Definition
Balanopostitis delineates a condition of infectious / inflammatory nature that involves the surface of the barnacle (glans) and the inner leaflet of the foreskin.
Causes
As with balanitis, the responsible causes of balanoposthitis are multiple and it is not always so immediate to isolate the main aetiological factor: allergies (drugs, latex of condoms), dermatitis, infections ( Candida albicans, Chlamydia, Gonorrhea, Herpes simplex, scabies, syphilis and trichomoniasis), lichen planus, psoriasis and incorrect intimate hygiene.
Risk factors for balanoposthitis: diabetes and metabolic-immunological diseases in general, precancerous diseases
Symptoms
Balanoposthitis begins with bladder-pustular lesions tending to burst early, associated with edema, dysuria, phimosis, constant localized pain, pain during intercourse, maceration, microvesciculation of the glans and foreskin. In some cases, the disease degenerates into inguinal adenopathy and superficial ulcers.
Information on Balanopostitis - Drugs for the Treatment of Balanopostitis is not intended to replace the direct relationship between health professional and patient. Always consult your doctor and / or specialist before taking Balanopostitis - Medicines for the treatment of Balanopostitis.
drugs
Given the variety of causative etiological factors, balanitis must be treated only after the correct diagnosis (bacteriological and mycological investigation) of the patient: in this sense, after having isolated the element responsible for balanopostitis, it is possible to proceed with the elimination of the ongoing infection and / or inflammation.
Balanoposthitis is one of the sexually transmitted diseases: in this regard, if at least one unprotected sexual relationship has been consummated, the partner should also undergo the drug treatment
- Clotrimazole, 1% (eg Canesten, Mycelex): in the form of a cream, powder or solution, apply to the infected area twice a day for 10 days. This antifungal is indicated in case of balanopostitis related to fungal infections.
- Miconazole, 2% (eg Cruex, Micatin): it is recommended to take miconazole for candida-dependent forms of balanopostitis. The drug is available in the form of a cream, powder or spray, to be applied to the infected area twice a day for 10 days
- Metronidazole (eg. Flagyl, Metronidazole-Same, Rozex): the drug (antibiotic) is indicated in case of trichomonas balanoposthitis. In most cases, topical application of metronidazole-based creams or ointments is recommended to humans, as indicated by the doctor.
- Amoxicillin (eg. Amoxicillin, Amoxil and Trimox, Zimox, Augmentin ): take 500 mg of drug (antibiotic) orally, 3 times a day for at least 7 days (indicated for chlamydia balanitis). It is preferable to associate topical therapy with it.
- Tetracycline (eg Tetrac C, Pensulvit, Ambramycin): it is recommended to administer 500 mg of active per os, 4 times a day for at least 7 days in case of uncomplicated chlamydial balanoposthitis or gonorrhea.
- Crotamitone (eg. Eurax Crema, Crotaglin, Veteusan) this drug (acaricide) is indicated exclusively for scabies-related balanopostitis, associated with localized itchy ferocious. It is advisable to apply the product 2-3 times a day, as indicated by the doctor.
- Hydrocortisone (eg Locoidon, Colifoam) apply the cortisone cream locally, once or twice a day, as indicated by the doctor. Treatment is recommended for non-infectious balanoposthitis.
- Methylprednisolone (eg Advantan, Metilpre, DEPO-MEDROL, MEDROL, URBASON). Indicated in case of non-infectious balanoposthitis, especially when associated with dermatitis. Apply the cortisone drug directly to the injured skin, according to the instructions given by the doctor.
NB It is important to pay particular attention to gently drying the foreskin after intimate hygiene; moreover, irritating and aggressive detergents are not advised, due to a possible degeneration of balanoposthitis.
Finally, in the case of established balanopostitis, it is advisable to abstain from unprotected sexual intercourse, to avoid the spread of the infection or in any case to prevent the aggravation of symptoms.
If the pharmacological treatment is not helpful to completely cure the patient from balanopostitis, circumcision is recommended.
