White liquid squeezed out of the glans

The male genitals are private parts and are also more susceptible to infection and disease. For example, many men have the symptom of white liquid squeezing out of the glans penis. This is generally a symptom of balanitis. When patients encounter this problem, they must go to the hospital for a detailed examination and then receive treatment through a reasonable treatment plan. Here we will introduce you to the relevant knowledge of balanitis!

1. Causes

Balanitis is related to many factors, which can be divided into infectious factors and non-infectious factors. Under normal circumstances, a large number of bacteria, yeasts and spirochetes can parasitize in the foreskin cyst, and when local or systemic resistance is weakened, these microorganisms can become pathogenic pathogens. It is mainly caused by bacteria, such as Escherichia coli, Staphylococcus, and Streptococcus, followed by Candida, Trichomonas, Mycoplasma, Chlamydia, and Gonorrhea, which can also cause foreskin and glans inflammation.

Non-infectious factors include stimulation from urine, alkaline substances (such as detergents) and foreign substances (such as condoms); friction and trauma; excessive foreskin and insufficient cleaning leading to accumulation of smegma, which can cause damage to the glans foreskin mucosa and aggravate infection by various pathogens.

2. Diagnosis

It is mainly based on clinical manifestations, combined with etiological and pathological examinations. For example, if the cause is Candida infection, direct microscopic examination and culture of samples from the lesion site can reveal Candida; if the cause is amoeba, a smear examination of the secretions can reveal amoeba. The pathological changes of plasma cell balanitis have diagnostic value. This disease should be differentiated from fixed drug eruption caused by drugs.

Treatment

1. General treatment

(1) Keep the area clean, avoid various irritations, and clean the glans and foreskin daily.

(2) Avoid unclean sexual intercourse and temporarily suspend sexual intercourse during treatment. If it is trichomoniasis or candidal balanitis, both husband and wife should be treated at the same time.

(3) Avoid using corticosteroids during the acute phase to avoid aggravating the infection. If the foreskin is severely swollen, do not forcefully retract the foreskin.

(4) If there are ulcers or erosions on the inner layer of the foreskin and the glans penis, the dressing should be changed in time, twice a day.

(5) Eat less spicy food and avoid smoking and drinking.

2. Local treatment

For those with erosion, exudation or purulent secretions, apply wet compresses with 1% ethacridine solution or 1:8000 potassium permanganate solution. For those with dryness and desquamation, apply glucocorticoid ointment externally. Patients with Candida infection can clean the affected area with sodium bicarbonate solution and then apply imidazole ointment. For those infected with Trichomonas, rinse with 0.5% to 1% lactic acid solution or 0.5% acetic acid solution, and then apply anti-inflammatory ointment. Intermittent administration of medium-acting, fluoride-free hormonal ointment has a good effect on plasma cell balanitis.

3. Systemic medication

Systemic antimicrobial drugs should be selected based on the pathogen and drug sensitivity tests. For the treatment of acute superficial balanitis and annular erosive balanitis, antibiotics sensitive to Gram-positive cocci can be used first. The treatment of Trichomonas balanitis starts with metronidazole. Fluconazole or itraconazole is commonly used to treat balanitis caused by Candida albicans.

4. Surgery

Patients with recurrent balanitis due to excessive foreskin or phimosis should undergo circumcision after the inflammation subsides.