: chamomile, calendula, sage, plantain, yarrow, oak bark, St. John's wort. Decoctions and infusions are prepared from herbs, which are then used for baths, compresses and washings.

Chamomile broth:

  1. Dried medicinal chamomile flowers (2 tablespoons) need to be poured with a glass of water, boiled in a water bath for 10 minutes.
  2. Insist until cool.
  3. Strain the broth through cheesecloth and use for baths 3-4 times a day.
  4. You can make compresses: moisten a gauze napkin in a warm broth and apply to the inflamed organ.

Sage tea:

  1. Three tablespoons of herbs pour 300 ml of boiling water.
  2. Insist covered for 40 minutes.
  3. Filter through cheesecloth and use for daily baths.
  1. Place 20 g of dried flowers in a glass container.
  2. Pour in boiled olive oil (100 ml).
  3. Insist for 3 weeks.
  4. Use oil to lubricate the affected (pre-washed) areas with erosive balanoposthitis.

Ready-made calendula oil can be purchased at a pharmacy.

Plantain decoction:

  1. Pour plantain leaves with water (20 g per 200 ml), boil in a water bath for 10 minutes.
  2. Insist until cool, drain.
  3. Add boiled water to the original volume.
  4. Use the decoction warm for compresses and rinses.
  5. The same decoction can be made using oak bark, yarrow, or St. John's wort.

Herbal baths should be done every day from 3 to 6 times. The course of such treatment should be at least 5-7 days. The broth or infusion should be warm, the penis with an open head should be immersed in the product for 10-15 minutes.

For the treatment of catarrhal balanoposthitis, compresses with aloe juice can be used (use a plant at least three years old) or apply peeled leaves to the diseased organ.

Before using herbs, you need to make sure that they are not allergic to them.

Photo gallery: medicinal plants for the treatment of balanoposthitis

Aloe has a bactericidal and regenerating effect. Calendula oil is used to treat the ulcerative form of balanoposthitis. Chamomile is the most popular remedy for the treatment of balanoposthitis. Yarrow is used as an anti-inflammatory, analgesic, hemostatic agent. trays for balanoposthitis

Physiotherapy procedures

Physiotherapy for balanoposthitis is aimed at eliminating inflammation, pain relief and restoration of damaged tissues. The procedures are contraindicated in acute purulent inflammation.

The following methods of physiotherapy are used:

  • ultra-high-frequency inductothermy (relieves inflammation and swelling, improves blood circulation and metabolic processes);
  • endourethral electrophoresis with antibacterial agents (they are injected into the urethra);
  • ozone therapy - externally, as an autohemotherapy (ozone is mixed with the patient's blood), as well as rectal insufflation (blowing) with ozone-oxygen mixtures (procedures have an anti-inflammatory, general strengthening, immunostimulating effect);
  • infrared laser therapy - to enhance tissue regeneration, metabolic processes, improve blood supply, eliminate pain, swelling, inflammation;
  • lasertophoresis with drugs (antibiotics, antifungal agents) - for the most effective effect on inflammation foci;
  • darsonvalization - to improve metabolic and regenerative processes in the affected tissues;
  • magnetic field therapy - to improve nutrition and restore damaged tissues, activate local blood circulation, eliminate edema, relieve pain and inflammation;
  • ILBI (intravenous laser blood irradiation) - has a number of therapeutic effects:
    • antiviral;
    • antibacterial;
    • anti-inflammatory;
    • wound healing;
    • absorbable;
    • restorative;
    • increases sensitivity to medicines, which allows you to reduce their dosage and achieve a speedy recovery.
    • Diet food

      The correct diet also helps to get rid of the symptoms of the disease as soon as possible. A man is recommended to eat foods high in iodine, selenium, vitamins A, groups B, E, P and C. It is necessary to reduce, and it is better to completely exclude foods rich in sucrose from the diet. Compliance with a diet helps to restore immunity, accelerates the healing of damaged tissues, and improves metabolic processes.

      The menu should include the following products:

      • various cereals - oat, buckwheat, corn, wheat, unpolished rice;
      • low-fat dairy products - natural yoghurts, cottage cheese, mild cheese, yogurt, kefir;
      • boiled or stewed dietary meat - turkey, rabbit, veal;
      • fresh herbs - parsley, cilantro, dill, spinach, wild garlic, celery, lettuce, rhubarb;
      • legumes - peas, beans, lentils;
      • fresh vegetables - beets, carrots, cabbage (also very useful in sauerkraut), tomatoes, pumpkin, cucumbers, garlic;
      • bran bread, wheat germ;
      • juices and fruit drinks, green tea, rosehip drink, dried fruit compote.

      With balanoposthitis, food should be saturated with vitamins and minerals

      You need to exclude the following foods and drinks from the diet:

      • rich pastries, cakes, pastries;
      • salty, fried, fatty foods;
      • hot sauces, marinades;
      • semi-finished products, canned food, fast food, smoked meats;
      • sweet soda, energy drinks;
      • alcohol in any form (including low alcohol drinks and beer);
      • products with food additives, flavor enhancers, dyes.

      Such food is harmful to any person, and for a man with balanoposthitis, it becomes an obstacle on the way to recovery.


      Fast food, sweets, soda - foods that should be excluded from the diet with balanoposthitis

      Consequences of the disease and prognosis

      Acute balanoposthitis, subject to medical prescriptions, ends with recovery. Complications can develop in men who have severe concomitant pathologies or who do not fulfill the urologist's prescription.

      Simple and erosive forms heal without scarring, after ulcerative and gangrenous balanoposthitis, deep scars remain, phimosis and deformity of the penis often develop. Chronic balanoposthitis, which most often proceeds in an ulcerative-hypertrophic form, leads to the same consequences.

      Complications of the disease can be:

      • Prostatitis is an inflammation of the prostate.
      • Urethritis (inflammation of the urethra), cystitis (inflammation of the bladder), pyelonephritis (inflammation of the kidneys), that is, ascending infections of the urinary tract. The complication is uncommon, mainly in people with weakened immune systems.
      • Lymphangitis, lymphadenitis - inflammation of the lymphatic vessels and lymph nodes.
      • Phimosis - narrowing of the foreskin, which makes it impossible to expose the head of the penis.
      • Paraphimosis is one of the most formidable complications. It is a pinching of the head of the penis with a sharply narrowed prepuce, while the venous and lymphatic outflow is disturbed. If you do not seek medical help in a timely manner, tissue necrosis will occur and the organ will need to be amputated.
      • Penile gangrene is the death of organ tissue. It occurs against the background of infection with coccal flora and requires antibiotic therapy in shock doses.

      The most severe complication of balanoposthitis is paraphimosis, that is, infringement of the glans penis by the narrowed foreskin

      In addition to these complications, the inflammatory process leads to a decrease in the sensitivity of the head of the penis, which worsens the quality of sexual life.

The predisposition to balanoposthitis is inherent in the very anatomy of the male genital organs. The head of the penis is covered with a movable foreskin, under which bacteria constantly accumulate. A normal amount of gram-negative microflora is not harmful to health.

However, when pathogenic microbes, viruses or fungi appear, the picture changes. Trouble can also be caused by a sharp increase in normal microflora.

This situation develops against the background of various diseases, external damage, allergic reactions.

Provoking factors cause an increase in smegma that accumulates under the foreskin. The delicate skin of the penis is constantly irritated, inflammation occurs.

With the defeat of the inner layer of the foreskin, balanoposthitis begins. It can be accompanied by - inflammation on the skin of the glans penis, as well as - damage to the urethra.

Depending on the nature of the occurrence of balanoposthitis can be infectious and non-infectious... The first type is provoked by various pathogenic microorganisms: Staphylococcus aureus, Pseudomonas aeruginosa, gonococci, streptococci.

Very often, the disease occurs against the background of a sexually transmitted infection, for example, gonorrhea or chlimidiosis.

Balanoposthitis: home treatment

How to treat balanoposthitis in men at home? Balanoposthitis in any form is treated, which is selected depending on the form of the disease.

At the first symptoms it is worth consult a therapist who will issue a referral to a urologist or venereologist... The urologist will deal with non-infectious forms of postitis.

If a venereal infection has become a provoking factor, you must first rid the patient of the pathogen, and then continue to treat him with supportive drugs.

Hospitalization comes up only in the case of severe sexually transmitted infections, but this rarely happens. Anaerobic, allergic and non-venereal infectious forms are treated on an outpatient basis.

At the same time, it is not necessary to visit the clinic every day, since with balanoposthitis, treatment at home is quite effective. It is enough to come to the doctor to establish a diagnosis and initial prescriptions, and then make follow-up visits. Such a regimen will help the doctor control the therapeutic course and, if necessary, make adjustments to it.

What drugs are needed?

How to treat balanoposthitis in men at home? The choice of the treatment regimen depends on the causative agent of balanoposthitis. In acute inflammation, antibiotics are needed in the form of capsules, tablets and ointments.

However, they should not be used for candidal or viral fasting. Of the antibiotics, the most commonly prescribed Levomecitin, Doxycycline, Suprax, Azithromycin.

The drugs are drunk 2-3 times a day 10-15 minutes before meals, each tablet is washed down with plenty of clean non-carbonated water. The course lasts 5-7 days, it is assigned individually.

These are clear, odorless liquids that do not irritate the skin and mucous membranes.

The drugs are used for washing, douching, compresses and lotions, they practically have no contraindications and go well with other medicines.

To eliminate pathogenic microflora, the area under the foreskin is treated with a small syringe. A small amount of fluid can be injected into the urethra. The course of treatment lasts up to 2 weeks, then you can take a short break.

Medical treatment of balanoposthitis in men at home worth supplementing with folk recipes... With candidiasis and anaerobic balanoposthitis, local baths with decoctions of medicinal herbs help well: pharmacy chamomile, yarrow, nettle, sage, calendula.

How to treat balanoposthitis at home with herbs? A handful of raw materials is brewed with 2 liters of boiling water, infused under the lid and filtered.

Penis bath lasts 10 minutes, it is better to do it before bed for 10-14 days in a row. This procedure soothes itching, relieves burning sensation, and treats small ulcers on the skin.

Abrasions and damage can be healed with warm lotions of their herbal decoctions... A cotton swab is moistened with an infusion of chamomile, nettle or calendula, and then applied to the head of the penis. It is important to move the foreskin as far as possible so that the healing liquid gets to the places of the highest concentration of microorganisms.

The tampon is moistened again and again in the broth, the procedure lasts 10 minutes. After that, the skin of the penis can be lubricated with an emollient cream or antibacterial gel.

To speed up the healing of wounds will help baby cream with a little sea buckthorn oil and chamomile decoction... The mixture is rubbed until smooth, and then rubbed into the affected areas with light circular motions.

The procedure is done 1-2 times a day after thorough washing and treatment with antibacterial drugs.

Lifestyle and proper nutrition

During the treatment of balanoposthitis at home you need to make adjustments to your lifestyle... A good night's sleep, frequent rest and avoiding stress will help speed up recovery.

It is advisable to walk a lot, strengthening the body's natural defenses. Morning exercises, jogging, swimming, cycling and exercising in the gym will help strengthen the immune system.

To improve the patient's condition will help balanced diet. The menu includes fresh, stewed or boiled vegetables (at least 500 g per day), fresh fruits and berries, dairy products.

Instead of fatty red meat, it is better to use fish and lean poultry meat, solid vegetable and animal fats are replaced by unrefined oils: corn, soy, olive, sunflower.

Costs avoid caffeinated drinks in favor of green tea, homemade fruit drinks, fresh juices and pure non-carbonated water. Products containing iodine, melen, magnesium and zinc, which are especially useful for the male body, will help to strengthen the immune system.

In inflammatory processes, it is necessary correct drinking regime... A day you need to drink at least 1.5 liters of decoctions and fruit drinks with a slight diuretic effect.

For fruit drinks, you can use fresh or frozen cranberries, lingonberries, raspberries, viburnum, dried or fresh rose hips. For herbal decoctions, bear ears, currant leaves, raspberries, lingonberries are suitable. The broth is drunk half an hour after a meal or 15 minutes before it.

A very important point - complete rejection of alcohol... Not only strong drinks are excluded from everyday life, but also beer, cocktails, energy drinks.

They are poorly combined with active medications, weaken the immune system and provoke obesity. It is advisable to eliminate nicotine, tobacco tar and combustion products by giving up not only cigarettes, but also their electronic substitutes.

During and after treatment special attention should be paid to personal hygiene... A daily shower is required; hot baths and saunas will have to be abandoned.

Hot water and steam provoke inflammation and weaken the immune system. When washing away, use neutral baby soaps or gels from pharmacy brands. Scented products for intimate hygiene should be excluded, they irritate t already damaged skin.

When do you need specialist help?

Now you know how to cure balanoposthitis at home. but if home treatment does not help, more detailed research is needed and get tested.

First, a swab is taken from under the foreskin. In case of problems with ejaculation, it makes sense to take a spermogram; with a general weakening of the body, a blood test is taken from the patient.

A comprehensive study will help find a hidden problem and help the patient in a timely manner.

Sometimes, during treatment, a secondary infection occurs that may not be noticed. If the treatment of anaerobic or infectious non-venereal postitis does not give results, it is worth undergoing repeated tests by a venereologist.

Most often, the patient is found to have gonorrhea or chlamydia. In this case, it is necessary to undergo antibiotic treatment under the supervision of a venereologist and only after that proceed to eliminate the main ones.
To get rid of balanoposthitis, it is not necessary to go to the hospital or visit the outpatient clinic every day. The whole process can be done at home.

How to treat balanoposthitis at home? The drugs prescribed by the doctor will help to get rid of inflammation, which should be supplemented with vitamin complexes, proven folk remedies, a balanced diet and giving up bad habits.

Useful video

You can learn more about how to treat balanoposthitis at home from the video below:

Balanoposthitis is an inflammatory disease of the head and foreskin of the penis. Let's talk about why it arises, how dangerous it is, whether this disease is transmitted through sexual intercourse. Let's discuss the main reasons for frequent development in the presence of a permanent sexual partner and the symptoms of this pathology.

  • Types of balanoposthitis
  • Causes and symptoms in men
  • Balanoposthitis in women
  • Balanoposthitis treatment
  • Balanoposthitis in children
  • Treatment at home
  • Reviews and treatment of balanoposthitis

Types of balanoposthitis

In clinical practice, classification by etiological factor and clinical course of the disease is most often used. The main types, based on its reason:

  • infectious;
  • non-infectious.

Non-infectious forms are rare. They can be of allergic, radiation, autoimmune, traumatic origin.

Most inflammations of the head and foreskin are caused by microorganisms. According to the etiological factor, they are distinguished:

  • fungal - caused by fungi (mainly candidal balanoposthitis);
  • herpes - viral, which is caused by the genital herpes virus;
  • Trichomonas - occurs against the background of trichomoniasis, caused by protozoa (Trichomonas vaginalis);
  • chlamydial - provoked by chlamydia trachomatis;
  • nonspecific - bacterial, which is caused by opportunistic microflora (staphylococci, streptococci, Escherichia coli);
  • anaerobic - often associated with gardnerella, can be caused by the bacteria Bacteroides fragilis and melaninogenicus, Fusobacterium.

According to the clinical course, there are:

  • acute (most clinical cases);
  • chronic (usually associated with cicatricial changes in the foreskin and phimosis).

In turn, acute balanoposthitis can be:

  • catarrhal or simple - manifested by redness in the area of ​​the pathological focus, edema and soreness;
  • purulent - accompanied by purulent inflammation;
  • purulent-ulcerative - deep defects occur due to severe purulent inflammation;
  • gangrenous - there is tissue necrosis in the head and foreskin.

The mildest form of the disease is catarrhal, and the most severe is gangrenous. It requires surgical treatment and leaves behind irreversible defects.

Causes and symptoms in men

Often patients ask what is the cause of the inflammatory process of the head and foreskin of the penis.

As stated, the main factor is infectious. Other reasons are rare.

Infectious balanoposthitis occurs as a result of:

  • unprotected sex;
  • immunodeficiency states;
  • long-term antibiotic therapy (fungal balanoposthitis);
  • insufficient hygiene of the genitals;
  • obesity (sweating increases, skin folds are formed, foci of infection appear, spreading from the groin to the genitals);
  • foci of purulent inflammation near the genitals;
  • mechanical damage to the penis;
  • medical procedures and surgery (infection is possible).

In men, symptoms vary depending on:

  • clinical form of the disease;
  • causative agent of pathology.

Male balanoposthitis is easiest to proceed with a catarrhal form of inflammation.

In this case, the following is observed:

  • swelling of the head and foreskin;
  • hyperemia (redness) of the skin and mucous membrane of the penis;
  • soreness, aggravated by palpation (pain can also be observed at rest);
  • an increase in the inguinal lymph nodes.

Maceration of the skin with the formation of erosion is possible.

Then the erosive form is diagnosed. This is the most favorable course of the disease. Even if erosions appear, scars do not remain after them. Because the pathological process does not affect the deep layers of the skin.

With a purulent form of the disease:

  • swelling worsens;
  • foci of purulent inflammation are formed, which can break through;
  • there is severe pain;
  • body temperature may rise;
  • edema often makes it difficult to urinate.

Ulcers may form at the site of ruptured abscesses. Then a purulent-ulcerative form of pathology is diagnosed. After the transferred disease, scars may remain. They create an aesthetic defect, they can be a source of not only psychological, but also physical discomfort. The consequence of cicatricial changes can be phimosis. This is a disease in which it becomes impossible to expose the head of the foreskin. This creates favorable conditions for the development of microorganisms. The result is often chronic balanoposthitis.

The problem can be radically solved only by surgery. The most severe form is gangrenous.

It is characterized by purulent tissue fusion and may result in the removal of the male organ. This form of pathology carries the risk of sepsis with the formation of foci of inflammation in the internal organs.

Do not allow the development of the disease. You need to contact a specialist immediately after the first symptoms of pathology appear.

If you do not know which doctor is treating balanoposthitis, we will tell you: it is a venereologist or a urologist. By contacting a doctor, you:

  • protect yourself from complications;
  • get adequate treatment and get rid of balanoposthitis 2-3 times faster than if you were treated on your own;
  • undergo diagnostics (it may turn out to be a specific balanoposthitis, but it does not go away by itself);
  • will not infect other people (the disappearance of symptoms does not mean that you are not infectious).

Before treating a disease, a man undergoes tests. This is required to determine the cause of the pathology. Then targeted therapy is prescribed. How long the disease is treated depends on the clinical form, the pathogen, the body's response to medication.

Balanoposthitis in women

Balanoposthitis in women cannot develop.

The term itself means, translated from Latin, inflammation of the glans and foreskin of the penis.

But women do not have this organ. Accordingly, they cannot develop symptoms.

A similar condition in women is called vulvitis. It is characterized by an inflammatory process of the external genital organs with frequent spread to the vagina (vulvovaginitis).

Balanoposthitis treatment

Treatment can be different, depending on the etiology of the disease. Let us dwell on how to treat various inflammatory processes of an infectious origin.

Fungal inflammation

Fungal infection can occur against the background of immunodeficiency. In addition, a man can become infected from his partner. In such a medicine should be prescribed not only to the patient, but also to his woman. Treatment can be local or general. Getting rid of a candidal form of the disease is usually not difficult.

In 80% of cases, the pathology is caused by the fungus Candida albicans. But in 20% of cases, these are other candida, and then the response to treatment may not be so striking.

Usually, with sporadic fungal inflammation, 1 week of application of local antimycotics is enough for cure. Most often, clotrimazole or miconazole is used in the form of a cream, 3 times a day. If such treatment is ineffective or in the case of severe fungal inflammation, drugs are indicated by mouth.

The most convenient candidiasis pill is fluconazole. It is taken as a single dose of 150 mg. Itraconazole may also be used. It is prescribed for 3 days at 200 mg per day.

Trichomoniasis

For a disease caused by trichomoniasis, nitroimidazoles are prescribed. The following drugs are used:

  • ornidazole;
  • tinidazole.

Sometimes a single dose of the drug in a high dose is sufficient, since it is not difficult to cure trichomoniasis at the initial stage.

You can take metronidazole 2 g at night. But if the infection has spread, longer treatment will be required.

How much inflammation of the head of the penis of Trichomonas etiology is treated depends on the duration of the infection, as well as on which organs are affected. The longest course of treatment is indicated when the infection has spread to the prostate gland.

Antibiotics for balanoposthitis

The disease is most often treated with antibiotics. They are indicated in cases of bacterial etiology of inflammation.

In catarrhal form, they can only be prescribed locally. You can do with only one antiseptic bath. But with a purulent inflammatory process, the use of antibacterial drugs inside is mandatory.

An antibiotic susceptibility test tank is the ideal solution. But it takes several days. Therefore, drugs are often prescribed empirically.

In this case, the sowing tank is either not carried out at all, or the doctor is waiting for its results, after which he can, if necessary, change the antibiotic.

Erythromycin, doxycycline, ceftriaxone, or other broad-spectrum drugs are usually preferred.

The course of treatment can last 1-2 weeks. Its duration depends on the response to treatment.

With the attenuation of clinical manifestations, antibiotic therapy is usually not canceled immediately, because it is fraught with relapse, but is used for another 2-3 days. In a severe form of the inflammatory process, drugs can be administered intramuscularly or intravenously.

Usually, parenteral forms are used for the first 3 days. After that, they switch to pills.

The viral form of the disease

Balanitis can be viral. It is often provoked by herpes. In this case, bubbles appear on the head. They are filled with liquid.

This type of inflammation is often accompanied by severe symptoms.

Systemic manifestations are possible: fever, weakness, headache, chills. In the genital area, the man feels a strong burning sensation.

Genital herpes is treated with acyclovir or other drugs of this group. They are prescribed for 1-2 weeks, depending on the severity of the pathology.

Which doctor treats the disease?

Some patients, having noticed an inflammation of the head, do not even know which doctor to consult. There are not many options. There are only two professionals you can show your penis to without surprising them.

The first is a urologist. He is engaged in the treatment of diseases of the genitourinary organs in men.

The second doctor you can go to is a venereologist. A representative of this medical specialization deals with the treatment of infectious diseases of the reproductive organs in men and women.

Whichever specialist you choose, it is important to seek help as early as possible in order to receive timely treatment. Because inflammation of an infectious origin can progress and be accompanied by complications.

Balanoposthitis in children

Boys always have phimosis. This is a physiological phenomenon - in a newborn, the head of the penis does not open.

Phimosis in itself does not pose a danger over the years passes. But at the same time there is a risk that balanoposthitis will occur in a child.

The development of paraphimosis is also possible - infringement of the head by the narrowed foreskin. In this case, symptoms appear:

  • swelling of the head and skin of the penis;
  • Difficulty urinating
  • strong pain.

In case of untimely reduction, necrosis of the tissues of the foreskin, and sometimes the head, is possible.

Children's balanoposthitis in a baby appears due to improper care. A secretion accumulates in the skin fold, which can become infected. Balanoposthitis develops in children, usually against the background of phimosis and paraphimosis. With recurrent inflammatory processes, fusion of the head and foreskin is possible. As a result, physiological phimosis turns into pathological. The main symptoms are:

  • increased urination;
  • fear of urination, as a result - an increase in the capacity of the bladder with its subsequent atony;
  • itching and burning in the head area.

In children, balanoposthitis carries the risk of an ascending infection - cystitis and pyelonephritis. In untreated cases, the treatment of the disease in children is successful with the use of local antiseptics. But with severe recurring inflammation, surgery is performed. In such cases, excision of the foreskin is indicated. In order to prevent severe inflammation, quality care should be provided for the child. And in the event of paraphimosis - to set the head of the penis.

Treatment at home

With balanoposthitis, home treatment is unacceptable. There are several reasons for this:

  • you do not know which pathogen caused the pathology, so you cannot find out how to cure the disease at home (different drugs are used for different pathogens);
  • neither laboratory nor instrumental research methods are available at home;
  • improper treatment is highly likely to lead to complications;
  • improper antibiotic therapy will cause the antibiotic resistance of the pathogenic flora (this means that the microorganism will develop resistance to drugs);
  • you cannot adequately assess the condition of the inflamed penis and are not able to predict the further development of the disease.

Therefore, it is worth setting aside in your busy schedule 1-2 hours of time to go to the doctor. In the future, this time investment will pay off handsomely if the visit to the clinic protects you from complications.