What's wrong with the little red spots on the glans?

If you find some red spots or small papules on the glans, this is generally caused by balanitis. We know that foreskin is a common problem for some men. When the foreskin is too long, it is easy to breed bacteria and cause symptoms of balanitis. At this time, in addition to paying attention to timely cleaning, circumcision can be used for treatment.

What's wrong with the little red spots on the glans?

Balanitis is divided into balanitis and foreskin inflammation. Since it often occurs at the same time, it is called balanitis. This inflammation can be infectious or non-infectious, and infectious balanitis is more common clinically.

Infectious ones are often caused by unclean sexual intercourse, infection with Candida albicans, Trichomonas, Chlamydia, Mycoplasma, Gonorrhea or other bacteria; non-infectious factors are mostly due to excessive foreskin and insufficient cleaning, and the unclean substances between the foreskin and the glans, namely smegma, will accumulate and stimulate local foreskin and mucosa inflammation.

Symptoms of balanitis: (1) Acute superficial balanitis initially causes local redness, redness and swelling of the penis skin, and a burning and itching sensation in the glans penis. When the foreskin is turned back, one can see that the inner surface of the foreskin and the glans are congested and eroded, with exudate and even bleeding. After secondary infection, small ulcers may be seen with foul-smelling milky white purulent secretions. If it rubs against underwear, it will be painful and patients often have difficulty in moving. There may be swelling and tenderness of the inguinal lymph nodes. (2) Annular ulcerating balanitis: Red spots can be seen on the glans and foreskin. They gradually expand and become ring-shaped, and may form superficial ulcers. (3) Candida albicans balanitis: Red spots can be seen on the foreskin and glans, with a smooth surface and small blisters. The edges of the red spots are clear, and there are erosions and exudation during acute attacks. (4) Trichomonas balanitis causes papules and erythema on the glans penis, which gradually expand and have clear edges. Small needle-sized blisters can be seen on the erythema, and finally an erosive surface is formed.

Generally, both internal and external treatments are used. Erythromycin and tetracycline are the first choice for the treatment of acute superficial balanitis and annular ulcerated balanitis, usually 0.5g per dose, 4 times a day. The first choice for the treatment of trichomoniasis balanitis is metronidazole, 0.2g each time, 3 times a day, for 10 consecutive days. Trichostatin or itraconazole is commonly used to treat balanitis caused by Candida albicans. Trichostatin 100,000 to 200,000 units, twice a day, and itraconazole 100 mg, twice a day, for 7 consecutive days.