Balanitis-What is balanitis?
Balanitis - inflammation of the glans mucosa known as balanitis.Balanitis caused by a variety of pathogens, local irritation, and other factors. Lead to the most common cause of balanitis penis cleaning dirty caused by bacterial or fungal infection. Phimosis can cause glans difficult to clean, and so may increase the chance of balanitis. Chemicals such as detergent or soap, as well as irritants such as wool and so on may also lead to balanitis.
Balanitis - Disease OverviewBalanitis male foreskin covering the glans penis on the outside, with the protective function of the foreskin's inner mucosal secretion of liquid lubrication foreskin foreskin and the glans is not too dry, once the foreskin itself is a problem, in addition to outer foreskin may also spread to the glans, resulting in acute or chronic problem of the foreskin glans, one of the most common Balanitis.
The main function of the penis is urinating, row of semen and sexual intercourse is the main organ of sexual behavior, penile skin very thin, non-fat under the skin, with activities and stretching the sinusoids of the penis can be attached into the blood.
As the name suggests, "Balanitis" refers to the foreskin, the glans inflammation reaction caused by inflammation of the age of reason will vary, such as infant foreskin glans inflammation diapers wrapped airtight, or faecal contamination caused mainly urine, fecal bacteria release, plus heat, humidity and infant circumcision, the vast majority are too long, bacteria, urine, smegma, the foreskin is too long in these three under the foreskin glans red and swollen. heat pain.
Adult Balanitis Balanitis In addition to the part of the prepuce, dirty sex, exposure to certain chemicals and trauma are also very important factor. In short, the stimulation of smegma, urine, certain chemicals, clothing, contact with friction and trauma constitute Balanitis important factors. Balanitis can be roughly divided into four main categories of traumatic contact, drug and infectious, traumatic, mostly because of the trauma hit, the zip folder to sexual intercourse hurt, this time, the foreskin may be quite redness, pain, parasitic infections and scratches when the penis, the merger of the itching feeling, contact inflammation of the foreskin is in the use of topical microbicides, or ointment drugs.
Balanitis caused by the drugs often have itching, burning sensation, and lead to the site of infection, unlike infection Balanitis such a big area, but was a single or a small piece of very superficial similar abrasions, and a clear boundary between The most important thing is that before taking a drug, the most common cause of this inflammation is a tetracycline. And infectious balanoposthitis, the entire glans showing redness, odor and discharge is not the same, if suspected to be caused by Treponema pallidum, can be used for blood tests and check the syphilis sero-agglutination test to distinguish between syphilis or most bacteria or other infectious balanoposthitis. Children and adults caused by the Balanitis the reasons, though different, but the principle of preventive health care is the same on weekdays should be wearing baggy pants, keeping parts clean and health prepuce of the children in the bath will open the foreskin back, and then the smegma clear the foreskin and the glans application of water to gently wash encountered recurrent Balanitis infection, you should consider circumcision.
Balanitis - causes
Balanitis balanitis cause is not clear, but the prepuce, smegma stimulation with balanitis related to the occurrence. Therefore, men should also be regular cleaning of the lower body, maintaining local clean to avoid irritation. Prepuce, circumcision after the inflammation was controlled.
1, non-infectious factors include local trauma, friction, contraceptives, soaps and cleaning agents to stimulate the local can be expressed as edema, erythema, erosion, exudate or bleeding, and secondary bacterial infection can fester and the formation of ulcers. Pain in patients with obvious mobility. Clinically known as acute superficial balanitis.
2, candida infection Candida is an opportunistic pathogenic fungi, therefore candidal balanitis is often secondary to diabetes, senile wasting disease as well as antibiotics or hormone therapy after, but also for the primary, multi beads by the spouse came the bacteria vaginitis, glans and Coronal light red erosion and thin-walled pustules, but the local often find candida may be caused by local allergic reactions caused by Candida.
Amoeba infected patients Balanitis lesions, partial loss of normal barrier function, in turn caused by the infection of intestinal amoebiasis. Local erosion and ulceration, tissue necrosis obvious secretions direct smear can be found in amoeba.
Trichomonas infection usually caused by the spouse suffering from vaginal trichomoniasis be transmitted. Mild, red rash, small blisters, mainly from the glans Ministry. State clearly, and gradually expanded the scope, patients often feel itchy. Secretions can be found in trichomoniasis.
In addition, there are some balanitis etiology is not clear, but the prepuce, smegma stimulation with balanitis related to the occurrence of Therefore, men should also be regular cleaning of the lower body, maintaining local clean to avoid irritation. Prepuce, circumcision after the inflammation was controlled.
Balanitis - diagnostic pointsBalanitis clinical classification of various types.
A, acute superficial balanitis
A surface of the skin erythema, swelling, erosion, exudation; conscious pain and itching.(2) mostly due to friction, condoms (drugs), caused by cleaners stimulation.
Second, candidal balanitis
An early flushing, surface scattered in the tip size red Qiu herpes, overlying a bit like a cheese-like discharge, pustules, severe erosion, exudation.
2 secretions direct microscopic examination, see Candida spores and hyphae.
Patients often have long-term use of broad-spectrum antibiotics or corticosteroids, or diabetes.
Trichomonal balanitis
The surface of the skin erythema, papules, gradually expanding, surface blisters, followed by erosion, oozing.
Secretions see trichomoniasis.
Balanitis - inspection methodsSkin balanitis checks - Check Laboratory:
Candida balanitis (posthitis) lesions on the glans, the foreskin drawn microscopy or culture can be found in Candida. Trichomonal balanitis can be found in the secretions trichomoniasis.
Balanitis Check Item 2 - direct microscopic examination:
Scraped the glans penis, coronary sulcus, or foreskin at the lesions of the surface scales as to be tested specimens. Specimens to be tested with 10% potassium hydroxide or saline producer microscope seen flocks of egg-shaped garden, spores and pseudohyphae find more pseudohyphae, candidiasis in the pathogenic stage.
Balanitis Check Item 3 - stain:
The balanitis available Gram stain microscopy after Congo red staining or PAS stain staining positive rate is higher than the direct microscopic examination. Gram staining, spores and pseudohyphae dyed blue: Congo Red and PAS staining, spores and pseudohyphae stained red
Balanitis - Treatment(1) to remove the stimulus.
(2) erosion, exudation, with 3% boric acid solution, or 0.05 percent, the silence prime liquid wet compress.3 anti-infective therapy, anti-fungal, anti-trichomonas drug against different pathogens.
. Allergic factors caused by topical corticosteroid preparations.
An acute superficial balanitis: more than underwear friction, trauma, or soap, detergent local stimulation. Performance of edema, erythema, exudation, erosion and secondary infection with purulent secretions, easy formation of ulcers, perceived pain.
Ring erosive balanitis: the glans and foreskin inflammation damage in a ring, or ring of cheese-like smegma, falling easily rupture into a shallow ulcer, if the loss of the ring feature is not easy and superficial balanitis difference . The disease can exist alone, can also be used as a mucosal symptoms of Reiter's syndrome.
Three plasma cell balanitis: more common in middle-aged, single or multiple prolonged reclaim chronic inflammation, damage was patchy, surface smooth or scaly or wet, the infiltration is more pronounced. Sector clear and difficult to rupture, visible on the surface like a chili powder-like tiny spots. Shape is difficult with the the glans proliferation erythema difference. If similar damage occurred in the vulva, known as plasma cell vulvitis. Pathological specificity, a large number of plasma cells in the dermis infiltration, telangiectasia, hemosiderosis.
, Mica-like and the keratinizing fake epithelial tumor balanitis: glans damage infiltration hypertrophy, hyperkeratosis and a mica-like crusts, surface of the skin lose their normal elasticity, and falling into atrophy. The histopathological see hyperkeratosis, acanthosis, epidermal sudden extension was a pseudo-epithelial tumor-like hyperplasia.
Governance balanitis home simple recipe
(1) turn the foreskin, local cleaning with 1:5000 potassium permanganate solution, and kept dry. Such as the foreskin can not turn, can cut the dorsal foreskin in order to facilitate drainage and cleaning.
(2) under the guidance of a doctor to take some antibiotics treatment.
(3) after the inflammation subsided, phimosis or redundant prepuce are advised to make circumcision.
Suffering from balanitis should not eat spicy hot food. Drug allergy due to Balanitis.
Balanitis - clinical manifestationsBalanitis means inflammation of the prepuce and the glans. A normal foreskin cavity endocrine lipid substances in the prepuce or phimosis, these substances can accumulate into the smegma stimulate the foreskin and the glans caused Balanitis. Foreskin turtle inflammation drug allergy is a delayed type hypersensitivity is quite common in clinical practice, the general incidence of 24 to 72 hours after administration. Foreskin turtle inflammation drug allergy is a delayed type hypersensitivity is quite common in clinical practice, the general incidence of eye drops after 24 to 72 hours.
The Balanitis calligraphy Ministry 1/5000 potassium permanganate solution immersion and apply to anti-inflammatory ointment. The allergic Balanoposthitis be oral allergy medication and topical cortisone ointment. As a result of phimosis or foreskin edema can not flip, dip, poor drainage, still can not be dissipated by the general treatment of inflammatory feasible foreskin back incision (Figure 1), in order to facilitate drainage. As soon as the inflammation completely subsided after circumcision. The Balanitis performance of the foreskin swelling, burning, increased urination can be purulent discharge from the mouth foreskin outflow. If the foreskin flip, showing the prepuce and penis head redness, swelling, severe cases may have a small shallow ulcers or erosions, the performance of pus.
Secondary phimosis; meatal stenosis; anterior urethral stricture.
Balanitis - prevention measuresRegular cleaning of the foreskin and penis head, to keep the foreskin cavity clean and dry. If circumcision of the prepuce or phimosis should be OK. Oral roxithromycin, in conjunction with topical products skin Li Kang, once every 1-2 weeks.
Increasing number of the pathogenesis of male candidal balanitis, the main reason is related to the sexual contact, where intercourse with women suffering from Candida vaginitis, it is easy to be infected; followed by contact with the indirect object, such as other people's underwear, bath towels , baths, etc., coupled with the prepuce, Candida thrive in the parts of the prepuce and coronary sulcus and glans hyperplasia. Have been found suffering from Candida vaginitis patients with sexual contact with men, and his penis was infected with up to 69.4%, Candida vaginitis, the detection rate of their husbands penis candidiasis vaginitis husband 4 times. The main clinical the following situations. Common is the foreskin of the penis and the glans mild flushing, dry, smooth, the prepuce and the glans Coronal Department accompanied by white cheese-like patches. The involvement of the scrotum, penis contact surface visible scaly erythematous rash, itching obvious, involving the urethra, can urinary frequency, urgency. Small number of patients may manifest acute edema Balanitis foreskin edema associated with irritation, tearing, a small ulcer, and sometimes may be associated with diabetes. A very small number of men after sexual intercourse and the risk of Candida vaginitis women, within a few hours, penile irritation, tearing, burning sensation, the foreskin and glans flushing. The emergence of such symptoms may be patients a high degree of allergy caused by Candida albicans. Methods of prevention and treatment of this disease are: 1, if the spouse is suffering from Candida inflammation, stop the married life, or wear a condom intercourse to avoid cross-infection. Foot suffering from fungal infections such as athlete's foot, etc. Do not hand scratching the feet, do not wash their hands they grasp genitals. Aggressive treatment of foot fungal infection, while paying attention to the underwear do not be washed together with socks. , If a woman suffering from Candida vaginitis foreskin glans itching symptoms, suspected of being infected candidal balanitis, must be timely to the hospital to a specialist for treatment, resulting in do not make clothes <Drug slightly> to avoid close sicker. 4, with water every day to wash the foreskin, do not use the slightly irritating strong soapy water or <Drug Name> cleaning solution. 5, daily life, frequently changes underwear, fixed personal tub with a towel and disinfected on a regular basis. 6, the prohibition of abuse of <drug name slightly and hormone drugs. 7, aggressive treatment of systemic diseases, such as the adrenal cortex hyperfunction, such as diabetes. To increase the body resistance. Prepuce patients with fungal infection cured as soon as possible circumcision. 9 patients, is still a long time to treat the symptoms disappear, you should check whether the merger trichomonas infection. If concomitant Trichomonas vaginalis infection, drug treatment should be accorded to the anti-trichomoniasis.
Erythema of the glans penis, the surface may have small pustules or papules. Can also be manifested local edema of the mucosa of the glans, the edge of mild desquamation, and can papules and pustules formed to expand around the glans erosion. Recurrent candidal balanitis can cause local dry and fibrosis and other changes. Treatment of the disease is generally topical antifungal ointment, in severe cases can also be oral antifungal agents.
Balanitis caused by?
The symptoms of balanitis can be infectious and noninfectious clinical infection Balanitis more common. Infectious balanitis patients with unclean sexual intercourse often infected with Candida albicans, trichomonas, chlamydia, mycoplasma, gonococcus or other bacteria that cause; non-infectious balanoposthitis factor is due to the prepuce, cleaning is not enough between the foreskin and the glans of an unclean thing, that is smegma, it will pile up the foreskin to stimulate local mucosal inflammation. Had balanitis how to do? The treatment of balanitis is necessary to distinguish between infectious and non infectious symptomatic and treatment.
Balanitis - Classification and its symptoms
(1) acute superficial balanitis symptoms: early local flushing, penile skin redness, swelling, burning and itching penis. Open the foreskin visible hyperemia erosion, exudate and even bleeding. The secondary infection can be seen a small ulcer, and milky white malodorous secretions.
(2) ring fester balanitis symptoms: in the glans, the foreskin visible erythema, and the gradual expansion of the ring, the formation of ulcers.
(3) the symptoms of Candida balanitis: be seen in the foreskin glans erythema, smooth surface and a small herpes, a clearer edge, erosion and exudate in the acute attack.
(4) trichomonal balanitis symptoms: the glans from the papules and erythema gradually expanded, the edge clearly visible pinhead-sized blisters on erythema, and finally the formation of the erosion surface.
Balanitis is often caused by fungi, chlamydia, mycoplasma, herpes and other bacterial infections, sometimes caused by the prepuce. , Leading to the penis head by bacteria, fungi or other pathogens, the skin of the glans chemicals stimulate poor personal hygiene, such as soap, cleaning agents can also cause infection.
