Balanoposthitis is a urological disease,which is characterized by a simultaneous inflammatory process of the head of the genital organ in men (balanitis) and certain areas of the foreskin (postitom). In fact, these are two diseases, but often they occur simultaneously, and they were united under the common name - balanoposthitis. Patients sometimes call this disease a balanoposthite of the prepuce. It occurs both in adult men and in children. Balanoposthitis in boys is more often diagnosed at the age of 3 to 7 years.
Among the causes are the infectious nature of the disease and the non-infectious one. Infectious balanoposthitis mainly occurs due to sexually transmitted infections (STIs), which include:
Noninfectious causes of balanoposthitis include:
In addition to the obvious pathogens of this pathology, there are still factors that predispose to its development. These include:
Treatment of balanoposthitis in men usually does not causedifficulties with properly diagnosed. The symptomatology of the disease depends on the severity of the course of the disease and the presence or absence of complications. There are two forms of this disease: acute and chronic. The acute form depending on the symptomatology can be manifested by three kinds of balanoposthitis. So, distinguish simple balanoposthitis, erosive and gangrenous.
This is an easy form of the disease. Treatment of balanoposthitis in men in this case usually takes 5-7 days. Characteristic signs of simple balanoposthitis are:
This type of balanoposthitis is characterized bythe formation of multiple erosions on the head and foreskin. First, a white swollen outgrowth appears in a certain area. The white thin film on it is the dead cells of the epithelium. After a while this film bursts, and a very painful erosion appears (red spot). After such damage heals, there are no traces left.
This form of the disease is very severe andis characterized, in addition to local lesions, also common signs of intoxication, namely: fever, weakness and malaise. On the head and foreskin of the penis, very painful bleeding and purulent ulcers are observed. Because of the edema, phimosis occurs, ie, it is impossible to expose the glans penis. After the tightening of ulcers, scars remain. They can lead to phimosis, because these scars are connective tissue formations that can not stretch. In addition, perforating holes may remain on the foreskin after healing ulcers.
| STI, which caused balanoposthitis | Symptoms |
| Gonorrhea | There are classical signs of simple balanoposthitis, which are combined with urethritis. |
| Chlamydia | Usually, only the symptoms of balanitis are manifested, i.e. inflammation foci (red spots) are present only on the glans penis, are distinguished by the presence of distinct contours. |
| Trichomonas | It often manifests as urethritis. It is characterized by the presence of purulent discharge of yellow or white, which have a foamy character. These secretions accumulate between the head and the foreskin. They have a very unpleasant smell. The head of the penis can be completely swollen and have a red color, or there may be separate foci of inflammation. |
| Candidiasis | The first signs are itching and burning, whichthen pass into pain. With the further course of the disease, a white coating appears on the head, which resembles a curdled lump and is easily removed. This is the manifestation of candidiasis balanoposthitis in men. Treatment is carried out by antifungal agents. |
| Herpetic | The head of the penis and the foreskin are covered in manybubbles with transparent watery contents. These vesicles burst, and in their place jazvochki formed red-pink color. After the tightening of these sores, pigmented spots remain. This kind of balanoposthitis, as a rule, proceeds in a chronic form with periods of exacerbation and remission. |
| Syphilitic | With this type of balanoposthitis on the skin of the head andthe foreskin forms a solid chancre - painless sores that appear on the site of the primary infection in the primary period of syphilis. |
| Gardnerellezny | It reminds a simple balanoposthitis, but with a verypoor manifestations. If the patient's immune system is strong, then this type of balanoposthitis passes without treatment within 2-3 days. Treatment of balanoposthitis in men in this case can not be carried out. |
| Papillomavirus | It appears as genital warts. It can affect other parts of the body. |
| Kind of balanoposthitis | Symptoms |
| With flat lichen | As a rule, in the area of the neck of the penisseparate or grouped nodules appear that have an irregular shape. On their surface there are white scales. Such nodules appear on other parts of the body. |
| Balanoposthitis in psoriasis | The lesions are formed on any parts of the body, including the penis. This type of balanoposthitis is characterized by the appearance of nodules of red color, covered with small scales. |
| With diabetes mellitus | Symptoms of this type of balanoposthitis depend onthe severity of the course of diabetes and the age of the patient. Characteristic symptoms are: reddening of the head and foreskin, painful sensations in these zones. There may be dryness, cracks and ulceration of these areas, as well as their bleeding. After healing of cracks, scars remain. |
Infectious balanoposthitis in childhood is practically not found. The most common causes of this disease in children:
First of all, it is necessary to establish the cause,which caused the disease. It is not recommended to engage in self-medication. It is necessary to contact a urologist or a dermatologist (venereologist). Treatment of balanoposthitis in men is often carried out in a specific way, depending on the causative agent of the disease. It is necessary to carefully observe all the recommendations of the doctor.
So, if you have candidiasis balanoposthitismen, treatment should be carried out using antifungal agents. Local anti-fungal ointments "Mikogal", "Miconazol", "Terbinafine", "Candide", "Clotrimazole", "Omoconazole", etc. are used locally. The ointment is rubbed into the affected areas 2 times a day. Before the procedure, it is necessary to conduct a thorough hygiene of the genitals (wash with soap). Usually, this treatment lasts about 3-4 weeks.
Antibacterial andantiallergic agents, treating balanoposthitis in men. Preparations "Lokasalen", "Lorinden", "Lokakorten" on the basis of flumatosone pivalolate are powerful agents, simultaneously possessing anti-inflammatory and antiallergic effect. Treatment with these drugs is also carried out under the supervision of a doctor.
This medication includescomposition of two active substances: levomitsetin (chloramphenicol) and methyluracil. The first is a broad-spectrum antibiotic and is capable of destroying pathogens. The second substance stimulates the regeneration of damaged epidermal tissues. "Levomikol" ointment is prescribed for all types of balanoposthitis.
Very effective in balanoposthitis drug "Levomekol" (ointment). Its price is low, within 100 rubles. Therefore, the remedy is used for all types of the disease.
Dressings with ointment are applied to damagedsites for the night after thorough hygiene of the genitals. This procedure is done within 5 days. Treatment is always under the supervision of a doctor.
With balanoposthitis caused by STI, a specific treatment is used, aimed at destroying the pathogen.
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