How Do I Treat Dermatitis of the Penis?

When the phimosis or foreskin is too long, the secretions of the endothelial glands of the foreskin cannot be discharged, and the stinky foreskin is gradually formed. Foreskin scale is suitable for bacterial growth, so it can cause inflammation of the penis head and foreskin. Penile hair inflammation and foreskin inflammation often coexist, so they are collectively called penile head foreskinitis.

Penile head foreskinitis

Overview of penile head foreskinitis

Penile head foreskinitis manifestations

The main cause of penile head foreskinitis is phimosis or the foreskin is too long. In addition, unclean sex, drug irritation or allergies are also the cause of the disease. Generally, when an acute attack occurs after infection, the area is often wet, red, swollen, painful, itchy, and even erosions and superficial ulcers occur, and yellow purulent or milky white odor secretions appear, with special odor. Necrosis of the penis can occur in severe cases. After an acute attack, because the infection will cause the foreskin to stick to the head of the penis, the foreskin cannot be turned up, and even the urethral orifice is narrowed. In some patients, urethral adhesions are narrowed after the acute phase, causing dysuria. Repeated infection can thicken the penis head or foreskin and form white spots.

Classification of penile head foreskinitis

1. Bacterial balanitis with itching, burning or pain in the penis head, local congestion and edema, severe surface erosion, exudation or bleeding, and even superficial ulcers. Microscopic examination and culture of pus showed pathogenic bacteria.

2. Candida glans foreskinitis usually occurs in the case of low immunity and the use of broad-spectrum antibiotics. Itching and pain in the head and foreskin of the penis, local congestion and edema, small blisters and erosions, and white patches and cheese-like substances on the surface. The secretions were microscopically examined and cultured with Candida albicans.

3. Trichomonas glans foreskin inflammation symptoms are similar to bacterial infections. Trichomonas vaginalis can be found in secretions.

4. Long-term chronic inflammation can cause narrowing of the outer urethra, adhesion of foreskin and turtle | head.

Identification of penile head foreskinitis

1. Penile cancer can also manifest as ulcers and erosions on the penis head and inner foreskin. However, the induration of penile head, foreskin inner plate, and coronary sulcus showed cauliflower-like changes in patients with penile cancer. Biopsies showed cancer cells.

2. Penile tuberculosis can also manifest as chronic ulcers on the penis head. However, patients often have a history of tuberculosis, and the ulcer is not cured for a long time. The smear and culture of the secretion can find tuberculosis bacilli.

3. Gonorrhea can also be manifested as redness, swelling and purulent discharge of the urethra and foreskin. However, patients often have a history of unclean sex, and urethral pus examination can detect Gram-negative diplococci.

4. Condyloma acuminatum can also appear as redness and swelling at the glans and coronary sulcus. However, wart-like masses can be seen at the penis head and coronary sulcus in patients with condyloma acuminatum. Wiping the mass with 5% acetic acid showed that the mass turned white.

Complications of penile head foreskinitis

Foreskin inflammatory edema tightens the foreskin mouth and invades the penis head, aggravates the penis head and foreskin edema, and ischemic necrosis occurs in severe cases. It can also cause urethral strictures.

Incarcerated phimosis (paraphimosis) is a complication of an excessively long phimosis or foreskin. When the foreskin is turned up to the back of the penis head, if the foreskin is not reset in time, the foreskin ring will block the veins and lymphatic circulation and cause edema, resulting in an inability to reset the foreskin and incarcerating the phimosis. ^[1]

Penile head foreskinitis treatment

Western Medical Treatment of Penile Head Foreskinitis

1. Local treatment to maintain local cleanliness to avoid irritation. Locally soaked with 1: 5000 potassium permanganate or wet compresses the pus in the foreskin. Poor drainage of the pus in the foreskin is feasible. Longitudinal incision and drainage of the foreskin are used to clean the infection.

2. Special treatment For infections with clear etiology, special treatment concept should be used. Candidiasis balanitis for topical use 1% to 3% clotrimazole or ketoconazole cream. Trichomonas vaginalis infection can be taken orally.

3. Systemic treatment of patients with severe infections necrotic balanitis with fever and inguinal lymphadenopathy requires systemic antibiotics

Chinese medicine treatment of penile head foreskinitis

For the treatment of penile head foreskinitis, both Chinese and Western medicine are the main treatment methods. In terms of external treatment, Chinese medicine and traditional Chinese medicine have played a very good role in the treatment of patients with fine and turbid. There are many ways to treat penile head foreskin with TCM, which are introduced as follows:

(1) Seven leaves and one branch flower 60g, raw licorice 30g, wash with decoction.

(2) 30g each of snake bed, Sophora flavescens, ground skin seeds, white fresh skin, 10g alum, wash with decoction.

(3) Qingdai powder for external use.

(4) An appropriate amount of cork, with pig bile as the end, topically apply the affected area.

(5) Equal portions of Chuanxiongzi, Coptis chinensis, Wasong, Chuanjiao, Allium root, and Artemisia lobata, wash with decoction.

(6) 300g of fresh verbena leaves, apply the affected area externally.

(7) The amount of raw ginkgo biloba is mashed.

(8) Clam shells, Coptis chinensis, Chrysanthemum, etc.

(9) 6g each of honeysuckle and windproof, 3g each of mint, cork and licorice.

(10) Fanmuya powder: 30g of Fanmuya (calcined into ash), 6g of borneol, grind finely and apply externally.

(11) Ganshen Shebai Decoction: 30g of Sophora Flavescens, 20g of Snake Seed, 15g of Cork, 12g each of Nepeta and Atractylodes, and decoction and washing.

(12) Xia Zhifang: Borneol, pearl, light powder, baby tea each amount, ground into fine powder, dry sesame oil dressing, wet wet dry dressing.

(13) Balanyan Fang: 30g each of She Chuangzi, Scutellaria baicalensis, Honeysuckle, Sophora flavescens, 20g each of Coptis chinensis, osmanthus fragrans, Xiangyu, Houttuynia cordata, 10g each of rhubarb, chuanxiong, and licorice root, 4g borneol, and washing the affected area with decoction.

(14) Shen Yi San: Baby tea, myrrh, gallbladder, keel 6g each, 3g pearl, researched into fines, first wash wolfberry fruit to wash the affected area, and then apply medicine.

(15) 30g each of honeysuckle, nepeta, prunus, snake bed, gansong, paeony, and betel nut, wash with decoction.

(16) Pearl paste for external use.

(17) Wei Lingxian 15g, wash with frying water.

(18) Clam powder powder: 30g each of clam powder, calcined gypsum, 15g each of light powder and cork, total research into fine powder, sesame oil for external use.

Penile head foreskinitis diet health care

In the onset and recovery of penile head foreskinitis, we should pay more attention to drinking methods. In addition to fasting spicy products, the following dietary methods can be selected according to the condition:

(1) 50g of red bean, 500g of japonica rice, cooked with porridge, can clear heat and detoxify, and diuretic swelling.

(2) 250g of fresh toon leaves, washed, chopped, mixed batter and a little salt, 500g of plain oil, heat, put the paste into the oil, fry the yellow, and eat it. Can clear heat and dampness, detoxify and swell.

(3) An appropriate amount of fresh green sprouts, stir-fried with plain oil, mixed with salt and seasonings, served with meals, have the effect of clearing heat and detoxifying.

(4) 1 loofah, 50g of japonica rice, and appropriate sugar. First cook porridge to half cooked, add loofah until the porridge is cooked, add sugar to the loofah, eat porridge, can clear heat and detoxify, cool blood and eliminate carbuncle.

(5) 50g of mung bean and 100g of japonica rice are used for cooking porridge, which can clear heat and detoxify and eliminate edema.

(6) Wash 4 pig trotters, add 50g of green onion, appropriate amount of salt, put it in a wok and simmer until cooked, and eat meat and soup separately, which has the effect of detoxification and swelling.

(7) 15g of silver flower, 10g of mung bean coat, drink on behalf of tea, it has the effect of clearing heat, detoxifying and swelling.

(8) Winter melon drink: one tender winter melon (about 500g), washed with green peel and cut into pieces, add an appropriate amount of water, a little salt, seasoning, cooked and eat, has the effect of clearing heat and dampness.

(9) An appropriate amount of silver flower and grass root can be used as tea for decoction.

Penile head foreskinitis dangers

Penile head foreskinitis is characterized by redness, swelling, pain, and itching of the penis head and foreskin, some of which can show erosion and ulcers, and have yellow purulent secretions with special odor. Necrosis of the penis can occur in severe cases. In some patients, urethral adhesions are narrowed after the acute phase, causing dysuria. Repeated infection can thicken the penis head or foreskin and form white spots. Penile cancer may also occur in the penis head due to long-term stimulation of foreskin dirt. The harm of penile head foreskinitis can be described as "kung fu". It is reported that about 85% -95% of patients with penile cancer have a history of phimosis or foreskin. In addition, the wife's cervical cancer is also related to her husband's foreskin irritation.

Middle-aged patients are susceptible to Peyronie's disease, which tends to develop into hidden penile fibrous cavernitis plaques, lose normal elasticity and appear penile curvature. Once an erection is not only painful but also deformed, affecting normal sexual life, and even causing impotence.

When allergic to taking certain drugs, it can sometimes manifest as a fixed edematous erythema on the penis head or foreskin, and blisters in the center can cause infection after rupture. Symptoms mostly occur within 24-36 hours after taking the medication, and it improves after stopping the medication, and reappears again after taking the medication.

Transposition of penis and scrotum, often accompanied by hypospadias. Hypospasal fissure is a common malformation of the urethra and external genitalia. Severe chromosome and gonad examinations are needed. The urethra is reconstructed by surgery to obtain a complete external genitalia.

The penis is twisted, that is, the head of the penis is deviated from the midline, and severe patients hinder sexual intercourse, sometimes resulting in patients not being able to urinate normally. It also affects the formation of patients' healthy psychology and affects normal social activities.

Congenital testicular loss, or testicular loss after trauma, testicular torsion, testicular tumors, prostate tumors, testicular atrophy, urethral disorders, penile deformation, etc., will cause corresponding symptoms, have a serious impact on the patient's psychology, or cause fertility difficulties, or There is danger to life, and it should be treated in time, and finally achieved: normal urination, ideal sexual life, satisfactory appearance, healthy sexual psychology.