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Balanoposthitis in children: how to protect a boy from this ailment?

Inflammation of the mucous membrane of the glans penis and foreskin or balanoposthitis is very often diagnosed in boys in their early years. In general, this disease can occur in both children and adult men. The differences lie in the main reason for its occurrence.

According to statistics, almost every male child is faced with this ailment before reaching 5 years of age. Balanoposthitis in this case can occur imperceptibly or be accompanied by mild symptoms.

Causes of balanoposthitis in a child

The most common cause of this pathology in children is a narrowing of the foreskin. For young boys, a condition of the so-called physiological phimosis is characteristic, in which the fusion of the glans penis with the foreskin tissue is observed. This condition is the norm, it protects the mucosa of the penis from the penetration of bacteria from outside it.

When a child reaches a certain age (1, 5 years), the head of the penis is gradually released and comes out of the foreskin. This process takes several years. Phimosis leads to the accumulation of bacteria between the foreskin and the head of the penis and, as a result, the development of balanoposthitis.

Also, the inflammatory process may be due to insufficient hygiene of the genitals, the presence of endocrine diseases in the child, his excess weight. Balanoposthitis appears in cases where the development of the boy’s genitals is not correct, which is the reason for contacting a specialist.

Symptoms of balanoposthitis in a child

Balanoposthitis is accompanied by local signs. It:

  • burning and itching in the area of ​​the glans penis,
  • redness of its mucous membrane,
  • copious mucous discharge from the urethra. With purulent balanoposthitis in a child, the appearance of secretions with an admixture of pus or blood is noted, this condition is most unpleasant and dangerous, it can lead to the development of complications and a sharp deterioration in well-being,
  • densification of the inguinal lymph nodes,
  • urinary incontinence or, conversely, difficulty urinating.

In a boy, against the background of the development of the inflammatory process, symptoms of intoxication of the body may be noted: headache, low-grade body temperature, weakness, aggravated in the event of a secondary infection.

Typically, such symptoms last no more than a week, then go away. This does not indicate recovery, but the transition of the disease into a chronic form.

Treatment of balanoposthitis in children

The presence or absence of balanoposthitis in a boy is determined by a specialist. In general, even with a positive diagnosis, panic is not worth it. To eliminate this unpleasant, but non-dangerous ailment, children are prescribed drugs for local treatment. The patient is recommended to observe body hygiene, regularly, at least 2 times a day, thoroughly rinse the genitals. To eliminate the symptoms of the disease, you can use daily baths with an antiseptic.

If the child is still too small, you should treat his genitals with Furatsilin solution at least 2-3 times a day, conduct water procedures after each stool and urination.

Phimosis in children does not always require treatment. Surgical intervention is performed if the complete release of the head of the penis did not occur when the child reaches 6-7 years. The operation is performed under anesthesia. This measure allows you to solve several problems at once: first of all, to relieve the child of unpleasant sensations during urination and reduce the likelihood of balanoposthitis.

Treatment of balanoposthitis in a child at home

Treatment of balanoposthitis in boys is carried out at home, but with a mandatory visit to a specialist. In the presence of symptoms of intoxication, the patient is allowed to take an anti-inflammatory drug. For example, an Ibuprofen tablet.

Any antiseptic can be used to treat the inflamed mucosa. Iodine and brilliant green are excluded. Applying such funds to the site of inflammation will provoke a burn and aggravate the situation. Instead of antiseptics, some mothers use decoctions of chamomile and calendula flowers. Such decoctions are also suitable for preparing a bath. In such a bath, a child should be planted 2 times a day. In this case, it is necessary to monitor the temperature of the liquid, it should not be hot.

What is balanoposthitis?

Balanoposthitis is simultaneously inflammation of both the glans penis (balanitis) and the foreskin (post). Balanoposthitis is an inflammatory process, very often such trouble occurs in boys under the age of 5 years.

This is due in particular to their physiology, the fact is that in a newborn child the head of the penis is very tightly connected to the foreskin. This is the so-called physiological phimosis, when the removal of the head is impossible.

In the future, cavities between the glans penis and foreskin begin to appear, they are filled with desquamated epithelium. The contents of the cavities are called smegma.

The cavities are gradually opened and cleaned, but due to ingestion of infection or urine with a high sugar content, or poor hygiene, given that smegma is also a breeding ground for all microorganisms, inflammation may occur.

WHAT IS A BALANOPOST?

Balanoposthitis is simultaneously inflammation of both the glans penis (balanitis) and the foreskin (post). Balanoposthitis is an inflammatory process, very often such trouble occurs in boys under the age of 5 years.

This is due in particular to their physiology, the fact is that in a newborn child the head of the penis is very tightly connected to the foreskin. This is the so-called physiological phimosis, when the removal of the head is impossible.

In the future, cavities between the glans penis and foreskin begin to appear, they are filled with desquamated epithelium. The contents of the cavities are called smegma.

The cavities are gradually opened and cleaned, but due to ingestion of infection or urine with a high sugar content, or poor hygiene, given that smegma is also a breeding ground for all microorganisms, inflammation may occur.

Causes of balanoposthitis in children

In fact, there are a lot of reasons, we will consider them in more detail. Primarily you should know the causative agents of balanoposthitis, These include: staphylococci, streptococci, E. coli, yeast fungi (candida)Herpes virus.

  1. The main reason is poor hygiene behind the genitals of the boy. Under the foreskin, smegma accumulates, which contributes to inflammation.
  2. As a result of the parents' own pulling of the foreskin of the child. Thus, microbes from the external environment can easily get inside,
  3. In early infancy, the wearing of diapers is not in size, and also if they are rarely replaced,
  4. Inconvenient underwear without codpiece, because of this there is a contraction of the genitals of the boy,
  5. In contrast to the first reason - too hygiene with the use of irritating chemicals,
  6. Allergy to washing powder, occurs with poorly laundered laundry,
  7. Diabetes. In this disease, urine contains sugar, which together with smegma can irritate the mucous membrane,
  8. Hypothermia,
  9. Obesity,
  10. Avitaminosis.

As you can see, there are a lot of reasons and they are the most diverse. But now that you are fully aware of the causes, you should find out the symptoms of this ailment.

Signs and symptoms in children

Symptoms are extremely unpleasant for the child, usually appear suddenly, this:

  • itching
  • burning,
  • difficulty urinating
  • pain,
  • weakness, irritability,
  • increase in body temperature to 38 degrees,
  • lymph nodes in the inguinal region may increase,
  • there may be copious discharge.

The child is crying, worried, he is annoyed and discouraged, does not know what to do. Most importantly, do not panic to parents, it’s better to reassure the child, give him a plentiful drink for an early exit of bacteria.

Before visiting a doctor it is necessary to conduct a personal inspection carefully. Signs of balanoposthitis are: redness and swelling of the penis and foreskin, there may be a rash and fissures, the presence of profuse serous or purulent discharge (the constant presence of such discharge indicates that the child has purulent balanoposthitis).

The general condition of the child is weakness and malaise, lack of appetite, lethargy, moodiness and bad mood. In the future, if untreated ulcers and peeling of the skin may even appear.

First of all, you can turn to traditional medicine against balanoposthitis, for example, arrange a bath with a decoction of chamomile. For this, an ordinary glass is quite suitable, in which you can dip a sick organ of a child.

Water should be warm, about 37 degrees. While taking a bath nothing to shift the foreskin, it will only complicate the disease, in any case, the beneficial substances from the plant penetrate inside and reduce inflammation.

Find out when to perform surgery for phimosis and how it is useful.

And here you can find out about the types and degrees of phimosis.

Treatment of balanoposthitis (balanitis) with traditional medicine methods

It is best to consult a pediatrician or pediatric urologist at the first symptoms. A local examination and analysis of complaints is usually sufficient for diagnosis.

True, in some cases, it may be necessary to conduct additional examinations (determination of glucose in the blood, ultrasound of the kidneys, bladder, etc.) to identify diseases that can contribute to the development of balanoposthitis.

Do not be afraid, this is all done solely for the speedy recovery of your child. The fact is that sometimes the treatment of the underlying disease (for example, diabetes) is required in the first place, and only in this way can cure and balanoposthitis be achieved.

In the treatment of balanoposthitis, the following medications are used:

  • amoxicillin
  • Biseptolum
  • bicillin
  • cefuroxime
  • amoxiclav
  • non-steroidal anti-inflammatory drugs,
  • antifungal agents.

Also used are ointments from balanoposthitis, such as:

  • prednisone ointment,
  • flumethasone
  • decamine ointment.

Used baths with the following drugs:

Antiseptics are used, such as:

In severe cases, in the absence of effect using conservative agents and with phimosis doctor may prescribe circumcision.

Treatment at home with folk remedies

In the event of balanoposthitis in a child, each parent asks what can be done at home, how to alleviate the condition of the child, than to help him. After all, I don’t feel like once again poisoning a little man with chemistry.

Consulting a doctor is the right decision for such a disease (specialists know best how to treat balanoposthitis in a child). However, there are folk remedies to relieve symptoms and cure the disease.

  1. Pharmacy chamomile. You can make baths with a decoction of chamomile, as well as compresses. To prepare the compress, 1 tablespoon of the plant is taken and poured with a small amount of boiling water, infused and applied to the sore spot.
  2. Sage. Using this plant, you can also make compresses.
  3. Oak bark. It is applied to bathtubs.
  4. Aloe. Rinse well, cut lengthwise and apply to the diseased organ for 5 minutes.
  5. St. John's wort. Brewed with boiling water, then infused. With this infusion, you can wash the inflamed areas.

Also baby drink plenty of water (water, teas, fruit drinks, etc.) to enhance urination, thus all germs and bacteria will be washed naturally. For pain relief in acute balanoposthitis can Ibuprofen be givenHe relieves pain and relieves inflammation.

Possible complications in boys

The most important thing to remember: balanoposthitis should be treated, with which urgently. The lack of treatment threatens with serious complications.

Untreated acute balanoposthitis easily becomes chronic, and chronic can lead to side cosmetic defects: deformation of the glans penis, its curvature, etc. The most serious complications are gangrene, sepsis, and even cancer of the glans penis.

This is worth knowing: aspermia treatment is successful in most cases!

Not the rarest male pathology called phimosis and sex with it: everything you need to know about this is described here.

Have you thought about circumcising? On this page: https://man-up.ru/bolezni/andrologiya/fimoz/lazernoe-lechenie-fim.html you will learn about the benefits of laser cutting of the foreskin.

Prevention of balanoposthitis

If you fulfill certain conditions, balanoposthitis will never happen in your child. First, of course, thorough hygienebathing every day, it is advisable to wash the genitals of the boy with plain water, without the use of chemical or irritating agents.

Secondly, should not try ahead of time to pull the foreskin (up to 3-5 years of a child, it can be glued to the glans penis).

Thirdly, Be sure to teach your child the right care for their genitalsdaily and regular.

To kid it is advisable to highlight his own towel. If there is excess weight in the boy, one must try to solve this problem as soon as possible.

Necessarily good nutrition to avoid the occurrence of vitamin deficiency, decreased immunity and fungal diseases leading to candidal balanoposthitis. Early detection and treatment of serious diseases such as diabetes.

Provided that such recommendations are followed, it is more likely that such a nuisance as balanoposthitis will not overtake your child.

The most important thing is to be attentive to your child, monitor his hygiene, identify allergens in time and exclude them. If you follow all the precautions, most likely you will never know about this disease.

However, even if such an annoying situation happens, now you know how to act and what to do first of all for the speedy recovery of your child.

Causes of the disease in a boy

Since the head of the penis in the child does not open on its own, difficulties follow when certain hygiene procedures are followed. Contaminants that have fallen under the foreskin and mixed with the remnants of smegma, urine and sex secretion form an ideal area for the propagation of pathogenic microorganisms.

Pathogens of balanoposthitis: staphylococci, streptococci, Proteus, Escherichia coli, yeast, papillomovirus.

  • tight underwear, synthetic fabrics,
  • improperly sized diapers,
  • improper care of the genitals of the child,
  • decreased immunity,
  • allergic to material, fabrics, detergents,
  • diabetes, psoriasis, anemia, diathesis,
  • phimosis.

Drug treatment

At the initial stage of the disease, the penis is washed with a non-concentrated solution of furatsilina, a weak solution of potassium permanganate, a decoction of chamomile. Or you can make baths every 2-3 hours lasting 10 minutes, during which the foreskin is pulled back, the smegma accumulated there is removed, after which the skin is dried with a piece of clean gauze and treated with an antiseptic or ointment.

The following drugs have a good effect:

  • Miramistin (an antiseptic whose main component is benzyldimethyl-myristoylamino-propylammonium chloride monohydrate). You can use both ointment and a solution for washing the penis. The product is diluted with water and washed penis 3-4 times a day. Contraindication - hypersensitivity.
  • Levomekol (immunomodulatory and disinfectant). The main components are methyluracil, polyethylene oxide, chloramphenicol. The ointment is applied to the pre-washed penis with a thin layer at night.
  • Clotrimazole (antifungal agent). The composition includes clotrimazole, methylparaben, nipagin, propylene glycol. It is applied to damaged areas of the skin several times a day.

Do not rub the skin hard! Solutions of iodine and potassium permanganate should not be used, since they can excessively dry the skin.

The temptation is great to start treating the child with folk remedies, which are offered in abundance by compassionate grandmothers and aunts. They really can help, but before preparing an infusion or decoction, be sure to consult a doctor on this issue. Remember: folk remedies do not replace, but complement the main methods of treatment.

In more complex cases, antibiotics have to be used orally. The doctor (pediatric surgeon or urologist) selects the necessary drug depending on the causative agent of the disease and this is done only after studying a smear from the foreskin, studying the analysis of urine and fungi.

Inflammation of the foreskin in boys

If the disease does not go into a chronic form, it is not harmful to health. However, with a relapse of the disease (caused by phimosis), circumcision of the foreskin cannot be dispensed with.

If there is an acute urinary retention during fasting, you must urgently seek emergency medical attention from a doctor.

Dr. Komarovsky tips

The first thing Komarovsky strongly recommends is not to touch the child’s genitals without unnecessary need. Most of the problems arise due to the irrepressible desire of the parents to do “the best” for encouraging the older generation, so if the boy has no problems with urination, do not delay the foreskin. Properly rinse as follows:

  1. draw in a clean syringe without a needle a warm solution of furatsilina or ekteritsida.
  2. Pull back the foreskin (not exposing the head, but pulling up).
  3. Insert the syringe into the slot and fill in the liquid.
  4. Repeat 2-3 times, and then drop a couple of drops of pure liquid paraffin or olive oil under the skin.

Causes and Risk Factors

The main reasons for the development of balanoposthitis in children include the lack of proper hygienic care for the genitals. This causes the accumulation under the foreskin of smegma (the secretion of the sebaceous glands of the foreskin, mixed with desquamated cells of the epidermis of the penis head), which is a favorable environment for the multiplication of microorganisms with the subsequent development of the inflammatory process. Children 3-5 years of age who have a physiological or congenital narrowing of the foreskin that are not able to completely expose the glans penis (phimosis) are especially prone to balanoposthitis. Also contribute to the emergence of the pathological process of synechia of the foreskin (a pathological process in which there is a fusion of the epithelial layers of the glans penis and foreskin, while the glans penis is not exposed or only partially exposed).

The most common infectious agents for balanoposthitis in children are staphylococci, streptococci, Escherichia coli, Proteus, microscopic yeast-like fungi of the genus Candida, herpes virus.

In some cases, balanoposthitis in children develops as a result of excessive use of hygienic procedures of the genitals - too frequent washing of the head of the penis with soap causes skin irritation, and subsequently its inflammation.

The disease can also occur against the background of allergic reactions to baby cream, the remnants of washing powder on linen, household chemicals, etc.

Balanoposthitis in babies can develop with a rare change in diapers or with improper selection of diapers (diapers that are too tight or too large). In older children, the disease can be caused by wearing too tight underwear, permanent injury to the foreskin with sutures on the underwear.

Often balanoposthitis in children develops against the background of endocrine disorders (overweight, diabetes mellitus), diseases of the genitourinary system (pyelonephritis, cystitis, urolithiasis), cirrhosis, heart failure. Risk factors also include hypothermia and vitamin deficiency.

TREATMENT OF BALANOPOSTITIS (BALANITIS) BY TRADITIONAL MEDICINE METHODS

It is best to consult a pediatrician or pediatric urologist at the first symptoms. A local examination and analysis of complaints is usually sufficient for diagnosis.

True, in some cases, it may be necessary to conduct additional examinations (determination of glucose in the blood, ultrasound of the kidneys, bladder, etc.) to identify diseases that can contribute to the development of balanoposthitis.

Do not be afraid, this is all done solely for the speedy recovery of your child. The fact is that sometimes the treatment of the underlying disease (for example, diabetes) is required in the first place, and only in this way can cure and balanoposthitis be achieved.

  • amoxicillin
  • Biseptolum
  • bicillin
  • cefuroxime
  • amoxiclav
  • non-steroidal anti-inflammatory drugs,
  • antifungal agents.

Also used are ointments from balanoposthitis, such as:

  • prednisone ointment,
  • flumethasone
  • decamine ointment.

Used baths with the following drugs:

Antiseptics are used, such as:

In severe cases, in the absence of effect using conservative agents and with phimosis doctor may prescribe circumcision.

Forms of the disease

Balanoposthitis can be acute and chronic.

In acute, in turn, the following forms are distinguished:

  • simple (catarrhal),
  • erosive
  • pustular and ulcerative,
  • gangrenous.

The most serious complications of balanoposthitis in children include paraphimosis, in which there is an infringement of the glans penis by a pathologically narrowed foreskin.

TREATMENT OF A HOUSE WITH FACILITIES

In the event of balanoposthitis in a child, each parent asks what can be done at home, how to alleviate the condition of the child, than to help him. After all, I don’t feel like once again poisoning a little man with chemistry.

Consulting a doctor is the right decision for such a disease (specialists know best how to treat balanoposthitis in a child). However, there are folk remedies to relieve symptoms and cure the disease.

  1. Pharmacy chamomile. You can make baths with a decoction of chamomile, as well as compresses. To prepare the compress, 1 tablespoon of the plant is taken and poured with a small amount of boiling water, infused and applied to the sore spot.
  2. Sage. Using this plant, you can also make compresses.
  3. Oak bark. It is applied to bathtubs.
  4. Aloe. Rinse well, cut lengthwise and apply to the diseased organ for 5 minutes.
  5. St. John's wort. Brewed with boiling water, then infused. With this infusion, you can wash the inflamed areas.

Also baby drink plenty of water (water, teas, fruit drinks, etc.) to enhance urination, thus all germs and bacteria will be washed naturally. For pain relief in acute balanoposthitis can Ibuprofen be givenHe relieves pain and relieves inflammation.

Causes of balanoposthitis in boys

The main cause of balanoposthitis in boys is the lack of proper hygienic care for the genitals. This leads to the accumulation under the foreskin of the secret of the prepuce glands - smegma, which serves as a favorable environment for the multiplication of microorganisms that cause inflammation.

The development of balanoposthitis in boys is facilitated by the so-called physiological phimosis, which occurs normally in children under 3-5 years of age and complicates hygienic care due to the inability to completely expose the head while pulling the foreskin.

  • Often, balanoposthitis in boys occurs when parents try to independently open their heads by force - in this case, various pathogens easily fall into the preputial sac from the external environment.
  • Disturbed self-cleaning of the prepuce sac can be promoted by pronounced synechia of the foreskin.
  • The most common causative agents of balanoposthitis in boys are streptococci, E. coli, staphylococci, Proteus, herpes virus, yeast (candida).

However, in some cases, balanoposthitis in boys, on the contrary, may be due to overly diligent hygiene and frequent washing of the glans penis with soap or other irritating agents. Allergic reactions (contact dermatitis) can result from the use of baby creams, underwear with detergent residues, etc. Children's cosmetics and household chemicals can provoke not only balanoposthitis, but also inflammation of the buttocks and perineum in a child (so-called diaper dermatitis )

  • The development of balanoposthitis in babies can be facilitated by a rare change in diapers or their improper selection (the use of diapers that are too large or too tight). At an older age, balanoposthitis in boys can occur with constant trauma to the foreskin with narrow panties, seams on underwear, etc.
  • Endocrine diseases (diabetes mellitus, obesity), urological diseases (cystitis, pyelonephritis, urolithiasis), hypothermia, vitamin deficiency may predispose to balanopastitis in boys.

Treatment of balanoposthitis in boys

  • In most cases, with acute balanoposthitis in boys, local treatment is enough. Sedentary baths with antiseptics (potassium permanganate, furatsilinom) or decoctions of herbs (chamomile, etc.) are recommended.
  • It is possible to instill antiseptic solutions (chlorhexidine, miramistin, etc.) under the foreskin.
  • After washing the glans penis, gently pull off the foreskin, remove smegma and pathological secretions, put ointment in the prepuce bag (syntomycin liniment, for boys with fungal balanoposthitis - clotrimazole) and return the foreskin to its normal position.
  • If it is impossible to independently expose the head of the penis, the separation of the synechia of the foreskin and the purification of the prepuce bag is performed by a pediatric surgeon or urologist.
  • To reduce pain and swelling, you can use NSAIDs, in particular ibuprofen. In severe forms of balanoposthitis in boys, systemic administration of sulfonamides, antibiotics, antifungal drugs may be required.

In chronic balanoposthitis in boys and the development of pathological phimosis, circumcision is indicated (circumcisio).

Prevention of balanoposthitis in boys

To prevent balanoposthitis in boys, it is enough to observe and accustom the child to daily hygienic care of the genitals. Young children need careful selection and frequent change of diapers, regular toilet of the genitals and skin care of the perineum, the use of hypoallergenic hygiene products.

At an older age, useful daily skills are a hygienic shower, removing excess smegma, changing underwear. Of great importance for the prevention of balanoposthitis in boys is the normalization of body weight, the treatment of concomitant diseases.

Signs of the disease - external examination

Often balanoposthitis declares itself against the background of otherwise good health. Baby begins complain of itchingburning sensation and pain in the morning when urinating. There is also anxiety and nervousness in the character of the child, and injustice.

Examination by a doctor reveals edema and redness of the head of the penis, when the head is exposed under the inner petals of the foreskin, smegma deposits are found that have an unpleasant odor.

Rash, diaper rash, and cracks on the mucous membranes of the genital organs - also concomitant manifestations of the disease.

With the further development of the disease, if treatment measures are not taken, erosion occurs on the penis of the boys and even the skin is desquamated.

Purulent balanoposthitis

Purulent balanoposthitis - inflammation of the head with damage to the foreskin, which results in stagnation of secretions and urine with the formation of a purulent process.

Main symptom purulent balanoposthitis - redness, swelling of the head area, as well as burning, sometimes itching. There are pains at the moment of urination, pus with a specific smell begins to go.

The cause of purulent balanoposthitis is yeast, staphylococci, as well as streptococcal microorganisms. Lack of personal hygiene, narrow foreskin lead to purulent inflammation.

With severe inflammation with the formation of pus, the surgeon circumcises the foreskin. In advanced cases, plastic is performed with an increase in the foreskin ring.

Acute balanoposthitis

Acute balanoposthitis often develops after an infectious disease, as well as non-compliance with hygiene. Inflammation can also occur when wearing tight underwear when rubbing the head.

Since the head of the young boys is practically not exposed, and it is extremely difficult to carry out hygiene procedures, inflammation of the tissues of the head and foreskin often occurs - acute balanoposthitis.

  • redness of head tissue,
  • problems with urination
  • the presence of discharge
  • swelling of the tissues of the foreskin,
  • temperature rise.

Home treatment

For the treatment of acute balanoposthitis should be done warm bath course every couple of hours for three days. A solution of furacilin or an infusion of chamomile is added to the water. To prepare chamomile infusion, flowers (a tbsp. Spoon) are poured with a glass of boiling water.

Infuse camomile preferably within a few hours.

To prepare the solution, furatsilin (2 tablets) is diluted in a glass of warm water.

The prepared solution of furatsilin or infusion of grass is poured into a small container and the sick organ of the baby is immersed. After this procedure, you can lubricate the head with baby cream. A therapeutic bath can be done with the infusion of a series.

You can wash the inflamed organ and a solution of potassium permanganate, but it contributes to dry mucous membranes.

Levomekol with balanoposthitis

For the treatment of balanoposthitis, the ointment Levomekol is most often used. Using this ointment inflammation is pretty fast, since the product has antiseptic and anti-inflammatory effects. For the effectiveness of treatment, the use of Levomekol is also necessary after the inflammation has gone within seven days.

Before using Levomekol, you should thoroughly rinse the area of ​​damage from plaque, pus. For cleansing, a solution of potassium permanganate can be used. Then the site of inflammation must be dried and ointment applied. The procedure is performed daily 2-3 times.

Miramistin with balanoposthitis

Miramistin has proven itself in the treatment of balanoposthitis, as it has a pronounced antibacterial effect. Also, this drug increases the ability to heal mucous membranes. A gauze swab is moistened in a solution and applied for five minutes to the site of inflammation.

A noticeable effect gives and urethral insertion "Miramistina."

Solution used 3 times daily for seven days. It is also recommended to lubricate the entire penis and the pubic area with a solution for disinfection.

Miramistin is produced in two versions: ointment and solution. For the treatment of balanoposthitis, it is preferable to use a solution.

Prevention is the main effective method

The main effective method for the prevention of balanoposthitis is compliance with the rules and norms of intimate hygiene. At the same time, when bathing a child, it is not necessary to use a detergent every time when washing the head under the foreskin - just enough water. The main thing is daily.

Infant boys should also regularly change diapers, use baby creams and hypoallergenic powders. Older boys - pick up comfortable linen without seams in front and from natural materials.

Diagnostics

If balanoposthitis is suspected, an examination of the child by a pediatric surgeon or pediatric urologist is required. In most cases, an instrumental examination is not required, the diagnosis is made on the basis of data obtained by studying complaints and anamnesis, an objective examination of the patient, as well as laboratory tests:

  • general analysis of urine (leukocytosis and bacteriuria are detected),
  • bacteriological examination of urine and discharge from the preputial sac in order to identify the pathogen,
  • Enzyme-linked immunosorbent assay and polymerase chain reaction analysis also to determine the pathogen (if a viral infection is suspected).

Possible complications and consequences

With the spread of the infectious process to the urethra, urethritis develops. In addition, lymphadenitis (inflammation of the lymph nodes), lymphangitis (inflammation of the lymphatic vessels), urosepsis, etc. are possible.

The most serious complications of the disease include paraphimosis, in which there is an infringement of the glans penis by a pathologically narrowed foreskin.

Treatment of balanoposthitis in a child: an overview of the main methods

Treatment of balanoposthitis in a child depends on the degree of the disease. A mild degree can be treated at home. In more severe forms of balanoposthitis, you must always consult a doctor for the necessary treatment recommendations.

So, consider the treatment of a mild degree of this disease. It is characterized by a slight irritation of the skin of the foreskin, without damage to the glans penis. In this case, treatment at home can be dispensed with.

The following treatments are recommended:

  • Thorough hygiene of the external genitalia, especially after bowel movements and diaper changes (in children of the first year of life),
  • Every 2-3 hours, you must use the bath with a solution of chamomile. It should be noted that during the baths it is not necessary to expose the head, the components of the solution themselves are penetrated under the foreskin,
  • Use a moisturizer that reduces dryness and skin irritation.

Usually, 2-3days of such care for the penis of the child help to completely cure this disease.

In more severe forms of balanoposthitis, it is strictly recommended to consult a doctor.

For productive treatment, you must do the following:

  1. All the same hygiene measures as with a mild degree of the disease.
  2. Every 2-3 hours, baths with chamomile solutions (2-3 tablespoons of the plant per 1 cup of boiling water). An alternative to herbal infusion may be a solution of furatsilina (2-3 tablets per glass of water). It is necessary to lower the diseased organ in a glass with the prepared solution for 10 minutes.
  3. Between the baths and at night, ointment applications with antimicrobial agents should be used. The most common is Levomekol. The penis is wrapped with a napkin soaked in this drug. Also do not forget about the thorough hygiene of the affected area before this manipulation. 3-4 days of this treatment will contribute to a complete recovery.
  4. With the fungal origin of balanoposthitis, it is recommended that ointment applications be made with drugs such as clotrimazole or candida. In this case, treatment continues for 2-3 weeks until complete recovery.

All the symptoms and treatment methods described above are related to acute balanoposthitis. But there is also a purulent form of this disease. Of course, it is much less common, but still there is a place to be. It develops due to purulent lesions of the head and foreskin of the penis.

  • Often a purulent form is a direct complication of phimosis.
  • Complete contraction of the foreskin causes ismegma stagnation.
  • After a while, they cause inflammation and begin to suppurate under the foreskin.

For purulent balanoposthitis, the following is characteristic:

  1. The duration of the course of the disease. With the treatment failure of the acute form, or the complete absence of this treatment, the disease can become chronic.
  2. Yellow (purulent) contents with an unpleasant odor stand out from under the foreskin.
  3. As a result of profuse suppuration, swelling appears, itching and burning join, which are the main symptoms of purulent balanoposthitis.

Treatment of a purulent form of this disease is different from acute. The main causes of purulent balanoposthitis are the addition of staphylococcal, streptococcal or yeast infection. After identifying a specific pathogen, the type of drugs for treatment is prescribed.

The main method of treatment of a purulent form is circular excision of the foreskin of the penis. Only this allows you to surely get rid of this disease.

Thus, for the most rational and surgical treatment of balanoposthitis in a child, it is necessary to consult a urologist or surgeon. Based on the data of clinical analysis and examination, he will determine the form of the disease and select the right treatment.

What is balanoposthitis in children

Balanoposthitis is a disease that affects the foreskin of the penis and nearby tissues. Inflammation occurs not only on the outside of the leaf of the foreskin, but also in the inside.

Balanoposthitis occurs on the head of the penis and foreskin

Despite the fact that such problems are characteristic of adults, balanoposthitis often occurs in children. However, not everything is so simple, since the age of the child is of great importance.

So, in newborn boys, the risk of developing the disease is significantly lower, but after reaching the age of 6 months, the likelihood of inflammation increases. Why it happens? This is due to the physiological nature of the narrowing of the end of the foreskin and fusion with the head. This ensures the immobility of the tissues, so the head does not go beyond the foreskin.

The presented condition is called physiological phimosis. This type of phimosis is normal. It persists until puberty, but sometimes disappears by 5 years. This state of affairs does not always affect the mechanism of development of balanoposthitis.

  • Narrowed flesh protects against infection within 6 months after birth.
  • As the child grows, the genitals also develop.
  • Under the foreskin, a special substance accumulates - smegma, which is represented by a curd mass.
  • Her task is to reduce the friction that arises between the foreskin and the head.
  • If the smegma production is disturbed and its amount is increased, the tissues are irritated, therefore, inflammation is formed as a result of this process.

Smegma is a favorable environment for the development of pathogenic bacteria, so a large amount of the substance is fraught with negative consequences. The ingress of pathogenic microbes leads to the development of bacteria and the formation of inflammation.

The degree of narrowing of the foreskin also matters. A strong narrowing disrupts the outflow of urine, so the tissues are irritated, and urine crystals are deposited on their surface. This is a prerequisite for the development of balanoposthitis in children.

The peak incidence occurs between the ages of 1 year to 5 years. This is due to the structural features of the genital organs of the boy.

Complications of acute balanoposthitis

If untreated, the disease can lead to such complications:

  • chronization of the process
  • spread of infection
  • acute urinary retention
  • phimosis development,
  • genital gangrene,
  • penis head deformity,
  • malignant tumors of the penis.

Symptoms requiring attention

The name "balanoposthitis" is a hybrid of two diseases - postitis, that is, inflammation of the foreskin, and balanitis - inflammation of the glans penis. The main causes of balanoposthitis in boys are infections. In this case, the infection can be of any nature, starting with staphylococcus, ending even with syphilis. Of the causes of balanoposthitis of a non-infectious nature, it is worth noting psoriasis, as well as diabetes mellitus.

It is worth noting that the disease has two forms. So, acute balanoposthitis in children is manifested, first of all, by a sudden increase in temperature. It can reach 38 degrees. In this case, the symptoms of balanoposthitis in a child also manifest in inflammation of the skin of the penis and acute pain. If slight redness, swelling, mild pain and constant itching are observed, then, most likely, balanoposthitis is chronic. This form of the disease may be the result of untreated balanoposthitis, which has already been diagnosed earlier. So that the grave consequences of balanoposthitis do not cause problems for the boy

In the future, treatment is necessary in a timely manner. Even the presence of one of the symptoms of balanoposthitis in an infant or an older child should be a reason for visiting a doctor.

First you need to make sure the child has balanoposthitis. Only a doctor on the basis of examination and analysis makes this diagnosis. It is worth noting that the treatment of balanoposthitis in children at home is carried out in most cases. A hospital stay is not required. If it is established that balanoposthitis in a newborn or an older child does not have a chronic form, that is, it appeared suddenly, then it is not difficult to cope with it. For this purpose, for two to three days, the child is given rinses of the penis in the baths from the infusion of chamomile with the addition of furatsilin. Rinse should be done not only as planned, but also after each urination. In this case, the foreskin does not need to be moved away. Such inflammation stops quickly, and the consequences are usually not observed. However, the treatment of balanoposthitis in a child that has grown into a chronic form is almost impossible. The rinses that were discussed can only alleviate pain and relieve disturbing symptoms. When it is precisely known that balanoposthitis is chronic, surgical intervention is recommended - circumcision of the foreskin. Complaints after that usually end.

Parents note

The main rule that parents of newborn boys should understand is that in the case of the first manifestation of balanoposthitis, it must be stopped immediately. Delaying or ignoring this intimate problem will lead to a chronic form. Do not forget that the best prevention of balanoposthitis is to observe the hygiene of the newborn from the first days, timely treatment of infectious diseases and scheduled regular visits to the pediatrician.

Provocative factors

Very often balanoposthitis occurs in infants, which is provoked by the improper use of diapers. This inflammatory process also occurs in boys as a result of the development of pathogens. Certain conditions contribute to the progress of pathology:

  • Improper child care, use of soap when washing.
  • Poor quality products intended for personal hygiene and washing children's things.
  • Incorrectly sized diapers, their rare change.
  • Tight panties that are able to rub the head of the penis, which causes injury to the skin and their infection.
  • An allergic reaction to the used powder or baby cream.
  • The disturbed structure of the external genitalia, which can provoke various inflammatory processes.
  • Exposure of the glans penis unnecessarily.
  • Diabetes.
  • Overweight problems.
  • Improper child nutrition.

Ordinary hypothermia can also provoke this inflammatory process in boys.

The first symptoms of balanopastitis in a child include pain and itching in the area of ​​the glans penis. Also, a small patient will complain of a burning sensation in this area. Difficult urine output may be noted. During the examination, the specialist notes redness and swelling of the head, if you pull the foreskin, you can see the accumulated smegma, which has an unpleasant odor.

If a purulent form of the disease is diagnosed, then pus will be noted from under the foreskin. The child is very concerned about this condition. In addition to local signs, other reactions of the body to the inflammatory process may occur.

Additional symptoms of balanoposthitis in a child (a photo of this pathology can be seen on specialized sites):

  1. Elevated body temperature.
  2. General weakness.
  3. The child constantly wants to sleep, is a lot naughty.

The irritability of the child is associated with itching, which constantly interferes with it.

Symptoms in infants

Very often, this inflammatory process is diagnosed in infants. This is due to the fact that even with good hygiene, microorganisms from the intestine after emptying fall on the foreskin, as well as the head, which leads to an inflammatory process. Phimosis, which is observed in every boy in the first year of life, can complicate the hygiene process.

Symptoms of balanoposthitis in children of this age category are always distinct, therefore, at the first manifestations of the disease, you should immediately contact a urologist. We list the signs of this inflammatory process:

  • Swelling of the head and foreskin, it has a bright red tint.
  • On the genitals during examination, you can see dots of red.
  • The baby is restless, does not sleep, refuses to eat.
  • There are pain during urination, the baby is crying.

If you ignore this pathology and do not turn to a specialist for timely help, this will lead to irreversible serious consequences.

Balanoposthitis in preschoolers and schoolchildren

Even at this age, balanoposthitis is also common. It arises as a result of the same provoking factors:

  1. Phimosis. At this age, it acquires a pathological form.
  2. Poor hygiene.
  3. Joining candida microflora.

Also, do not use tight-fitting underwear, as it negatively affects the condition of the penis and foreskin. Therefore, it is necessary to monitor not only the hygiene of the child, teach him how to wash, but also carefully choose underwear.

Balanoposthitis in adolescents

Very often balanoposthitis in children of this age is accompanied by staphylococcal infection, as well as streptococci and candida. This is due to the fact that the teenager does not properly monitor personal hygiene, wears tight underwear.

Balanoposthitis in adolescents very often develops in parallel with existing pathologies:

In adolescence, phimosis is quite rare, but if this happens, surgery should be performed. In a similar situation, a full examination is carried out to exclude existing diseases and prescribe a full treatment for balanoposthitis in a child. Symptoms of the pathology are the same as at an early age.

In modern medicine, several types of balanoposthitis in children are distinguished. These include:

  1. Plain. It is characterized by redness throughout the site, swelling and maceration of the skin of the head, as well as the inner part of the foreskin. Then there is the formation of erosions of various types, which differ in their size and shape. Of these, pus with particles of the epithelium can stand out. Itching and burning are present. After the treatment, the skin does not remain traces of the inflammatory process.
  2. Erosive balanoposthitis in a child. Photos of this type of pathology demonstrate the presence of white patches with dead epithelium, which then turn into large erosions of bright red color. The process may be complicated by phimosis. Pain is present. After treatment, there are no signs of the disease.
  3. Gangrenous. This form of the disease is accompanied by fever, fever, general malaise. Diagnosed with deep purulent necrotic ulcers of different sizes. Pain, swelling, redness of the head and foreskin are noted. Phimosis develops. The recovery process takes a lot of time.

Only a specialist can determine the type of pathology after a thorough examination.

Complications: preventive measures

If the therapy of the described disease is absent, then this can lead to negative consequences:

  • The process becomes chronic.
  • Infection and bacteria spread.
  • An acute urinary retention occurs.
  • Phimosis progresses.
  • Gangrene develops.
  • The head is deformed.
  • Malignant neoplasms occur.

Preventive measures should include:

  1. Hygienic procedures every night, especially after bowel movements.
  2. The baby is promptly replaced with a diaper, and its correct size is selected.
  3. Older boys during washing need to expose and wash the head of the penis.

Watch the video: Infection of the Penis & Foreskin Balanitis (February 2020).

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