The glans is a little red but not painful or itchy

The glans penis is a very important organ for men and will become very red when it is congested. However, for some men, the glans appears red under normal conditions. This may be related to the rash on it. The rash does not necessarily cause itching or pain. If the glans is a little red but not painful or itchy, it is very likely that you have balanitis. Some of the causes are caused by bacteria and must be treated in time, otherwise it is easy to cross-infect.

Balanitis, also known as inflammation of the glans penis, refers to inflammation of the glans penis caused by trauma, irritation or infection. Since balanitis often coexists with inflammation of the inner lining of the foreskin, balanitis and posthitis are often collectively referred to as balanitis. The main clinical manifestations are local redness, swelling, erosion and ulceration. Balanitis can retrogradely infect the urinary system, causing cystitis, pyelonephritis, etc. In addition, if the inflammation is not cured for a long time, it can directly affect sexual life, leading to impotence, premature ejaculation and other phenomena. This disease is more common in summer and autumn, and mostly occurs in middle-aged and young men, especially those with phimosis or prepuce.

treat

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.