What to do about acute superficial balanitis

Acute superficial balanitis can be intervened through daily cleaning and care, topical drug application, oral anti-infective drugs, physical therapy and surgical treatment.

1. Daily cleaning and care

Gently clean the foreskin and glans area with warm water every day and keep the area dry and clean. Avoid using soap or harsh detergents, and wipe dry immediately after cleaning. It is recommended to wear breathable cotton underwear to reduce local friction. If the foreskin is too long, the foreskin needs to be completely turned up to remove secretions during cleaning.

2. Apply topical drugs

Use topical preparations such as erythromycin ointment, clotrimazole cream or compound ketoconazole ointment as directed by your doctor. Clean the affected area before application and cover the inflamed area evenly with a thin layer. Fungal infections require continuous medication for more than 2 weeks, and bacterial infections require medication for 5-7 days. During medication, observe whether adverse reactions such as skin burning sensation occur.

3. Oral anti-infective drugs

For bacterial infections, cefaclor dispersible tablets and amoxicillin and clavulanate potassium tablets can be used； For fungal infections, it is recommended to take fluconazole capsules or itraconazole capsules. It is necessary to complete the prescribed course of treatment, and you are not allowed to increase or decrease the dosage on your own. Avoid alcohol while taking the medicine, and pay attention to observe whether there are any adverse drug reactions such as rash, digestive tract discomfort, etc.

4. Physical therapy

In the acute stage, cold wet compresses with 0.1% ethacridine solution can be used to relieve swelling and pain. Those with chronic and recurring attacks may consider local ultraviolet irradiation treatment, 2-3 times a week, to promote the absorption of inflammation. Eyes and normal skin need to be protected during treatment, and moisturizer should be applied after treatment to prevent dryness.

5. Surgical treatment

For patients with phimosis and recurrent infections, circumcision may be performed after the inflammation is controlled. The surgery uses laser or traditional resection, and dressings need to be changed regularly after surgery, and cefuroxime axetil tablets are used to prevent infection. Avoid strenuous exercise and sexual life within 1 month after surgery, and pay attention to the wound healing.

It is recommended to increase the intake of fresh fruits and vegetables to supplement vitamins and avoid spicy and irritating foods. Maintain a regular schedule and avoid sitting for long periods of time stressing the affected area. Sexual life is suspended during treatment, and partners need to be checked simultaneously. Choose loose and breathable clothing to avoid local moisture and heat. If symptoms such as fever, swollen lymph nodes, or worsening of ulcers occur, you should return to the hospital immediately. Pay attention to personal hygiene on a daily basis, wipe residual urine promptly after urination, and wash the foreskin regularly to prevent recurrence.