Local redness of the glans penis without pain or itching

The occurrence of local redness on the glans without pain or itching is most likely caused by balanitis. Balanitis is a common disease in men's medicine. There are many causative factors, and the types of balanitis caused by different causes are also different. After suffering from balanitis, timely treatment is required. If the balanitis is caused by bacteria, cross infection may also occur through sexual intercourse. Now let’s look at the treatment of balanitis.

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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.