Purulent balanoposthitis in children. Inflammation of the foreskin: what is balanoposthitis in a child and how to get rid of it

The date: 01.07.2020

Balanoposthitis in children, namely in boys, manifests itself as an inflammatory process of the head and foreskin of the penis. Any mother is shocked at the sight of an inflamed penis of a baby.

Today you will learn the causes of the onset of the disease, symptoms, prevention and treatment at home. There are a lot of factors for the development of deviation, but one of them is phimosis.

Phimosis in boys is a urological disease, which is a congenital narrowing of the foreskin and the inability to expose the penis. Most often, mothers up to 3 years old of their boys do not have to worry that the head is not exposed.

Some doctors do not recommend pulling and opening the foreskin on their own, so as not to injure the organ. A complication of phimosis can cause an infection that has gathered under the foreskin, inflammation of the smegma. It is against this background that balanitis (balanoposthitis) develops in boys.

Kinds

There are several:

Spicy.
Chronic.
Purulent.
Allergic.

The first is manifested by a sharp aggravation of the disease without any special prerequisites. If the boy experienced discomfort when he went out of need, pain, burning - these were the main signs.

Symptoms of acute balanitis:

Discomfort when urinating;
Temperature up to 37.5℃;
Redness of the head, swelling;
Weakness, fever.

Treatment of balanoposthitis in acute form occurs within 3-4 days. The therapy consists of: baths of potassium permanganate, chamomile or furatsilina solution, applying Levomekol, Lorinden C, Dermozolon, Synthomycin ointment for balanoposthitis.

Often the ideal remedy for the treatment of inflammation is Levomekol, it is prescribed for children. It is applied 2-3 times a day, designed for 4 days, it “pulls out” the infection well.

There are a lot of positive reviews on various forums. Before use, you need to consult a doctor, because some ointments contain hormones. Do not self-medicate, especially when it comes to children!

Complications of acute balanitis:

Chronic;
Obstruction of urine from the urethra, stagnation of urine;
Gangrenous condition of the penis;
Deformation of the penis;
Tumors.

Chronic

It develops against the background of an untreated acute. This type of balanitis proceeds for a long time with relapses of the disease and remission. There are 2 types - ulcerative and adhesive.

Symptoms are sluggish:

Itching of the penis;
Slight pain in the head;
Swelling and slight redness;
Grey-white discharge (smegma).

If acute balanitis has become chronic, the outcome of treatment is not so joyful, since it is practically not eliminated by drugs and douching (dick baths).

Here an emergency method is needed - surgical intervention (circumcision of the foreskin). Purulent balanoposthitis is one of the consequences of phimosis. It proceeds quite hard, painfully has a number of complications.

Symptoms:

Sharp pain in the head of the penis (foreskin);
Itching, burning sensation when going to the toilet "in a small way";
Discharge of a purulent character with a disgusting smell.

Since this type of disease is caused by microorganisms (staphylococcus aureus, streptococcus) and Candida yeast, symptoms and treatment will differ. A radical method of therapy for this balanitis is resection of the foreskin (circumcision).

Allergic

Caused by an allergy to synthetics, personal care products - soap, gel, shampoo, creams. It is treated by eliminating the irritant and antiseptic ointments and chamomile baths.

You need to take 1 tbsp. l. plants 1 tbsp. water, bring to a boil, cool and apply with a cotton swab as often as possible until complete recovery. For the treatment of allergic manifestations of the disease, Miramistin is prescribed for balanoposthitis in boys.

The solution has an antibacterial and persistent effect. Restorative measures with this remedy should be explained to the mother by a doctor. For lotions, the procedure time is 5-8 minutes.

To inject the drug into the urethra, you must have a special syringe with a nozzle. The instructions for the solution have a complete description of the procedure. Also, the release form is in the form of an ointment, which can make it easier for the mother during the rehabilitation period of the baby.

Causes, symptoms and treatment

The development of the genital organs in boys may differ, in someone by the age of 6 the penis is completely exposed (early development of the penis) and only care and hygiene are needed here. And someone before adolescence may experience phimosis of the organ.

The presence of a physiological ailment, which should be resolved naturally by the age of 12, can also turn into a pathological form.

Causes:

Insufficient care of the genitals, neglect of hygiene;
Inflammation of smegma due to its infection with staphylococcus aureus, streptococcus, candida fungi;
Narrow patency of the foreskin;
Poor quality diapers;
Tight underwear;
Diabetes;
Allergy to synthetic laundry detergents.

It is phimosis and inflammation of smegma that causes balanoposthitis in boys up to adolescence.

Symptoms what it looks like:

Puffiness, redness of the head;
The foreskin is painful;
Itching, burning of the penis after urination;
An increase in temperature in some cases, for example, in acute and purulent;
Enlarged inguinal lymph nodes;
Discharge with an unpleasant smell of gray-white color;
Erosions, crusts.

At the first manifestations, immediately consult a pediatrician, surgeon or urologist. Caring mothers will immediately see changes in the behavior of their babies, drowsiness, anxiety, fever.

This applies to children who cannot yet complain to their mother and say "where it hurts him." But children of two - six years old - can describe and show where he is worried.
How to treat balanoposthitis in a child? The therapy has a special approach, which will be prescribed by a qualified doctor. The surgeon will tell you how and how to treat it. In mild forms, it can be eliminated with the help of decoctions and ointments; in severe forms, surgical intervention is necessary.

Measures to eliminate the disease:

Personal hygiene of the penis should be every day (2 times during malaise and 1 time after);
Baths of medicinal herbs, the ideal remedy is chamomile;
Creams and ointments with a moisturizing effect, among them Levomekol;
With fungal infection, drugs such as Clotrimazole, Candide are used. Treatment takes up to 2 weeks;
With purulent and chronic inflammation, excision of the foreskin (circumcision) is prescribed.

Mothers of small children need to consult a specialist in any case to avoid complications of balanoposthitis.

Consequences and prevention

The negative process often develops in a chronic and advanced form of phimosis. Surgical intervention (circumcision in boys) is necessary here. The operation is performed under general anesthesia.

Complications:

Urinary retention (stagnation of urine);
Pyelonephritis;
Suppuration of the penis, gangrene;
blood sepsis;
Defects of the penis.

Prevention:

Hygiene 1-2 times a day;
Use high-quality underwear and intimate care products;
Wash children from 0-3 years old after each bowel movement;
Diapers of high quality and proven brands;
Wipe clean skin with moisturizing lotions and diaper rash products;
Leave the baby for a few minutes before putting on the next diaper.

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- this is an inflammation that captures the glans penis and the inner sheet of the preputial sac (foreskin). Balanoposthitis in boys is characterized by itching and burning in the head, swelling and redness of the foreskin, difficulty urinating, purulent discharge from the preputial sac. Balanoposthitis in boys is diagnosed on the basis of external signs and laboratory data (KLA, OAM, results of bacteriological culture of the discharge, PCR, ELISA). Treatment of balanoposthitis in boys includes local baths with disinfectant solutions, washing the glans penis, removing smegma and secretions, using antimicrobial and anti-inflammatory ointments; in chronic balanoposthitis, circumcision is indicated.

ICD-10

N48.1 N48.6

General information

Balanoposthitis in boys is an inflammatory process that occurs with the involvement of the glans penis and the inner layer of the foreskin. Balanoposthitis is diagnosed in about 6% of boys and in 11% of adult men who have not previously been circumcised. Inflammatory diseases of the glans penis (balanitis) and foreskin (posthitis) are most common in boys under 5 years of age and in men who are sexually active. Treatment of balanoposthitis in boys is a serious problem in pediatrics, pediatric urology and pediatric surgery. Prevention, timely and high-quality therapy of balanoposthitis in a child is the key to his reproductive and sexual health in the future.

Causes

The main cause of balanoposthitis in boys is the lack of proper hygienic care for the genitals. This leads to the accumulation under the foreskin of the secret of the preputial glands - smegma, which serves as a favorable environment for the reproduction of microorganisms that cause inflammation.

The development of balanoposthitis in boys is facilitated by the so-called physiological phimosis, which occurs normally in children under 3-5 years old and makes hygiene care difficult due to the inability to completely expose the head when pulling the foreskin. Often, balanoposthitis in boys occurs when parents try to forcefully open the head on their own - in this case, various pathogens easily enter the preputial sac from the external environment. Violation of self-cleaning of the preputial sac can be facilitated by pronounced synechia of the foreskin. The most common causative agents of balanoposthitis in boys are streptococci, E. coli, staphylococci, Proteus, herpes virus, yeast fungi (candida).

However, in some cases, balanoposthitis in boys, on the contrary, may be due to overzealous hygiene and frequent washing of the glans penis with soap or other irritants. Allergic reactions (contact dermatitis) may result from the use of baby creams, linen with detergent residues, etc. Children's cosmetics and household chemicals can provoke not only balanoposthitis, but also inflammation of the buttocks and perineum in a child (the so-called diaper dermatitis ).

The development of balanoposthitis in babies can be facilitated by a rare change of diapers or their incorrect selection (using too large or too tight diapers). At an older age, balanoposthitis in boys can occur with constant trauma to the foreskin with tight panties, seams on underwear, etc. Endocrine diseases (diabetes mellitus, obesity), urological diseases (cystitis, pyelonephritis, urolithiasis) can predispose to the appearance of balanoposthitis in boys ), hypothermia, beriberi.

Symptoms of balanoposthitis in boys

Balanoposthitis in boys often develops acutely. Usually, after going to the toilet, the child begins to complain of burning and itching in the area of the glans penis, pain or difficulty urinating. Small children become restless and cry when urinating. Examination reveals redness and swelling of the head of the penis and foreskin; when the head is exposed under the foreskin, accumulated smegma is found, which has an unpleasant odor. With balanoposthitis in boys, there may be abundant cheesy or serous-purulent discharge from the preputial sac. A rash, cracks or diaper rash may be found on the skin and mucous membranes of the genital organs. With further progression of balanoposthitis in boys, erosion and desquamation of the skin may occur.

In addition to local signs, with balanoposthitis in boys, general symptoms are expressed: malaise, lack of appetite, poor sleep, irritability. Often in children, the body temperature rises to 37-38 ° C, the inguinal lymph nodes increase. Due to the fact that the child is trying to delay urination because of his pain, the development of day and night enuresis is possible.

Symptoms of acute balanoposthitis in boys increase within 4-5 days; with self-opening of the preputial cavity and its cleaning from smegma, self-healing is possible. However, more often, in the absence of proper or proper treatment, acute balanoposthitis in boys transforms into chronic. Chronic inflammation is fraught with the formation of scars on the foreskin with the development of pathological phimosis and paraphimosis, chronic urethritis, deformity of the glans penis.

Diagnostics

If you suspect balanoposthitis in a child, you should contact a pediatric surgeon, or better, a pediatric urologist for an individual solution to the problem. In most cases, the diagnosis of balanoposthitis in boys does not require special instrumental studies. The pediatrician receives the necessary information when analyzing complaints, examining the genitals of the child and performing a number of laboratory tests.

In the general analysis of urine in children with balanoposthitis, leukocytosis and bacteriuria are detected. To identify the pathogen, a bacteriological examination of urine is performed, as well as discharge from the preputial sac (if indicated, bacteriological culture for candidiasis). In some cases, to clarify the type of pathogen, PCR and ELISA diagnostics may be required.

To exclude concomitant diseases, the child may need to be examined by a pediatric endocrinologist, pediatric nephrologist, pediatric dermatologist, blood glucose determination, ultrasound of the kidneys and bladder, and other studies and consultations.

Treatment of balanoposthitis in boys

In most cases, with acute balanoposthitis in boys, local treatment is sufficient. It is recommended to carry out sitz baths with antiseptics (potassium permanganate, furatsilin) or decoctions of herbs (chamomile, etc.). It is possible to carry out instillations of antiseptic solutions (chlorhexidine, miramistin, etc.) under the foreskin. After washing the glans penis, you should carefully pull back the foreskin, remove smegma and pathological secretions, put ointment (synthomycin liniment, with fungal balanoposthitis in boys - clotrimazole) into the preputial sac and return the foreskin to its normal position. If it is impossible to independently expose the head of the penis, the separation of the synechiae of the foreskin and the cleaning of the preputial sac is carried out by a pediatric surgeon or urologist.

NSAIDs such as ibuprofen can be used to reduce pain and swelling. In severe forms of balanoposthitis in boys, systemic administration of sulfonamides, antibiotics, and antifungal drugs may be required.

With chronic balanoposthitis in boys and the development of pathological phimosis, circumcision (circumcision) is indicated.

Prevention

To prevent balanoposthitis in boys, it is enough to observe and accustom the child to daily hygienic care of the genitals. Young children need careful selection and frequent diaper changes, regular toileting of the genitals and perineal skin care, and the use of hypoallergenic hygiene products.

At an older age, useful everyday skills are a hygienic shower, removal of excess smegma, and a change of underwear. Important for the prevention of balanoposthitis in boys is the normalization of body weight, the treatment of concomitant diseases.

Balanoposthitis is a disease that affects exclusively males. Pathology is an inflammatory process that affects the glans penis and foreskin.

The disease gives the patient a lot of inconvenience (itching, burning in the affected area), makes it difficult to urinate, making it extremely painful.

During the course of balanoposthitis, a child may experience various kinds of complications, for example, the addition of a secondary infection, provoking the development of suppuration.

How to prevent spring beriberi in children? Learn about it from ours.

Concept and characteristics

Balanoposthitis is inflammatory process, in which the region of the glans penis is involved, as well as part of the foreskin.

The disease is acquired in nature, occurs due to infection, trauma to the penis, or as one of the manifestations of an allergic reaction.

Most common in young children infectious and traumatic forms. Pathology develops gradually, when a large amount of pathogenic microflora accumulates between the skin of the foreskin and the head of the penis, the vital activity of which causes inflammation.

Causes

The main reason for the development of balanoposthitis is considered to be the multiplication of pathogenic microbes in the area between the foreskin and the head.

The causative agents of the disease are bacteria(streptococci, staphylococci and others). Negative factors that provoke the development and reproduction of pathogenic microflora can be different:

Who is at risk?

As follows from the concept of the disease, only males suffer from pathology. Moreover, it is known that in childhood balanoposthitis occurs almost 3 times more often than in mature.

This is due to the fact that many boys have such a phenomenon as physiological phimosis (when it is impossible to completely expose the glans penis from the foreskin).

Typically, this phenomenon disappears by 11-12 years.

Forms of the disease

Depending on the course of the disease, the severity of the clinical picture, there are 3 main forms of balanoposthitis:

Acute the form is characterized by a sudden onset, rapid development of symptoms. The boy may experience such manifestations as redness of the foreskin, swelling in this area. The kid experiences discomfort in the penis, complains of pain, burning. These symptoms are aggravated by urination. The child's health worsens, hyperthermia may occur. Over time, this form develops into a purulent one.
Purulent the form is characterized by the development of a stronger inflammatory process, accompanied by suppuration in the affected area. A distinctive feature of this form is the appearance of purulent discharge from under the skin of the foreskin.
In the absence of the necessary treatment, the acute form can become chronic. The clinical picture in this case is mild, there may be slight redness and swelling of the foreskin. The child also has a whitish discharge from under the foreskin, which has a pronounced specific smell.

What are the symptoms of Hirschsprung's disease in newborns? find out right now.

Symptoms and signs

Balanoposthitis is a disease characterized by specific clinical picture.

Balanoposthitis in a child - photo:

The presence of pathology is indicated by such signs as:

pain in the head of the penis. Pain and discomfort become more pronounced when urinating;
Availability purulent or white discharge curdled consistency. Allocations can be seen when pushing the foreskin. As a rule, they have a strong unpleasant smell;
redness, swelling head skin;
irritation may appear on the skin of the glans penis, rashes, microcracks;
skin in the affected area peel off;
the child becomes more irritable, sleeps worse, refuses to eat, cries for no apparent reason;
In some cases, there may be a slight temperature increase body;
increase in the groin area lymph nodes;
often balanoposthitis provokes the development enuresis, as the boy, fearing pain when urinating, seeks to retain urine as long as possible. Untimely emptying of the bladder leads to the development of enuresis.

Possible complications and consequences

Balanoposthitis is dangerous because the focus of inflammation, covering the head of the penis, gradually grows, affecting other areas, in particular, the urethra.

In addition, with a protracted course of pathology decreased sensitivity of receptors head of the penis, which in the future may adversely affect the quality of intimate life.

Diagnostics and tests

In most cases, to make an accurate diagnosis, it is enough for a doctor to conduct questioning and examining the patient, since the pathology has a very specific clinical picture.

However, if the disease has developed into a purulent or chronic form, a number of additional laboratory tests may be required:

General blood test allows you to assess how intense the inflammatory process is.
General Analysis of urine, which allows you to establish or exclude the penetration of infection into the area of the urinary canal.
Blood sugar test to rule out diabetes.
Buck seeding from the inflamed area of the penis allows you to determine the causative agent of the disease.

On the treatment of Kawasaki disease in children, you will find on our website.

Medical treatment

The most common drugs for the treatment of balanoposthitis at home are topical agents, ointments, gels (for example, Levomekol, Miramistin, Baneocin). They must be used as directed by a doctor.

Before the procedure, it is necessary to thoroughly clean the genitals of the child.

The ointment is applied under the skin of the foreskin, and if this is not possible, it is used in the form of compresses or dressings (apply a small amount of ointment to a sterile bandage, make a bandage). The course of treatment is about 3-6 days, the procedure is carried out 2-3 times a day.

In some cases, for example, if the causative agent of the disease is fungi, or the pathology has a complicated course, the doctor prescribes antibiotics ( Cefazolin, Cefixime).

The course of treatment is determined for each patient individually, however, as a rule, the dosage and duration of taking an antibiotic for balanoposthitis is small, thus, the risk of developing negative consequences minimized.

Folk recipes

Special baths for bathing a child have a good therapeutic effect.

In order to prepare such a bath, potassium permanganate is added to the bathing water, which has pronounced antiseptic effect(it is important to remember that the amount of the ingredient should not be large, since potassium permanganate has a drying effect), or herbal decoctions.

It is good to use decoctions of chamomile, sage. These herbs have anti-inflammatory, soothing effect, accelerate the process of skin regeneration.

You can use folk remedies only in combination with the treatment prescribed by the doctor.

Prevention measures

It is not difficult to prevent the development of balanoposthitis, it is necessary to follow a few simple rules for caring for a child.

The basic rule of prevention is regular and correct hygiene procedures. A small child should be washed after each diaper change (after each urination). To do this, you must use special detergents intended for children.
Important Choosing the right underwear and diapers for boy. Underwear should not be tight, the diaper should be appropriate for the age and weight of the baby.
If there is no such need, no need to move the skin of the foreskin, this can lead to the appearance of wounds and microcracks.

Balanoposthitis in a boy is a disease that delivers to a small patient a lot of discomfort. Pathology has a characteristic clinical picture, which greatly facilitates the diagnosis.

If you turn to a specialist in time, the disease is successfully treated without causing the patient any problems in the future.

If there is no treatment, various complications can occur. Negatively affecting on the quality of life, including intimate.

You can learn about the causes, symptoms and treatment of balanoposthitis from the video:

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Balanoposthitis - inflammation of the foreskin and head of the penis, often found in young children, mainly in infants. It is believed that most boys go through this ailment. It does not cause much harm, but brings a lot of anxiety in the form of itching, burning, problems with urination, swelling and rash.

The first is characterized by a bright manifestation of symptoms within 1-3 months. Chronic balanoposthitis is less pronounced, characteristic symptoms may appear a year after the onset of the disease.

The cause of balanoposthitis can be:

Often, swelling of the head interferes with the normal separation of urine.

With an exacerbation of the disease, the child's temperature rises, lymph nodes increase, general weakness, deterioration of sleep and appetite are observed.

A photo

This is how the symptoms of balanoposthitis look in the photo:

Which doctor should I contact?

Treatment of balanoposthitis in children: if you find the first alarming symptoms, you should contact your pediatrician. After examination, he may issue a referral to a pediatric urologist or surgeon. The last option is necessary for phimosis. In some cases, you may need to consult an allergist or dermatologist.

To determine the causative agents of postitis, the doctor takes a swab from under the foreskin. A microbiological study is carried out, after which a therapeutic regimen is determined. Is it possible to treat balanoposthitis at home? Self-medication is excluded, improperly selected drugs can harm the child.

Antibiotics are especially dangerous, which relieve inflammation, but can provoke the appearance of a fungus.

Another danger is the transition of fasting from an acute form to a chronic one, which is much worse treatable.

Hygiene rules: why are they important?

Treatment of balanoposthitis in a child should begin with hygiene.

One of the causes of acute childhood balanoposthitis is the accumulation of smegma under the foreskin.

Daily washing with warm water and neutral baby soap is necessary.

Flavored and brightly colored gels should not be used for intimate hygiene., which can provoke irritation of the skin and mucous membranes.

If the allergic nature of the disease is identified, special detergents are needed, which can be ordered at a pharmacy. It is impossible to move the foreskin sharply, the process can be very painful. Act gradually, freeing the head as much as possible.

Babies need diapers of the right size that do not compress the genitals. They are changed immediately after contamination, a dirty diaper turns into a compress that provokes the growth of bacteria.

It is advisable to use diapers only at night and during walks. At least once a day, the baby should be left completely undressed. Such air baths strengthen the immune system and prevent inflammation.

Children past infancy should take a shower or bath at least once a day. They need not too tight underwear made of elastic cotton jersey, which is changed daily.

Overheating of the genital area is unacceptable, it can provoke not only balanoposthitis, but also other unpleasant diseases.

How and how to treat balanoposthitis in children? Medicines and their use

How to treat balanoposthitis in a child? What will Dr. Komarovsky advise? A recognized authority in the field of pediatrics, recommends not to panic when you discover the first symptoms of balanoposthitis in a baby. A timely visit to the doctor guarantees a complete and fairly quick cure, and compliance with hygiene rules will help to avoid relapse. It is important to act gradually, not trying to deal with the problem in one day.

In case of inflammation, application to the head of the penis is recommended, combining an antibiotic with immunostimulating components. The application of the ointment is combined with a light massage, slightly pushing the foreskin, but without causing pain to the child. A small amount of the drug can be injected into the prepump (using a syringe without a needle).

Also according to Dr. Komarovsky, Miramistin will help in the treatment of balanoposthitis in children.

Water has a good antibacterial effect.

The liquid disinfects the skin, accelerates the healing of minor injuries, relieves burning and itching.

Gauze or bandage is wetted in the preparation and applied to the head of the penis. You can irrigate the affected areas with a syringe, allowing the skin to dry naturally. Processing is carried out 1-2 times a day after thorough washing.

Infectious inflammation can be treated with zinc ointment. It is applied in a thin layer on the damaged areas 1-2 times a day.

With identified candidal balanitis, ointments such as Fluconazole, Clotrimazole or Miconazole can be used. They are aimed specifically at the destruction of a fungal infection, with a bacterial form, the drugs are ineffective. It is better to apply them after a warm bath or thorough washing of the penis.

Maz is applied in a thin layer on the head and in the fold of the foreskin, it is not necessary to rub it. In order not to stain the laundry, the head of the penis is covered with a sterile gauze pad. Processing is carried out 2-3 times a day, the course is prescribed by a doctor.

If the cause of balanoposthitis is an allergic reaction, corticosteroid ointments are prescribed for treatment. The best option is Lokasolen. The drug relieves swelling and raw materials, soothes, eliminates the cause of inflammation. Use 1-2 times a day for 5-7 days.

Traditional medicine: will it help?

Are there remedies for the treatment of balanoposthitis at home? For treatment, you can use proven and safe home recipes. The best option is decoctions and infusions of medicinal herbs, which are used for sitz baths, washings, compresses and douches.

Chamomile has an excellent antibacterial and soothing effect.

A handful of raw materials is poured with boiling water (1 l) and infused under the lid for half an hour.

After straining with warm infusion, the genitals of the child are washed.

The procedure is carried out 2 times a day, in the morning and in the evening. The course of treatment depends on the condition of the baby, there are no side effects and contraindications for chamomile infusion.

Lotions can be made from concentrated infusion. A cotton swab or bandage folded in several layers is dipped in liquid and applied to the head of the penis for 3 minutes. Then the swab is wetted again and the procedure is repeated. You can make lotions 1-2 times a day for a week.

With minor erosions, swelling and itching, douching with a decoction of yarrow, nettle, calendula is useful. 1 st. a spoonful of crushed collection is poured into a glass of boiling water, heated for 5-7 minutes and infused for 25-30 minutes. After straining, the liquid is collected in a syringe. Moving the foreskin aside, the skin is abundantly irrigated with infusion, a small amount can be injected into the urethra. The procedure is carried out 1 time per day, preferably at bedtime. The course is 7-10 days.

Sedentary baths with a weak solution of potassium permanganate.

In order not to burn the delicate baby skin, the crystals are first diluted in a small amount of liquid, and then poured into a basin of warm water and mixed thoroughly. The temperature should not be too high. During the procedure, you can slightly move the foreskin away from the head, warm water makes the process less painful. The bath lasts 7-10 minutes, it is especially useful to do it before going to bed.

Another option for baths involves the use of ready-made alcohol tinctures of eucalyptus or calendula. 100 ml of liquid is poured into a basin of warm water. The procedure lasts about 10 minutes, rinsing the skin after it is not necessary.

After the bath, you can use a baby cream without harsh fragrances. A small amount of the product is applied to the head of the penis and rubbed with light circular movements. A small amount of concentrated decoction of chamomile or calendula, which has a wound healing and soothing effect, can be added to the cream.

In the treatment of balanoposthitis in children, there are also pleasant sides.

Proper nutrition will help speed up recovery.

The child's diet includes freshly squeezed fruit and vegetable juices., homemade berry fruit drinks, low-fat dairy products.

These tasty and easy-to-make treats strengthen the immune system and improve the body's natural resistance to infection.

Useful video

For more information on how to treat inflammation of the foreskin in a child, see the video below:

Children's balanoposthitis is not a dangerous disease that requires timely treatment. Proper nutrition of the child and careful observance of basic hygiene rules will help prevent relapses.

In case of balanoposthitis, treatment should be aimed at eliminating the etiological factor in the first place.

Primary balanoposthitis often develops as a result of hygiene violations, 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. Known forms of balanoposthitis in systemic and endocrine diseases. Balanoposthitis often develops in diabetes mellitus, it is treated difficult and long and depends on the compensation of the underlying disease.

For all types of balanoposthitis, treatment methods are divided into general, which act systemically, and local, which are aimed directly at the glans penis and foreskin.

To general methods of treatment include antibiotic therapy and the use of drugs to stimulate the immune system.
To local medicines include ointments, creams, gels and antiseptic solutions. Ointments and gels vary in composition and may have antibacterial, anti-inflammatory, antiallergic, antifungal and other effects.

In order to eliminate phimosis, which provokes balanoposthitis, after the signs of inflammation are eliminated, an operation is performed.

What are the terms of treatment for balanoposthitis?
In case of 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 the type of pathogen, and in acute balanoposthitis, on average, they range from two to three weeks.
Tortured balanoposthitis - what to do?
First of all, you need to pay attention to hygiene and conduct a complete 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 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 relapse and re-disease, hygiene rules must be observed and casual sexual intercourse should be avoided.
Found balanoposthitis - which doctor should I contact?
Balanoposthitis is treated by specialists in the field of urology and venereology.
What is the treatment for balanoposthitis in diabetes mellitus?
In diabetes mellitus, the treatment of balanoposthitis should be primarily directed to the treatment of the underlying disease, which consists in the selection of antidiabetic drugs. It is combined with local and systemic antibiotic treatment.

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 E. 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 adjusted for sensitivity.

Antibiotics are not taken orally for mild forms of balanoposthitis. Systemic antibiotic therapy is connected either in severe cases, for example, with a purulent form, or in 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 Nevigramone, derivatives of nitrofuran ( Furagin) and oxyquinoline derivatives ( Nitroxoline).
With anaerobic infection, good results were shown Azithromycin.
Sulfonamides can be used Biseptol.
In the case of a specific infection, penicillin preparations, cephalosporins, for example Tsiprolet.
With candidal balanoposthitis, antifungal drugs are used, such as clotrimazole or flucanosole.
For chlamydia and ureaplasma infections, 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 should be treated with antibiotics. During the period of antibiotic treatment, there are restrictions on the intake of alcohol.

Ointment from balanoposthitis Levomekol and its analogues

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

In 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 the autoimmune reaction, inflammation and allergies, hormone-based ointments are used, for example Oxycort or Locacorten, Lorindel, Lamisil, Dermozolon other.
Triderm is a combined preparation consisting of an antifungal agent, an antibiotic Gentamycin and hormone. It is used for allergies, eczema, neurodermatitis and ringworm. With balanoposthitis Triderm indicated as a local remedy in the presence of mixed infection.

Ointment Levomekol from balanoposthitis

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

It consists of two components - antibacterial chloramphenicol and methyluracil, which stimulates tissue repair. 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 consists of neomycin and bacitracin, two powerful antibiotics that together have a wide spectrum of action. It can be used when microorganisms are sensitive to it with limited and superficial inflammation.

Antiseptic and drying ointments are also actively used, for example, with zinc oxide.

Given the different etiologies of the disease, only with the help of a specialist can you choose the best balanoposthitis ointment. 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 performed 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, should be taken with caution. This is due to the fact that the dissolution of potassium permanganate crystals in water is not complete, 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 preparation. Fucorcin or Castellani liquid. It acts on both bacteria and fungi.

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

It has a similar effect in the disease balanoposthitis 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 for balanoposthitis?

The use of Miramistin for balanoposthitis is desirable as prescribed by a doctor and under his control. 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 mild 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 features in the treatment. In the case of anaerobic balanoposthitis, 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 after receiving the results of antibiotic therapy.
Use vitamin complexes and means that stimulate the immune system.
Locally, a solution of potassium permanganate, hormone-containing creams are used; if local ulcers or erosions appear, they can be cauterized with silver-based preparations.

In the case of erosive balanoposthitis, treatment requires determining the pathogen and prescribing, first of all, etiotropic drugs.

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

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

Chlamydia 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.
In case of chronic balanoposthitis, treatment should be aimed at increasing immunity and eliminating the pathogen, both by local and general means.
If a chronic balanoposthitis contributes to the presence of phimosis, then an operation is performed.
In some cases, circumcision is performed.

Attention

In all cases of balanoposthitis that 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 sensitivity and the pathogen or the effect on the etiotropic factor, after examination and under the supervision of a specialist.

After the symptoms of inflammation disappear with balanoposthitis, a second examination and tests are performed to confirm the cure for this disease. Transferred balanoposthitis does not guarantee that it will not recur, especially with poor hygiene and phimosis for all ages and promiscuity 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 the tests and the determination of sensitivity to antibiotics. A consultation with a urologist in different cities costs from 500 to 1500 rubles.