Definition
Balanoposthitis delineates a morbid condition with an infectious / inflammatory nature that involves the surface of the balanus (glans) and the inner sheet of the foreskin.
Causes
As with balanitis, the causes responsible for balanoposthitis are many and it is not always so immediate to isolate the main etiological factor: allergies (drugs, latex condoms), dermatitis, infections (Candida albicans, Chlamydia, Gonorrhea, Herpes simplex, scabies, syphilis and trichomoniasis), lichen planus, psoriasis and incorrect intimate hygiene.
Risk factors for balanoposthitis: diabetes and metabolic-immunological diseases in general, precancerous diseases
Symptoms
Balanoposthitis begins with vesico-pustular lesions tending to erupt early, associated with edema, dysuria, phimosis, constant localized pain, pain during intercourse, maceration, microvesiculation of the glans and foreskin. In some cases, the disease degenerates into inguinal adenopathy and superficial ulcers.
The information on Balanoposthitis - Medicines for the Treatment of Balanoposthitis is not intended to replace the direct relationship between health professional and patient. Always consult your doctor and / or specialist before taking Balanoposthitis - Medicines to Treat Balanoposthitis.
Medicines
Given the variety of etiological triggering factors, balanitis must be treated only after the correct diagnosis (bacteriological and mycological investigation) of the patient: in this sense, after having isolated the element responsible for balanoposthitis, it is possible to proceed with the elimination of the "infection and / or inflammation in progress.
Balanoposthitis is one of the sexually transmitted diseases: in this regard, if at least one unprotected sexual intercourse has been consumed, the partner should also undergo drug treatment
The following are the classes of drugs most used in the therapy against balanoposthitis, and some examples of pharmacological specialties; it is up to the doctor to choose the most suitable active ingredient and dosage for the patient, based on the severity of the disease, the state of health of the patient and his response to treatment:
- Clotrimazole, 1% (eg Canesten, Mycelex): in the form of cream, powder or solution, apply to the infected area twice a day for 10 days. This antifungal is indicated in case of balanoposthitis related to fungal infections.
- Miconazole, 2% (eg.Cruex, Micatin): it is recommended to take miconazole for forms of balanoposthitis candida-addicted. The drug is available in the form of a cream, powder or spray, to be applied to the infected area twice a day for 10 days
- Metronidazole (eg Flagyl, Metronidazole-Same, Rozex): the drug (antibiotic) is indicated in case of Trichomonas balanoposthitis. In most cases, the topical application of metronidazole-based creams or ointments is recommended for men as directed by the physician.
- Amoxicillin (eg. Amoxicillin, Amoxil and Trimox, Zimox, Augmentin): take 500 mg of drug (antibiotic) orally, 3 times a day for at least 7 days (indicated for chlamydial balanitis). It is preferable to combine it with topical therapy.
- Tetracycline (eg. Tetrac C, Pensulvit, Ambramycin): it is recommended to administer 500 mg of active orally, 4 times a day for at least 7 days in case of uncomplicated chlamydial balanoposthitis or gonorrhea.
- Crotamiton (eg. Eurax Crema, Crotaglin, Veteusan) this drug (acaricide) is indicated only for the balanoposthitis related to scabies, associated with ferocious localized itching. It is recommended to apply the product 2-3 times a day, as indicated by the doctor.
- Hydrocortisone (eg Locoidon, Colifoam) apply the cortisone cream locally, once or twice a day, as indicated by the doctor. Care is recommended for non-infectious balanoposthitis.
- Methylprednisolone (eg. Advantan, Metilpre, DEPO-MEDROL, MEDROL, URBASON). Indicated in case of balanoposthitis not infectious, especially when associated with dermatitis. Apply the cortisone drug directly on the injured skin, according to the indications dictated by the doctor.
N.B. it is necessary to pay particular attention to gently drying the foreskin after intimate hygiene; furthermore, irritating and aggressive detergents are not recommended, accused of a possible degeneration of balanoposthitis.
Finally, in the case of established balanoposthitis, it is advisable to refrain from unprotected sexual intercourse, to avoid the spread of the infection or in any case to prevent the aggravation of symptoms.
If the drug treatment does not help to completely cure the patient from balanoposthitis, circumcision is recommended.
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