Balanitis is an inflammation of the glans penis, and the foreskin of the skin (thin elastic skin located on the outskirts of the penis and covering his head) - fasted. Because of their proximity inflammatory process practically never isolated and therefore talking about balanoposthitis. It is more common in uncircumcised men.
What causes this inflammation?
Causes of Balanoposthitis can be infectious or non-infectious in nature.
1. Infectious Balanoposthitis - is caused by: virus - Herpes simplex virus type II; bacteria - staphylococcus, streptococcus, Escherichia coli, Proteus, Enterococcus; Chlamydia trachomatis, Ureaplasma urealyticum, Mycoplasma genitalium and others.
Fungus-Candida albicans. 2. Non-infectious Balanoposthitis - a result of: allergic reaction to medications, soaps, condoms, underwear; trauma - sexual excesses;
toxic agents - incorrect application of concentrated germicidal solutions. Balanoposthitis can be primary or secondary, which occurs in other diseases such as diabetes, gonorrhea, syphilis, scabies. How is the disease in Balanoposthitis?
The main reason for the development of Balanoposthitis is the retention of smegma (smelly mucus secreted by glands located along the inner surface of the foreskin, mixed with shelled epithelial cells).
This can be done as in the absence of personal hygiene and as a consequence of phimosis (inability to flaking of the glans of the penis). Stagnant smegma causes inflammation in two mechanisms: it is a favorable environment for the development of banal infection; after decomposition causes a chemical irritation. What is the clinical picture?
Balanoposthitis are acute and chronic. Clinical symptoms are itching, serous-purulent discharge and pain. The review can be found phimosis with secretion from the narrowed opening. The skin is swollen, red. In derelict sick swelling may be significant, even with blisters. In rare cases finds increase and inflammation of the inguinal lymph nodes.
In chronic Balanoposthitis complaints are minor, but the secretion is constant. Forming adhesions between glans penis and foreskin, which further hinders hygiene and drainage of smegma. Only in the most severe cases, it neglected to develop phlegmon (diffuse purulent inflammation) kavernit (inflammation of bodies of the penis), gangrene of the foreskin. At the initial stage, in an attempt to heal, you can reach parafimoza (narrowing of the foreskin, which is pulled behind the glans penis and can not return on it). How is it diagnosed?
Diagnosis is easier on the basis of data from the interrogation of the patient and physical examination. Causing the infection can be demonstrated microbiologically by culture of certain food environments taken up mucus. How is it treated? For treatment intended to relieve the entire head of the penis and prepuce of secretion removal by washing with a mild disinfectant solutions. In severe refractory dilatation phimosis performing operative incision (cut) to detect the glans of the penis.
Local baths with disinfectants lead to mastering the process. Mandatory patient should be warned to make the bathroom in bare head and then to return the foreskin to prevent parafimozata.