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How to cure chronic balanoposthitis?

Inflammation of the male genital organs occurs quite often due to various infections and an improper lifestyle.

Diseases such as balanitis and balanoposthitis do not impair the quality of life and threaten the appearance of serious complications. And if the disease goes into a chronic form, then getting rid of it will not be easy.

Let's see, chronic balanoposthitis - what is it?

General description

Balanitis is a disease in which inflammation of the head of the male genital organ begins. Over time, with insufficient treatment, the foreskin of the penis becomes inflamed, due to which the ailment passes into a new form - balanoposthitis. In practice, these two diseases often accompany each other, as they arise almost simultaneously.

You should know that balanitis and balanoposthitis are quite dangerous diseases, since the inflamed flesh eventually blocks the urethra. A man may have problems not only with going to the toilet, but also with a large number of infections.

And if phimosis begins to develop, then surgical intervention is indispensable. Therefore, treatment should be timely and of high quality.

What types of diseases can have a chronic form? Balanoposthitis can easily become chronic, even if it developed in an acute form. Then the patient's condition will be accompanied by an exacerbation of the disease and remission. But it is impossible to cure chronic balanoposthitis.

What are the reasons?

The causes of the disease are many:

  1. Lack of intimate hygiene. Men often neglect simple rules and do not adhere to purity, which leads to the growth of bacteria.
  2. Unprotected sex. In this case, from a partner, you can get, for example, Candida fungus, which provokes the appearance of thrush and balanitis.
  3. Chemicals contained in detergents, condoms, etc.
  4. Penile Injury
  5. Autoimmune diseases.
  6. Inflammatory processes in the urethra.

Who is at risk?

Balanitis or balanoposthitis has a lot of reasons for the appearance, so it is important to know who these diseases may appear in the first place. Doctors found that men with the following diseases are at risk:

  1. Diabetes. Pathogens multiply very quickly due to the high concentration of sugar in the urine.
  2. Phimosis. With this ailment, the head of the penis practically does not open, which also contributes to the appearance of microbes.
  3. Venereal diseases. Pathogenic microbes in this period in the body of a man are many.

Experts note that balanoposthitis can develop even in those men who have circumcised.

Symptoms and signs

Balanitis has rather specific symptoms, for example, redness of the head of the penis, itching and burning, discharge with a bad smell. The disease is often confused with thrush, as the symptoms are very similar.

After the foreskin begins to inflame, that is, balanoposthitis appears, the following symptoms are added to the general history:

  1. Penile edema and purulent discharge. This is the first stage of balanoposthitis.
  2. At the second stage appear slight erosion. Their appearance may be accompanied by inguinal lymphadenitis.
  3. The third stage is characterized by fever and severe deterioration of well-being. Purulent ulcers occur on the penis, after the healing of which scars form.

Disease history

Balanoposthitis is of polymicrobial origin. Often the inflammatory process is caused by infections.A significant percentage of balanoposthitis incidence is associated with the spread of sexually transmitted infections. Damage to the skin of the foreskin may indicate the presence of a skin disease of a systemic nature. Balanoposthitis is able to develop against a background of general diseases that reduce skin resistance to various microorganisms.

The following circumstances contribute to the chronicity of balanoposthitis:

  • the foreskin and the head of the penis contribute to the formation of a preputial sac, in which microorganisms and irritants of the skin accumulate,
  • violation of the protective functions of the skin due to the formation of a comfortable environment for the development of microbes. Such an environment is formed when smegma is formed in the preputial sac, consisting of secretions of the sebaceous and sweat glands, drops of urine with salt crystals, and dead epithelium.

Prevalence and relevance

The wide spread of balanoposthitis determines its relevance. The relationship of urogenital infections and the development of balanoposthitis contributes to the formation of a unified approach to the treatment of the disease.

For the patient, the development of balanoposthitis is of great importance: the disease can deprive a man of a full sexual life, reduce his libido, complicate relationships with the opposite sex, develop uncertainty, and cause pain.

In addition, the consequences of the disease can affect life and health in general for life.


Much at this stage depends on the stage of the disease.. If balanoposthitis is found in a mild form, then the patient is prescribed special ointments and drugs to support immunity.

A more serious course of the disease can only be stopped with antibiotics. In advanced cases (for example, with the formation of phimosis), only surgical intervention is indicated. Of course, with balanoposthitis, it is necessary to pay attention to intimate hygiene.

As for drug therapy, doctors usually prescribe:

  1. Antiseptic ointments. First of all, it is Levomekol, Clotrimazole or Batrafen. Miramistin is used as an antiseptic. They destroy microbes and have a wound healing effect.
  2. Antibiotics. Furagin, Biseptol, Livomethicin are used as antibacterial therapy.
  3. Antifungal drugs. Diflucan, Fluconazole and Nystatin have been shown to be effective.

During treatment of balanitis or balanoposthitis need to adhere to a healthy lifestyle. This means that you should give up alcohol, smoking, and also review your diet. First of all, it is necessary to exclude spicy, fatty and smoked dishes from it, replacing them with vegetables or fruits.

Food should be simple but varied. Be sure to do sports, if, of course, there are no contraindications. As for intimate relationships, it is better to abstain for a while.

Why do men have balanoposthitis?

There are many reasons why a man may have balanoposthitis. One of the most widespread is the lack of regular personal hygiene of the penis. Urine and smegma quickly accumulate on it (a special secret secreted during sexual arousal).

Gradually these vital products of men start to cause inflammation, smoothly growing into balanoposthitis.

Another fairly common cause of balanoposthitis in men is the presence of any congenital pathology. For example, phimosis affects the health of the head of the penis and its foreskin. The disease in this case develops on the same principle as during a lack of personal hygiene.

Any infection can also cause this unpleasant disease. It can be caused by various fungi, bacteria.

If a man ever suffered from any of the sexually transmitted diseases and did not normally treat microflora, then the risk of balanoposthitis increases significantly. Syphilis and gonorrhea, which quickly cause inflammation in the male body, are considered particularly dangerous diseases.

When wearing coarse, uncomfortable, or too small underwear there is also a risk of balanoposthitis. The fact is that narrow clothes greatly hamper the movements of a man, in which the head of the penis begins to rub more intensively.

And, of course, we must not forget that The cause of inflammation can be ordinary diabetes and a lack of certain vitamins and minerals.. Sometimes balanoposthitis manifests itself after a prolonged nervous shock or against a background of serious illnesses.

What can supplement therapy?

As for the baths for washing the penis, they must be done. You need to wash a member with boiled water with furacilin or saline. There are many recipes for traditional medicine that are used to treat such diseases.

  1. Dill Root Broth Great for a variety of baths or lotions. For cooking, 50 gr. finely chopped roots, pour 500 ml. water, then boil for 10 minutes. Use several times a day.
  2. Effective baths for balanoposthitis are made from sage broth. 2 tbsp. l herbs are brewed in 500 ml. water, after which they insist for several hours.

Balanitis and balanoposthitis are serious diseases, so you can’t start them in any way. At the first symptoms, you should consult a specialist, since in some cases, diseases can even threaten the patient's life.

Simple balanoposthitis

So in medicine they call the process of inflammation that occurs on the surface of the skin of the glans penis. Gradually, it passes to the inside of the foreskin of the penis. Often this type of disease manifested after contact of the penis with mechanical and chemical stimuli, as well as during non-compliance with personal hygiene.

Such a disease is detected by soreness of the head, a small purulent discharge, redness and swelling. In advanced stages, the patient may complain of phimosis and urinary retention.

Candidiasis balanoposthitis (balanitis) in men and its treatment

Candidiasis balanoposthitis differs in redness and severe swelling of the head penis and foreskin. Sometimes red spots of various shapes may appear.

Gradually, white secretions with a consistency of cottage cheese begin to appear on the head of the penis. Exactly they cause constant itching, burning and unpleasant odors.

In fact, the treatment of candidal balanoposthitis in men consists in getting rid of thrush - antifungal drugs are prescribed (most often this is one tablet).


This type of disease most often occurs against the background of sexually transmitted infections. Most often its cause is herpes, mycosis, syphilis and gonorrhea.

In addition, the occurrence of chronic balanoposthitis can affect diabetes. If the disease is not properly cured, the infection will rise higher in the urinary tract, from where it can get into the kidneys. In this case, inflammation of the appendage, fraught with infertility, is possible.

Unfortunately, this form of balanoposthitis often occurs without any particular symptoms, therefore a man needs to visit a urologist regularly.

Acute balanoposthitis

The cause of the acute form of the disease can be called staphylococcal and streptococcal infections. Usually the patient begins to complain of mild pain in the head area, which gradually begins to intensify.

If such balanoposthitis is not cured on time, then he can easily go into a sluggish chronic form.

Acute suppurative balanoposthitis

This variety of balanitis develops against a background of staphylococcal and streptococcal infections. Also he may appear during complicated allergies and diabetes.

This differs from all other forms of balanoposthitis by the appearance of purulent necrotic lesions on the penis, the head of the penis acquires a bright red color and begins to hurt greatly.

Allergic balanoposthitis

The disease develops against the background of genital allergies. As for the latter, she occurs due to personal intolerance to latex, underwear fabric and personal care products.

The glans penis turns pink and red, red spots and watery blisters appear on it, which slowly turn into small erosions.

Gangrenous balanoposthitis

On the penis, a lot of areas are formed, covered with pus and white coating. In this case, a sick man significantly rises body temperature, and gangrene of the glans penis begins.

Find out what a common disease looks like by looking at the phimosis photo - perhaps this will help determine the degree of the disease.

Find out what cicatricial phimosis in adult men is and how to treat it from this article. The neglected form of the disease does not lead to anything good.

Learn how to treat phimosis of any form in adult men at this address: https://man-up.ru/bolezni/andrologiya/fimoz/lechenie-fim.html. Armed with knowledge - it means half the work is done!

What are the symptoms and signs of balanoposthitis in men?

Balanoposthitis in men is characterized by the appearance of discharge, which is ambiguous. In different men, they can have a different color: from brown and yellow to dark colors. Sometimes they can be transparent.

Another symptom of balanoposthitis is pain in the penis head and its increased sensitivity while touching. Such pain can occur during intercourse, making it especially painful or even completely impossible, which can subsequently lead to the appearance of erectile dysfunction.

Also there are complications during urination. The patient feels a strong burning sensation, itching and even pain. Sometimes urination is very complicated and urine begins to linger for a long time in the bladder, which can lead to inflammation.

Any balanoposthitis is characterized by constant itching of the glans penis. The skin on it begins to dry out and crack, which leads to uncomfortable sensations. Sometimes purulent discharge and ulcers may appear.

How and what to treat?

If treatment of balanoposthitis is not started on time, then unpleasant ulcers will appear on the glans penis, causing discomfort in men. Gradually, the disease can become chronic, which is not well treated.

In case the disease is not in advanced form, urologists advise patients to regularly wash the head with a soap solution consisting of hydrogen peroxide, potassium permanganate and furatsilina. it will get rid of pathogenscausing the disease.

Unfortunately, balanoposthitis can occur against the background of other sexually transmitted diseases, therefore, to get rid of it, you must first treat all infections.

Often for this antibiotics are usedtaken according to an individual treatment regimen, including anti-inflammatory or antifungal ointments. However, with a mild form of pathology or if balanoposthitis has developed in a child, gentle folk remedies are often additionally prescribed.

Balanoposthitis, caused by phimosis, is treated exclusively by surgery.

Before the operation, the urologist recommends applying a special cream that tightens the foreskin.

After this, an operation is performed to excise it under local anesthesia.

Prevention of male balanoposthitis

One of the most common causes of balanoposthitis is a disturbed microflora in a sexual partner. That is why you need to visit a gynecologist and a urologist together to get rid of this unpleasant condition. In case the partner is inconsistent, need to practice safe sex or regularly checked for infections.

Moreover, proper personal hygiene: wash the penis at least once a day and always after sex.

The sequence of hygiene procedures should be as follows:

  1. To wash hands,
  2. Lather them until foam appears,
  3. Lather the penis, pouring it with water of a comfortable temperature,
  4. Wash the penis and the area around it well,
  5. Bare and rinse the head,
  6. Gently rinse the bridle where smegma accumulates,
  7. Rinse the penis.

Observing all these recommendations, you can completely protect yourself from the occurrence of balanoposthitis. Timely treatment of any disease protects against complications in the future. Visit your urologist regularly and no illness will bring discomfort to your life.

Predisposing factors

In addition to the obvious causative agents of this pathology, there are also factors that predispose to its development. These include:

  • Violation of personal hygiene.
  • Phimosis (narrowing of the foreskin).
  • Immune diseases and allergic reactions.
  • Promiscuous sexual intercourse.

Treatment of balanoposthitis in men usually does not cause difficulties with the correct diagnosis. The symptomatology of the disease depends on the severity of the disease and the presence or absence of complications. There are two forms of this disease: acute and chronic. The acute form, depending on the symptoms, can be manifested by three types of balanoposthitis. So, there are simple balanoposthitis, erosive and gangrenous.

Erosive balanoposthitis

This type of balanoposthitis is characterized by the formation of multiple erosions on the head and foreskin. First, in a certain area, a white swollen outgrowth appears. The white thin film on it is the dead cells of the epithelium. After some time, this film bursts, and a very painful erosion (red spot) appears. After such damage heals, no trace remains.

Features of balanoposthitis in boys

Infectious balanoposthitis in childhood is practically not found. The most common causes of this disease in children:

  • Violation of the rules of personal hygiene.
  • The allocation of excess smegma, which accumulates between the head of the penis and the foreskin, forming a breeding ground for bacteria.
  • Phimosis.
  • Hypertrophic phimosis or overdeveloped foreskin.

"Levomekol" is an ointment. Price

This drug includes two active active ingredients: chloramphenicol (chloramphenicol) and methyluracil. The first is a broad-spectrum antibiotic and can destroy pathogens. The second substance stimulates the regeneration of damaged tissues of the epidermis. Ointment "Levomikol" is prescribed for all types of balanoposthitis.

It is very effective for balanoposthitis drug "Levomekol" (ointment). Its price is low, within 100 rubles. Therefore, the tool is used for all types of this disease.

Dressings with ointment are applied to the damaged areas at night after thorough hygiene of the genitals. This procedure is done within 5 days. Treatment is necessarily carried out under the supervision of a doctor.

With balanoposthitis caused by STIs, specific treatment is used to destroy the pathogen.

Balanoposthitis and balanitis in men: a photo and its varieties

What is balanoposthitis in men?
Balanoposthitis - inflammation of the inner leaf of the penis, often occurring simultaneously with balanitis (inflammation of the head of the penis).There are many reasons for the malaise. Specialists distinguish a non-infectious and infectious form.

First occurs as a result of drug abuse (especially antibiotics), mechanical damage to the glans penis, or genital surgery.

Second the category is more diverse. Depending on the causative agent, the post can be bacterial, fungal or viral. The disease can be classified according to stages and symptoms, often one form flows into another.

Finally, urologists distinguish between acute fasting and balanitis, which manifests itself several days or weeks after the onset, as well as a chronic form that is almost asymptomatic and can be detected several months after infection.

All photos of balanitis and balanoposthitis and what balanoposthitis looks like in men can be seen further:


Circinar balanoposthitis often occurs with chlamydial infections. This form is characterized by clear, bright spots of irregular shape.

Allocations are absent or very insignificant.

With the development of the disease, spots acquire a grayish-white hue, the penis swells, swells, the stratum corneum increases.

Small painful sores with a smooth, shiny surface appear on the skin, tissue neglect and gangrenous ulcers are possible in neglected form.

Treatment begins with anti-inflammatory and antifungal drugs, supplemented with vitamin complexes, immunomodulators decoctions of herbs that are used for baths, washes and compresses ..


The cause of chlamydial balanoposthitis is chlamydia, transmitted through unprotected sexual contact. Very contagious, if untreated in one of the partners, the infection will continue continuously. A favorable background for the disease can be phimosis, low immunity, abuse of aggressive detergents.

The disease is almost asymptomatic, the epithelium of the penis is not affected. Possible fever, weakness, sleep disturbance and appetite. Chlamydial balanoposthitis is more common, the inner leaf of the glans penis is affected much less frequently.
Treatment of chlamydial balanitis is carried out after consultation with a venereologist.


Post-Gram-negative bacteria cause (Gram stain free). It occurs during unprotected sex with a partner infected with gardenella, an allergic reaction, malnutrition, and reduced immunity.

It proceeds in a simple or erosive form.

In the first case, a sticky coating with a characteristic fishy smell appears on the head of the penis. Mild swelling and itching are possible.

With an erosive form, skin lesions with a weeping surface occur, an unpleasant odor takes on a more pronounced character.

It is treated with complex antimicrobial agents, used orally or as lotions.

Purulent balanoposthitis often proceeds in an acute form. The causative agents are streptococci, staphylococci, yeast. Sometimes the disease occurs against the background of severe chronic ailments, for example, diabetes mellitus, atopic dermatitis, purulent urethritis.

Purulent post is characterized by yellowish discharge, especially abundant in the morning and causing itching. Small red spots appear on the surface of the penis, necrotic skin lesions are possible.

For treatment, antibiotics with the widest possible spectrum of exposure are needed, after use immunomodulatory drugs.

Infrequent zuna balanitis usually affects middle-aged and older men. The nature of the disease is unclear, the cause may be autoimmune pathology, chronic inflammatory processes, Reiter's syndrome. Symptoms manifest quickly and do not allow confusing this form with another.

Small pinkish-brown plaques appear on the skin of the penis, their number increases with the course of the disease.

The surface of the plaques is smooth, shiny or weeping. Affected areas of the skin quickly atrophy. There are no discharge, with extensive skin lesions the patient feels a burning sensation and pain.

Possible complications: narrowing of the foreskin, deformation of the urethra, malignant tumors of the glans penis.
Combined treatment combining ointments-corticosteroids with immuno-fortifying and vitamin preparations. For extensive skin lesions, full or partial circumcision of the foreskin is recommended.


The causative agent of the disease is hemolytic staphylococcus. Infection is possible with unprotected sexual contact, reduced immunity, inflammation of other organs of the genitourinary sphere. Slight white or grayish discharge, an unpleasant sour smell, the appearance of edema, rash, and itching are characteristic.

If untreated, the simple form becomes erosive. The therapeutic course consists of external antimicrobials in combination with anti-inflammatory drugs used orally.

Photo staphylococcal balanoposthitis can be seen here


One of the most common types. The causative agent is a genital herpes virus that enters the body through unprotected sexual intercourse. It is characterized by a profuse reddish rash on the skin of the penis, external edema, swelling, soreness.

The acute stage quickly becomes chronic. If untreated, the rash is replaced by small vesicles, the head of the penis becomes especially sensitive. Possible discharge from the urethra, fever, general weakness.

The patient is prescribed corticosteroids and antiherpetic ointments. Treatment can be lengthy, it cannot be interrupted, otherwise relapses are possible.

Balanitis and balanoposthitis are diseases with very diverse symptoms, depending on the nature of the pathogen. The sooner the problem is identified, the more effective the treatment will be.

Only a doctor can make a correct diagnosis, so you should not delay a visit to the clinic. Delaying can translate an acute illness into a chronic form and provoke a variety of complications.

Medical treatments

Exist infectious and non-infectious types of disease. Infectious balanitis is divided into simple, erosive and gangrenous (all forms are subject to treatment). With a simple balanoposthitis, the head of the penis reddens evenly, erosion with purulent discharge appears.

With an erosive form of the disease swollen white necrosis is observed, which then transforms into red ulcers. Gangrenous balanitis is characterized by excessive swelling and redness of the head of the penis with painful ulcerations, fever, and general malaise.

Erosive circular balanoposthitis "owes" its development to spirillas with spirochetes Vincent. This is a fairly rare type of disease., which can occur in too light or very severe form.

Castel balanitis origin not established still. For its therapy, compresses soaked with phenol at a concentration of 1:10 or cauterization with rivanol diluted a thousand times are traditionally used..

Thus, if balanoposthitis in men was a consequence of internal infectious diseases, it is necessary to get rid of them first. For the treatment of infectious balanoposthitis, it is most often accompanied by sulfa drugs, and locally it is recommended to make antiseptic lotions of chlorhexidine, potassium permanganate or silver nitrate 3-4 times a day.

If the causative agent was a bacterium, a levomekol ointment is usually prescribed.

Some types of balanoposthitis are non-infectious in nature. Balanitis Zuna characterized by the appearance of shiny plaques that do not protrude above the surface of the skin of the genital organs. This kind of disease treated only surgically with a carbon dioxide laser.

In this case, the upper layer of the skin is damaged, which reduces the likelihood of the disease returning. Circumcision is not excluded.

Sclerosing balanoposthitis has an unclear origin and is expressed in the covering of the genitals with white pearly plaques, dry skin in these places. For his treatment surgery required.

Xerotic obliterans balanitis manifested in the scarring of the glans penis in combination with white shiny plaques. The skin of the genital organs becomes thinner and becomes “wrinkled”.

If this form of the disease is not treated, then skin transformations can develop into malignant forms. There is pain during an erection.

In the early stages of the disease, the use of testosterone propionate or corticosteroids will be effective. In the later stages, surgical treatment is indicated..

Another cause of the development of the disease can be any malfunction of the endocrine system, including sugar diabetes, overweight and more. The likelihood of balanitis is higher in athletes taking steroid hormones.

Diseases that increase the volume of circulating fluid (heart failure, poor kidney function), also contribute to the onset of the disease.

With balanitis, caused by diabetes, bleeding of the glans penis and fissures of the foreskin and this form is usually treated with surgical methods. In this case, it is necessary to regularly monitor the concentration of sugar in the blood.

If the cause of balanitis was domestic illiteracy and the patient asked for help in the early stages of the disease, you can do with the implementation of simple recommendations: observe personal hygiene, wear linen from natural fabrics, do not wear tight clothing, use gentle shower gels and other household chemicals. Perhaps the immune system itself will cope with the disease.

If this is not enough, it is necessary to make compresses of antiseptics, as mentioned above.

Sometimes, treatment of balanoposthitis (balanitis) in men with antibacterial drugs (biseptol, furagin, erythromycin) may be necessary.

How is the candidal form of the disease treated?

Simple infectious candidiasis balanitis provokes the fungus Candida albicans (female candidiasis caused by this fungus is popularly called thrush). Normally, a small amount of this microorganism is present on the genitals, but with a decrease in immunity, it begins to multiply actively, which leads to the appearance of the disease.

It can also be a consequence of other diseases that have not yet been discovered or that are treated with antibiotics for a long time, since infections weaken the immune system. In HIV-positive people, it is more common.

This type of balanitis is often asymptomatic., but sometimes itching, redness, swelling of the tissue may be noted, which leads to narrowing of the urethra, and as a result, painful urination, as well as a characteristic white flaky plaque in the region of the glans penis.

With advanced forms of the disease, the microorganism can affect the entire penis.

If the disease is caused by a fungus from the genus Candida, the doctor prescribes antimycotic agents, such as fluconazole (part of Diflucan, Flucostat preparations), levorin, clotrimazole, pimafucin. Usually, one capsule of fluconazole is prescribed once. Myromistine ointment is often prescribed, as well as Lamisil.

Remove them by cauterization with liquid nitrogen, a radio wave or a laser knife. If a decrease in immunity gave impetus to the occurrence of thrush in men, doctors usually prescribe isoprinosine and proteflazide as immunomodulators.

How is balanoposthitis caused by an allergic reaction treated?

Balanitis can also have an allergic nature. A hallmark indicating that the disease is a reaction to an allergen is rash of different colors and locations, blisters, erosion.

Often antigens are substances used in the manufacture of contraceptives: condom latex, lubrication, oral and vaginal contraceptives of a woman, from whom an allergy can develop from a partner, or a banal allergy to a certain type of food, plant pollen in a particular season of the year. Foreign drugs can even be medicines and vitamins.

Until an allergen is ruled out, balanitis therapy will not lead to the desired effect.

Surgical treatment for balanoposthitis

With a long course of the disease and prolonged treatment, the presence of frequent relapses, it is justified to resort to surgical intervention - circumcision (circumcision) or laser removal of the foreskin. Activities are carried out with local anesthesia.

Typically, the glans penis is inserted or cut into the foreskin to increase the diameter of the urethra. Sometimes expand the foreskin with a clamp. However, for some anatomical features (for example, if the foreskin is attached to the head), this procedure cannot be justified. See what phimosis is.

How is balanoposthitis treated at home with folk remedies and ointments?

Traditional medicine is replete with prescriptions for treating and alleviating the symptoms of balanoposthitis.

Calendula Recipe. 1 tbsp. l ground calendula flowers must be filled with a third glass of olive oil. Dishes to close and insist on the sun for 3 weeks. Strain and lubricate the affected areas.

The most affordable recipe. Cut off an aloe leaf, rinse with water and get rid of the thorns. Before applying to the skin surface, cut off the epidermis of the skin of the sheet. Do compresses 2 times a day.

Sage tincture. 2 tbsp. l chopped leaves of the plant pour 0.5 liters of boiling water. Insist half an hour, then strain. After cooling, apply to the affected areas for 15-20 minutes.

Plantain Compresses. This plant is known for its anti-inflammatory properties. A blank sheet must be applied to the penis by tying it with a bandage. Change leaves after 30 minutes. You need to do lotions every 4 hours.

The most effective treatment for balanoposthitis at home: pour 1 tbsp. crushed bark of young oak with one glass of boiling water, cook the mixture for 20 minutes over low heat, close the lid and insist for half an hour, then strain. Do baths for the copulatory organ 2-3 times a day for at least a week.

From ointments from balanoposthitis, anyone with antibacterial and antiseptic effects, for example, the mentioned levomekol and miromistin, will do.

Prevention of balanoposthitis. To prevent the onset or recurrence of the disease, the following rules must be observed:

  • Screened for all types of infections,
  • Use condoms
  • Monitor hormones or blood sugar
  • Reduce weight
  • Maintain personal hygiene
  • Monitor the baby's hygiene to prevent balanoposthitis in children.

What can be the complications without treatment?

The inflammatory process increases the threshold of excitability of receptors, which can lead to a decrease in the quality of sensations during intercourse and a decrease in potency. Inflammation can spread to the urethra.

So, in the treatment of acute balanitis and balanoposthitis, an integrated approach is needed, which consists in eliminating all the factors leading to the disease. For prevention, maintaining a healthy lifestyle. In no case do not self-medicate, a you should immediately consult a doctor when the first signs of the disease appear.

Risk factors

Predisposing factors contributing to the development of the disease:

  • non-compliance with generally accepted hygiene standards,
  • the development of other diseases reduces the protective properties of the body, which leads to the development of inflammation,
  • phimosis - the inability to expose the head of the organ (penis) - leads to the development of balanoposthitis.

Regardless of the cause, the consequences of refusing therapy are quite serious.

The reasons for the development of balanoposthitis are fairly well understood and for the most part have the nature of an infectious infection:

  • consequences of bacteria from sexually transmitted diseases (candida, trichomonas, treponema),
  • excessive cleaning (mechanical stress) or vice versa: insufficient hygiene of the foreskin,
  • contact with drugs of a chemical origin that can cause an allergic reaction (lubricants, personal hygiene products),
  • the presence of infections in the sexual partner, which in men does not cause a reaction, but with a decrease in immunity, may favor the development of balanoposthitis.

The disease becomes chronic in cases of:

  • the adaptation of microorganisms to antibiotics used with self-treatment or with improper prescription by a doctor,
  • unstable active sexual life without contraceptives (condom), as a result of which a man is regularly susceptible to attack by pathogenic microorganisms leading to balanoposthitis,
  • often being in a traumatic condition, getting various microtraumas: when wearing excessively narrow and coarse linen, with frequent masturbation, with extreme manifestation of homosexual relationships,
  • the presence of other diseases, including chronic ones, such as diabetes mellitus, AIDS, psoriasis, herpes.

Consequences of the disease

In most cases, with timely and proper therapy, balanoposthitis passes without serious consequences.

The consequences of untimely treatment or refusal to treat balanoposthitis can be as follows:

  • bladder, liver, and other urinary tract infections,
  • phimosis, leading to pinching of the glans penis,
  • inflammation of the prostate
  • penis head deformity,
  • decrease (loss) of sensitivity of the nerve endings of the glans penis,
  • lymphogenitis (inflammatory process of the vessels of the penis). This complication is rare enough
  • allergic reactions (rash, dermatitis) can cause scarring, which can cause narrowing of the foreskin and cause difficulty urinating,
  • the development of urethritis,
  • chronic inflammation can trigger the formation of a cancerous tumor.

Important! Frequent manifestations of balanoposthitis require surgical intervention, involving circumcision of the foreskin. After circumcision, the risk of infection of the foreskin completely disappears.

Video: "Acute balanoposthitis"

Symptoms and methods of diagnosis

Symptoms of chronic balanoposthitis periodically fade away, then worsen again. However, a normal existence with the manifestation of the symptoms of the disease for a man is not possible.

In addition to discomfort and pain, simultaneously occurring symptoms of balanoposthitis occur:

  • redness, swelling, burning of the foreskin,
  • painful, difficult urination,
  • pain during intercourse,
  • the appearance of ulcerative lesions of the skin,
  • accumulating white plaque in a coronal groove,
  • increased dryness of the skin.

Important! If there are symptoms of the disease, you should immediately contact a urologist to prevent complications of the disease.

Symptoms of balanoposthitis can be similar to other diseases of the penis, so it is very important to correctly diagnose the disease.

The main methods for diagnosing balanopostin are:

  • analysis of scrapings of the skin for bacterial culture,
  • smear microscopy
  • potassium hydroxide testing,
  • detection of the papilloma virus,
  • screening for diabetes.

It is very important to correctly determine the nature of the disease in order to apply effective treatment and avoid complications of the disease.

Video: "What is balanoposthitis or balanitis?"

Drug treatment of balanoposthitis should be carried out as prescribed by the attending physician after determining the diagnosis. Depending on the nature, cause, degree of the disease, the urologist prescribes a drug that can eliminate the symptoms and cause of the disease. Treatment of a chronic form of the disease can be carried out with ointments or tablets (antibiotics).

The most common drugs in the treatment of balanoposthitis:

  • ointments with anti-inflammatory effect (Lokoid, Elidel),
  • antifungal ointments (clotrimazole, terbinafine, miconazole),
  • ointments having the active component flumetasone pivalate (Locacorten),
  • Levomekol ointment,
  • Acyclovir (tablets) is prescribed when the cause of the disease is herpes,
  • Fluconazole (tablets) cure candidiasis,
  • Metronidazole (tablets) is prescribed for balanoposthitis caused by trichomonads,
  • penicillins are prescribed for gonorrheal form of the disease,
  • broad-spectrum antibiotics are prescribed in case of a disease from other pathogens (Azithromycin, Ceftriaxone).

Important! The treatment regimen for balanoposthitis and the appointment of drugs is performed by the attending physician. With self-medication, complications and undesirable consequences can occur.

If you comply with hygiene standards and doctor's prescriptions, with the help of drugs you can get rid of balanoposthitis if the disease does not proceed in a neglected form.


When treatment with drugs did not bring the expected result, or the inflammation developed into phimosis, then chronic balanoposthitis can be cured with the use of surgical intervention.

The operation to circumcise the foreskin is carried out in order to completely remove the focus of inflammation. The result of surgery is a complete cure.


When symptoms of the disease appear, discomfort in the genitals of the man, pain, it is very important to immediately contact a specialist. Timely and proper treatment of balanoposthitis can completely save the patient from adversity. Do not forget that the disease can quickly become chronic, and then the treatment and consequences can be more unpredictable.

Balanoposthitis in diabetes

Balanoposthitis in diabetes occurs in 80% of patients. An inflammatory and infectious disease caused by diabetes mellitus refers to secondary balanoposthitis. The treatment of this form of the disease is long-term, since balanoposthitis is quite persistent and does not respond well to therapy. Inflammation has a polymicrobial etiology and appears with mixed infectious microorganisms: yeast, streptococcus, staphylococcus, symbiosis. The disease can also be caused by monoinfection, for example, gardnerella.

Balanoposthitis with diabetes occurs due to metabolic disorders that accompany diabetes. Symptoms of the disease are accompanied by increased bleeding of the glans penis, the appearance of ulcerations, hyperemia, cracks and ulcerations with the development of the cicatricial and adhesions. The nature of the symptoms depends on the age of the patient and the duration of the course of diabetes.

Treatment consists in the selection of antidiabetic agents that contribute to the stabilization and elimination of the inflammatory process. Surgical circumcision can be used for treatment. But this method of treatment can only be used if the blood sugar level is normal.

Adhesive balanoposthitis

Adhesive balanoposthitis is the most common infectious and inflammatory disease that most often occurs in boys at a young age. The task of parents to monitor compliance with hygiene rules.In some cases, the disease appears due to congenital or acquired malformations. In adults, balanoposthitis occurs less frequently, and, as a rule, is the cause of other inflammatory diseases.

Symptoms of adhesive balanoposthitis in adults are accompanied by bloody wounds on the glans penis and peculiar discharge. Due to the advanced symptoms of balanoposthitis, treatment can be radical and involves circumcision, that is, excision of the foreskin. The adhesive form causes phimosis and narrowing of the foreskin of the penis, so surgery is an effective method of treating balanoposthitis and its consequences.

Trichomonas balanoposthitis

Trichomonas balanoposthitis is a secondary infectious and inflammatory disease that occurs against the background of trichomonas urethritis. As a rule, inflammation affects the skin of the glans penis. The clinical picture of trichomonas balanoposthitis practically does not differ from the inflammatory process of a different origin. But with this form of the disease, a foamy purulent liquid of yellow or white color with a very unpleasant odor begins to stand out from the preputial sac.

To diagnose balanoposthitis, the urologist prescribes the delivery of tests and smears, which allow you to identify trichomonads. The main symptoms are manifested in the form of hyperemia of the head and foreskin of the penis, the appearance of red spots. To distinguish the primary form of this disease from the secondary, the patient passes a urinalysis (after washing the prepuce bag). If inflammatory elements were not found in the test results, then this indicates a primary trichomonas balanoposthitis.

Bacterial balanoposthitis

Bacterial balanoposthitis is an inflammation of the external genitalia, usually in men. With the bacterial form of the disease, both the glans penis and the foreskin tissue are affected. A bacterial infection causes the disease. Most often, I diagnose bacterial balanoposthitis in boys under three years of age. This is due to the fact that from birth, the head of the penis is closed with the foreskin, and it does not always open independently, which causes problems with hygiene. As a result, harmful microorganisms accumulate under the skin, which provoke the appearance of bacterial balanoposthitis.

The first symptom of the disease is severe genital itching. In addition to itching, inflammation causes redness and swelling of the penis, pain during urination, and with neglect, inflammation of the inguinal lymph nodes. Treatment in the early stages does not take much time and is not difficult. The patient is prescribed a course of antibacterial drugs, ointments and solutions for washing. Mandatory is the observance of intimate hygiene. In severe bacterial balanoposthitis, the only treatment is surgical excision of the foreskin.

Symptoms of the disease

Balanoposthitis is an inflammation that combines lesions of the glans penis (balanitis) and the leaf surrounding the foreskin (post). A characteristic feature of the chronic form is the development of specific symptoms, the duration of their manifestation and the periodic occurrence of relapses after, it would seem, recovery.

The main signs of chronic balanoposthitis are:

  • groin pain
  • painful urination
  • penis head redness,
  • the appearance of erosion and painful ulcers,
  • the appearance on the inflamed surface of spots, rashes and other neoplasms,
  • purulent discharge
  • offensive smell
  • itching and burning
  • violation of erectile function,
  • dystrophy of the foreskin,
  • pain when touching sick organs.

The disease develops in three stages:

  1. Initially, there are symptoms characteristic of acute balanoposthitis: swelling, redness, soreness.
  2. As the pathology develops, erosive changes in the affected tissues occur, accompanied by purulent discharge with an unpleasant odor.
  3. In the third stage, the man feels a general deterioration in well-being. Infection can spread to other organs, provoke intoxication, fever. Ulcers are difficult to heal, scars remain in their place. After a while, in the presence of favorable factors, the disease may recur.

Reasons for development

Balanoposthitis in men without circumcision develops mainly in the presence of factors of an infectious nature. This can be both microorganisms common in the environment (streptococci, E. coli, Candida fungi), and specific infections (chlamydia, syphilis, herpes, etc.). Also, balanoposthitis of non-infectious origin (traumatic, allergic, etc.) is isolated.

The main causes of the development of the disease are:

  1. Personal hygiene. Inadequate maintenance of the purity of the genitals leads to the accumulation under extreme flesh of smegma, residues of urine, sperm and microflora of the sexual partner after sexual contact.
  2. Wrong selection of underwear. Poor material and small size are causes of irritation of the delicate mucous membrane of the penis.
  3. Hygiene Response. Some products can provoke an allergic reaction, so it is recommended to choose high-quality specialized cosmetics with a neutral pH.
  4. Infections. Fungal, bacterial or viral infection can be the root cause of the development of inflammation.
  5. Local diseases. Different types of dermatitis, Reiter's syndrome, urethritis are catalysts of the inflammatory process of the head of the penis and leaf of the foreskin.
  6. Decreased immunity. With a decrease in the body's natural defense, even slight irritation or the penetration of a pathogenic agent can be reflected in the form of balanoposthitis.
  7. STI Sexually transmitted diseases can not only provoke balanoposthitis, but also with a high probability lead to its chronicity.
  8. Chronic diseases Various pathologies of the genitourinary, endocrine and other systems significantly affect the state of immunity and men's health.
  9. Phimosis. Narrowing the foreskin and pinching the head of the penis can cause inflammation, as dirt and bacteria accumulate in the resulting, difficult to clean, pocket. Phimosis may be present initially or develop as a result of ulceration and scarring of inflamed tissues.
  10. Promiscuous sex life. Men, often replacing sexual partners, as well as not using barrier methods of contraception, are more likely to have balanoposthitis. In addition, they risk catching HIV or another STD.

Balanoposthitis can become chronic if proper medical care was not provided at the initial stages of the acute form. It is very difficult to get rid of a previously untreated disease in the later stages, since inflammation can take on a latent form during therapy, but then return again.

Causes of Relapse

The chronic type of balanoposthitis is characterized in that the periods of remission sooner or later alternate with an exacerbation of the disease.

The following factors can provoke a relapse:

  • hypothermia
  • not followed instructions for the treatment of acute balanoposthitis,
  • improper selection of antibiotics to eliminate the infection,
  • relapse of another chronic disease
  • ongoing mechanical or chemical irritation of the penis head,
  • an untreated sexually transmitted disease
  • diabetes,
  • phimosis
  • insufficient or excessive care for genital cleanliness,
  • unprotected sexual contact with a woman suffering from thrush or other genital infection.

Any decrease in immunity can provoke a re-development of inflammation. Frequent relapses are the cause of serious complications, including structural changes in the affected tissues.

The main types

In addition to the division of balanoposthitis into acute and chronic forms, there is also a classification according to the principle of clinical manifestations. The main varieties of the chronic type of the disease are inductive and ulcerative hypertrophic balanoposthitis.

You can also distinguish the following forms of pathology:

  • catarrhal
  • candida
  • erosive
  • vegetative
  • gangrenous
  • sclero-atrophic,
  • granulomatous
  • pustular and ulcerative,
  • papular
  • pustular
  • vesicular
  • bullous
  • Verrucous.

Each of these varieties of the disease is characterized by special manifestations, with which their names are associated. They provoke certain infectious diseases. For example, vesicles in case of vesicular balanoposthitis are consequences of genital herpes, and granulomas accompany immunodeficiency states, in particular AIDS. Each of these forms requires a special treatment approach.

Gardnerellosis balanoposthitis

Gardnerellosis balanoposthitis is the inflammatory process that causes the gardnerella bacterium. With this form of inflammation, both the glans penis and the foreskin are affected. To diagnose the disease, the urologist appoints a test. As a rule, analyzes show a high concentration of anaerobic microorganisms and a low content of lactobacilli. Due to the rapid multiplication of bacteria, the microflora of the genitals begins to change.

Most often, gardnerellosis balanoposthitis is a secondary disease that occurs against the background of gardnerellosis urethritis. The main symptoms of the lesion are manifested as: itching and burning of the genitals, pain during urination, gray discharge with an unpleasant odor. The causes of this form of inflammation are not fully understood. So, to the appearance of the disease can lead to disturbances in the body, hormonal factors, endocrine diseases and other causes.

The disease must be treated without fail, since without medical care, neglected gardnerellosis balanoposthitis can lead to infertility, bartholinitis, chronic prostatitis or urethral syndrome.

Possible complications

The course of chronic balanoposthitis is often unpredictable, so it is best to prevent its development. The price of delay with treatment can affect not only men's health, but also the life of the patient as a whole.

The chronic form can lead to the following complications:

  1. Disorders of sexual function. A man is bothered by pain during sexual intercourse, on the contrary, the sensitivity of the head may decrease.
  2. Cicatricial phimosis. Damage to the skin as a result of ulceration leads to its atrophy. When healing, the foreskin narrows, and previously damaged areas are narrowed.
  3. Prostate inflammation. With the spread of infection, there is a risk of damage to the prostate gland.
  4. Inflammation of the urinary system, including kidney. Balanoposthitis quite often becomes a provocateur of diseases of adjacent organs. Inflammation can progress, provoking a violation of the functions of the organs involved, narrowing of the urethra, etc.
  5. Oncology. If you can not treat balanoposthitis in a chronic form, it is capable of malignant degeneration of tissues and damage to the lymphatic system.
  6. Penis loss. Necrotic processes with long-term ulcerative inflammation cause surgical amputation or self-dying of the genital organ.

Diagnostic Principles

To diagnose the disease, a man should immediately contact a urologist if suspicious symptoms appear.A qualified doctor can diagnose balanoposthitis after examining a patient.

To clarify the causes and forms of the disease, it is still necessary to undergo additional examinations:

  • blood and urine tests,
  • PCR
  • serological tests
  • bacteriological culture
  • study of discharge from the urethra and from the surface of inflamed ulcers,
  • biopsy.

It is important to check the level of glucose in the blood, to make sure that there is no HIV and other sexually transmitted infections. For an additional examination of the penis and adjacent organs, urethroscopy or ultrasound can be prescribed.

What is balanoposthitis

Balanoposthitis is a disease in which men have inflammation of the head and foreskin of the penis. Most often, it develops under the influence of various infectious agents, but can also be triggered by:

  • injuries
  • personal hygiene
  • prolonged use of drugs
  • allergies and other factors.

Treatment technique

The treatment program is compiled on the basis of the obtained diagnostic data. A variety of possible forms of chronic balanoposthitis determines a large number of areas of therapy.

For the period of treatment, it is necessary to limit sexual contact. Ideally, you should completely abandon sex, but if you can’t do this, a condom is a prerequisite. Otherwise, you can pass on the pathogen of inflammation to your partner or undergo additional infection, not to mention the increased risk of contracting an STD.

Treatment of chronic balanoposthitis may include the following activities:

  • daily rinses with antiseptic solutions (furatsilin, chlorhexidine, potassium permanganate, miramistin),
  • baths with decoctions of herbs (chamomile, sage, dill roots),
  • treatment with ointments (for example, Clotrimazole against a fungus, Levomekol),
  • taking antibiotics and antimycotics,
  • physiotherapeutic procedures (drug electrophoresis, laser therapy, UHF, ozone therapy, etc.),
  • circumcision of the foreskin,
  • in severe cases, part of the penis is removed, where necrosis provoked irreversible processes.

Preventive actions

In order to prevent the development of chronic balanoposthitis, it is necessary to take care of prevention.

To this end, the following recommendations should be observed:

Prevention measure and photoShort description

It is necessary to perform daily hygiene procedures, thoroughly rinse the prepuce bag. Genital damage protection

Protect the penis from injury, avoid abrasions from underwear, other mechanical damage or chemical irritation. Wearing quality underwear

Pick up panties and swimming trunks of your size from quality breathable materials. Refusal of promiscuous sexual intercourse

A large number of sexual partners increases the risk of infection with microorganisms that can provoke balanoposthitis, as well as STIs. Selection of quality hygiene products

It is necessary to choose cosmetics that do not cause you allergies. The best choice is pH neutral gels for intimate hygiene. Condom use

Be sure to use barrier contraceptives to protect against infections. This also applies to sex with a constant partner, especially if she has thrush. Immunity strengthening

A decrease in immunity is a provoking factor for chronic balanoposthitis, therefore it must be strengthened in every way. Rejection of bad habits

Smoking and, in particular, alcohol abuse not only negatively affect the body's defense system, but also are additional catalysts for balanoposthitis. Chronic disease treatment

An exacerbation of chronic diseases significantly weakens the body, and with damage to the genitourinary system, the infection can spread to the head of the penis and foreskin. Periodic visits to the urologist and medical examination

This will allow time to identify diseases of the genitourinary system, as well as STDs, and begin their treatment. Timely treatment of acute balanoposthitis

At the initial stages, it is not difficult to cope with inflammation, but if erosive tissue changes have begun, you need to act immediately. Circumcision

To protect against repeated inflammation, it is recommended to circumcise the foreskin, as this procedure eliminates the area with the highest risk of inflammation.

You can get more information about the features of chronic balanoposthitis and how to treat it by watching the video in this article.

Varieties of balanoposthitis

According to the characteristics of the course of the inflammatory process, acute and chronic forms of pathology are distinguished. For balanoposthitis of the first type, the severity of symptoms is characteristic, in the stage of chronicity, inflammation often proceeds asymptomatically for a long time or may manifest slight discomfort in the intimate zone, dryness and slight redness of the glans penis.

Balanoposthitis can be viral or bacterial.

According to a narrower classification, taking into account the type of pathogen, the following forms of balanoposthitis are distinguished:

  1. Circinar. Most often it is a type of chlamydial balanoposthitis or accompanies Reiter's disease. For the circinar type of disease, spots on the inflamed mucous membrane of the penis are characterized by clear contours, which, as the pathological process develops, acquire a grayish tint and cause epidermal necrosis.
  2. Candidiasis. It develops under the influence of a fungal infection. A specific sign is the presence of copious cheesy discharge of white color with a sour smell, itching and irritation. In the treatment of the disease, antifungal tablets, ointments and solutions are used to treat the mucous membrane of the penis.

If the cause of the inflammatory process is an allergy to chemical irritants, foods, medications or contraceptives, then balanoposthitis is called allergic. The traumatic type of the disease develops as a result of damage to the mucous membrane of the penis (when wearing tight underwear, pinching with a zipper).

A separate kind of pathology is balanoposthitis, which occurs against the background of diabetes mellitus. A metabolic disorder causes numerous negative changes in the body and creates a favorable environment for the reproduction of pathogens in the genital area.

According to the severity of the course, 5 types of balanoposthitis are distinguished:

  1. Adhesive (adhesive, sclerosing). Most often develops in children, adolescents and adults with congenital pathologies of the structure of the genital organs. With a disease of this type, there is a constant formation of sticky secretions that cover the glans penis. As a result of this, retraction of the foreskin becomes difficult, enhanced reproduction of bacteria begins, and bleeding wounds appear on the mucous membrane. This can lead to phimosis. Surgery is required to treat the pathology.

Any type of balanoposthitis in the absence of adequate timely treatment leads to serious consequences, therefore it is important to establish a diagnosis and start appropriate therapy as soon as possible, taking into account that each type of disease requires a specific approach.

Symptoms and treatment of balanoposthitis in men

One of the urological diseases is balanoposthitis in men. More often it occurs in adults, but it also occurs in children (especially at the age of 3-7 years).A pathology in which there is inflammation of the glans penis is called balanitis. If areas of the foreskin are affected, there is a post. Balanoposthitis is diagnosed when inflammation is present both there and there. That is, with simultaneous irritation on the head and foreskin. As a rule, this is exactly what happens - a systemic disease.

Forms and types of pathology

There are several classifications of sores. So, they distinguish between the primary species, developing as an independent ailment, and the secondary one, which has become a consequence of another pathology.

In terms of stage, the disease is classified as follows:

  1. Simple form (initial stage).
  2. Erosive balanoposthitis. It is characterized by more pronounced symptoms, the main of which is small painful sores. Erosion on the head is localized. Treating the disease at this stage is much more difficult. The quality of life of the patient is significantly reduced.
  3. Gangrenous stage. It is characterized by the death of diseased tissues.

Depending on what factors provoked the development of the disease, allergic balanoposthitis, mechanical, thermal and radiation are distinguished. From the point of view of a specific pathogen, the disease is classified as follows:

  • chlamydial (caused by pathogenic microorganisms - chlamydia),
  • syphilitic (is a manifestation of syphilis at an early stage),
  • herpetic (caused by the herpes virus)
  • papillomavirus (the pathogen is the same as with papillomas),
  • Trichomonas (caused by Trichomonas virus),
  • yeast (becomes a consequence of activation of Candida fungus).

This is not the whole list of species based on the pathogen - there are many more.

Comment! Candida balanoposthitis in men (yeast) is the most common. In common people they call him the thrush.

If we take into account the manifestation of symptoms, then these forms are distinguished:

  1. Xerotic obliterans. Signs are weak or absent altogether. Slight redness and areas with wrinkled skin may occur.
  2. Circular balanoposthitis. The symptomatic picture is pronounced. On the genital organ there are painful spots of deep scarlet color.

There is also a classification that divides the ailment into:

  1. Acute balanoposthitis. Its symptoms depend on the stage of development of the disease. Purulent tissue lesions are often observed. Usually, their appearance indicates that the ailment is launched, and the erosive stage has begun.
  2. Chronic balanoposthitis. It often occurs when sexually transmitted infections or herpes are the causative agents. It is fraught with complications in the form of lesions of the urethra and prostate.

The specific treatment of balanoposthitis in men depends on what form, type and stage are taking place. At the gangrenous stage often can not do without surgical intervention. And with a simple catarrhal form, in most cases, you can limit yourself to ointments.

Causes of the disease

The causes of the development of the disease play a huge role in therapy. Doctors must find out before prescribing any medications. All reasons are divided into two groups:

  1. Infectious. The disease is caused in this case by bacteria. This group includes chlamydial balanoposthitis, gonorrhea, syphilitic, trichomonas, candidiasis and others.
  2. Non-infectious. The disease develops against the background of diabetes mellitus, lichen planus, psoriasis, due to mechanical, thermal, radiation injuries, constant contact with smegma, urine or clothing.

In addition to the immediate causes, there are a number of provoking factors, in the presence of which the risk of "earning" an ailment increases. So, candida balanitis in men often develops against a background of reduced immunity.

It, in turn, is a consequence of an unhealthy lifestyle or chronic diseases. A fungal variety of pathology is also possible with non-observance of personal hygiene.

And men who have an erratic sex life risk catching an infection of a sexually transmitted nature.

Symptomatic picture

Symptoms of balanoposthitis depend on the stage and type of disease. In some cases, they may not be there for a long time, but they appear already at a late stage. The most common signs of balanoposthitis include:

  1. Unpleasant sensations in the penis, aggravated by friction on clothing (itching, burning, tingling). This is one of the very first symptoms.
  2. Profuse release of sperm. It is so much that the laundry becomes wet.
  3. Redness on the head and foreskin. The plots come in different sizes. Sometimes they do not bother, and sometimes they are very painful.
  4. Cracks in the head, its wrinkling. Usually appear in later stages. Accompanied by pain.
  5. Swelling of the foreskin. It is explained by swelling of tissues due to abnormal abundance of fluid. Swelling may be present on the head.
  6. Rash in the form of small vesicles or red spots.
  7. Sores on the foreskin. Most likely, they indicate a developing erosive stage. White spots appear first. They are painless, do not cause discomfort. Concerned only from an aesthetic point of view. Then the white film slides, and under it are found spots of scarlet color. They are very painful. Erosive sores on the head are also a common occurrence. They develop in a similar pattern.
  8. Dry head. Not observed in all cases.

The most effective and quickest treatment is at the initial stage of the disease. Therefore, it is important to regularly examine your genitals, especially in the presence of provoking factors. To know what to look for, you can study the photo. The most common manifestations are clearly visible in the pictures.

Attention! Symptoms of balanitis and postitis are not always pronounced. Attention should be given to any unusual phenomenon.

Diagnosis and treatment

Diagnosis of balanoposthitis begins with a visual examination of the penis. A smear is also taken to determine the pathogen. The latter is very important when choosing tactics for treating inflammation of the foreskin in men. If these methods turned out to be ineffective, do blood tests, PCR, conduct hardware studies.

Treatment of balanitis in men depends on what stage the disease is at and what kind it belongs to. There is no universal scheme. So, it is proposed to treat candidiasis balanoposthitis with antifungal agents. Among them - mainly ointments. Apply drugs Miconazole, Candide, Mikogal.

It is very important to stop the inflammation. The Triderm corticosteroid comes to the rescue here. This is an ointment of local action. Another anti-inflammatory drug is Acriderm. It is also available in the form of ointment or cream.

Well copes with the destruction of pathogenic bacteria and the healing of damaged tissues Levomekol with balanoposthitis. It is an inexpensive but very effective remedy. It is considered one of the best ointments.

It is useful to make baths for the penis. And after them, apply zinc ointment to the affected area. It will dry the skin, disinfect, remove harmful substances. You can also use synthomycin ointment. This tool effectively fights bacteria. Pimafucort, produced in the form of ointment or cream, has approximately the same properties.

Local treatment is not always able to solve the problem. When pus, erosion, ulcers have already appeared, they will not be able to limit themselves to it. More radical methods will be required. For example, taking broad-based antibiotics.

Among the most popular are Levomycetin and Doxycycline. These drugs are available in tablet form. Also practiced is the use of Erythromycin, Azithromycin, Biseptol, Ciprolet. Ointments for the penis in the later stages play only a supporting role.

But their use is also mandatory.

In most cases, balanoposthitis, balanitis is treated at home. Particularly difficult situations require therapy in a hospital. Do not try to treat balanitis exclusively with folk methods. And, moreover, without consulting a doctor. Antiseptic ointments are required even in the early stages of the disease.

Attention! This is a very serious disease. The consequences of it in the absence of adequate treatment can be gangrene of the penis (with amputation), pathology of the urethra, bladder and even kidneys.

So, balanoposthitis is a pathology that affects the genitals of a man. There are several classifications of this ailment that divide it into types, taking into account the causes, characteristics and stages of development. One of the most insidious forms is xerotic obliterans, in which there are practically no symptoms.

It is easiest to treat the disease in the early stages. It is very important to notice the wrong thing on time, consult a doctor and undergo a diagnosis. Therapy is usually conservative. Only in extremely neglected cases do they resort to surgical intervention.

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Balanoposthitis and its types (photo article)

In this article, various types of balanoposthitis in men will be considered along with a photo, therefore, for impressionable people, please do not read. It is also not recommended for reading to persons under the age of 18.

You can divide balanoposthitis into primary and secondary.

As the causes affecting the occurrence of diseases from group 1, we can distinguish:

  1. Phimosis is a narrowing of the foreskin of an innate nature.
  2. Failure to comply with the simplest hygiene requirements.

Factors that provoke the occurrence of secondary balanoposthitis are systemic, colds or infectious diseases.

  • inflammation of the urinary tract, kidneys and renal pelvis, in which the composition of urine changes,
  • mechanical injuries
  • sexually transmitted diseases.

Systemic diseases: diabetes, thyrotoxicosis and others ...

You can highlight the general symptoms of balanoposthitis:

  • itching, burning, discomfort in the area of ​​the penis,
  • visual changes on the scalp: spots, redness, cracks, rashes, thinning of the mucosa, ulceration,
  • copious discharge.

All these signs may increase, worsening the general condition, if the disease is not treated. Slight redness is replaced by hyperemia and edema, small cracks are ulcers with purulent discharge. Inguinal lymph nodes are enlarged, scar formation is observed along the edge of the foreskin. Running balanoposthitis causes phimosis.

Forms of balanoposthitis

The main forms of balanoposthitis are classified by the nature of its course.

Simple. Typical symptoms of balanoposthitis, with the formation of individual erosive foci. There may be pus, which is a common symptom of balanoposthitis and can be seen in the following photo:

Erosive. During it, an increase in regional or inguinal lymph nodes is noted. The picture of the disease is a dead epithelium, combined with bright red spots of erosion.

Gangrenous form occurs at elevated temperature, with severe swelling of the head and foreskin, purulent necrotic lesions cover the corolla, causing severe pain. Slow Healing, phimosis occurs in 95% of patients.

Types of balanoposthitis

  1. Bacterial balanoposthitis

it simple form of the disease. It is caused, as the name implies, by a bacterial infection that is actively propagating due to neglect of hygiene measures in adults and congenital phimosis in boys under 3 years old. The disease begins with balanitis - inflammation of the skin on the head of the penis, then goes to the foreskin. First symptoms:

  • itching
  • burning during urination, turning into thread.
  • The simplest form of balanoposthitis is catarrhal. The disease appears due to exposure to the skin of decomposition products of smegma, in which the pathogenic flora began to develop actively: E. coli, staphylococci and streptococci.

    This is a very painful form of balanoposthitis, during which it is almost impossible to touch the head or foreskin. General symptoms are added to the symptoms of the local inflammatory process: temperature, fever. Purulent discharge appears from the urethra.

  • The most common type of balanoposthitis that is diagnosed in adults is herpetic. During it, the head of the penis is covered by a characteristic rash that causes swelling. At this time, the sensitivity of the head increases significantly. The disease has 2 forms: erythematous atypical and postherpetic irritant. It is very important that the doctor correctly diagnose, since the treatment of these forms varies.
  • Follicular balapostitis occurs due to stagnation of sperm or urine in the preputial sac. When palpating in the area of ​​the corolla, small dense nodules are felt.

    Not only the foreskin and head are affected, but the entire urethra. The discharge is mucopurulent in nature, and urethritis develops.

  • Genital warts may cause balanaposthitis. (visible on the head in the photo):
    • These benign fibro-epithelial formations are localized in the head region, but sometimes capture part of the urethra.
    • Foreign formations provoke an inflammatory process, interfere with the normal functioning of the reproductive apparatus.
  • Allergic balanoposthitis manifested due to exposure to an allergen, which may be:
    • underwear fabrics
    • latex,
    • condom flavors
    • detergents,
    • food allergens.
  • During cirrhic balanoposthitis in men, the head of the penis may look something like the following photo:

    Brightly defined spots appear on the head of the penis. The development of the disease provokes a chlamydial infection or Reiter's disease. The foreskin at the onset of the disease is not affected by the change.

    But if the disease is started, then first gray-white spots appear on the scalp, then the stratum corneum of the epidermis increases and necrosis of individual skin fragments begins. When the condition worsens, ulceration of the epidermis appears, and the ulcers acquire a gangrenous character.

    Balanoposthitis in young children and adults due to acquired malformations can develop in an adhesive form.

    During him bloody wounds and fissures form on the head of the peniswhitish discharge appears. This form of the disease causes a narrowing of the foreskin.

  • With gonococcal infection, the visual picture of balanoposthitis is expressed by general inflammation of the tissues of the penis. The corolla of the penis and trunk change color to pink or bright red. From the urethra, discharge appears, white or yellowish, having a purulent character.
  • During trichomodal balanoposthitis, the picture is the same as with the introduction of gonococcal flora. Inflammation affects the glans penis. And the purulent fluid released from the preputial sac has the appearance of foam and an unpleasant odor.
  • Balanostitis caused by active reproduction of candida in men is rare. In most cases, this type of disease develops as a concomitant infection.

    In the following photo, candidal balanoposthitis on the head of a man:

    men the genital organ itself is designed so that candida is difficult to infiltrate, it is constantly washed.

    Candida affects only men with weakened immunity or manifests itself in the case when the partner has a constant thrush. At the initial stage of the disease, when the head is exposed, only a small amount of white-gray plaque can be seenlooking like cottage cheese.If you try to remove these grains, micro hemorrhages form on the head.

    Anaerobic balanoposthitis is caused by anaerobic bacteria - gardenella. When it occurs, a sticky coating appears in the area of ​​the coronal groove. An unexpressed erythrem is visible on the extreme raft.

    The easiest way to identify this type of disease is by smell, the discharge smells like rotten fish. In advanced cases, the disease passes into an erosive form of balaposthitis (as in the photo):

  • Xerotic balanoposthitis is quite rare. This is a chronic disease. Call him:
    • hormonal disorders and autoimmune diseases,
    • genetic predisposition
    • viruses
    • traumatic effects.

    The main symptom is a whitish sclerotic ring on the glans penis.

  • During diabetes, balanoposthitis is diagnosed in 85% of patients. Therapy of this type of inflammation is almost impossible. Pathogenic flora actively multiplies in the presence of decay products from urine and smegma of altered consistency. Yeast fungi, staphylococci are activated. The analysis reveals a symbiosis of pathogenic flora.
  • Balanoposthitis with syphilis has the same symptoms as with diseases of a different kind. In some cases, a syphilitic chancre is formed in the region of the head.
  • Algorithm for treating the disease in men

    Treatment of balanaposthitis begins with identifying the causes and determining the pathogenic flora that caused it. It is extremely important to begin therapeutic measures at the first symptoms of the disease - discomfort in the head area of ​​the penis.

      If the cause of the infection, then treatment should begin with its elimination.

  • The photo shows how, before starting treatment, a man is diagnosed with a balanoposthitis patient and checked for infection:
  • When a systemic disease is a provoking factor, it is necessary to normalize the general condition.

  • During treatment, personal hygiene is carefully observed, all discharges: smegma, flaky epithelium, urine residues should be carefully removed in the morning and evening.
  • The treatment of the penis with an antiseptic and external agents that relieve the inflammatory process.

    Required application of drugs directed against infection is carried out: antibacterial, antifungal or antiviral.

    At the same time, a course of antibacterial therapy orally can be prescribed.

    In some cases, a course of systemic drugs will be involved. Immunostimulants and immunomodulators, vitamin preparations are used.

    • If the main cause of balanoposthitis is a fungal infection, then it is required to remove products that cause the activity of fungal flora from the diet during treatment: products with yeast, carbonated drinks, grapes ...
    • Complication of balanoposthitis phimosis is eliminated promptly, less often by other methods.
    • In some cases of the disease, it is necessary to simultaneously treat sexual partners.

    It is easy to prevent the occurrence of balanoposthitis. To do this, it is enough to follow the rules of personal hygiene, use personal protective equipment with unfamiliar partners and, at the slightest discomfort in the genital area, consult a doctor.

    Only infectious balaposthitis is transmitted sexually. In all other cases of the disease, you should look for the cause of its occurrence in your own body.

    What varieties of balanitis in men exist?

    Balanitis is an inflammatory disease of the genital organs in men, characterized by lesions of the penis head. This pathology is often combined with postitis (inflammation of the foreskin).

    In this case, acute balanoposthitis develops.

    In the absence of proper treatment, all types of balanitis can be complicated by phimosis (narrowing of the skin folds of the penis), damage to the urethra, kidneys and prostate gland.

    What is balanitis?

    Balanitis is a common pathology in children, adolescents and adult men. The disease develops at any age and most often proceeds in an acute form.

    The causes of the disease are:

    • sexually transmitted infections (gonorrhea, trichomoniasis, urogenital candidiasis, herpes, papillomavirus infection, syphilis, HIV infection),
    • mechanical irritation
    • psoriasis,
    • lichen planus,
    • Keir erythroplasia,
    • allergy,
    • inflammation of the bladder and prostate gland,
    • non-observance of intimate hygiene.

    The main signs of the disease

    The clinical picture largely depends on the type of pathogen. The most common signs of the disease are:

    • itchy head
    • burning,
    • penile redness
    • discomfort when opening the head,
    • mucous or purulent discharge,
    • the presence of erosion on the skin,
    • worsening of the general condition in the form of an increase in body temperature, weakness and malaise,
    • swelling of the tissues
    • skin maceration
    • swollen lymph nodes in the groin,
    • pain during sexual intercourse.

    Varieties of balanitis

    The following types of balanitis are distinguished, depending on the etiology and nature of the course:

    1. Anaerobic. Anaerobic bacteria that actively multiply in an oxygen-free environment (gardnerella) contribute to its development. It appears as a sticky coating with an unpleasant odor in the area of ​​the coronal groove, redness of the penis and foreskin.
    2. Balanitis Zuna. It occurs more often in men in old age. A distinctive feature is the presence of a bright pink color, a wet surface with reddish spots. Sometimes it leads to the formation of vegetation that occurs when the papillae grows. In such men, the head feels like a wet sponge.
    3. Follicular.
    4. Balanitis, developed against the background of diabetes.
    5. Psoriatic.
    6. Chlamydial. It develops with unprotected sexual intercourse without the use of barrier contraception. Often combined with urethritis.


    Drug treatment of balanoposthitis should be carried out as prescribed by the attending physician after determining the diagnosis. Depending on the nature, cause, degree of the disease, the urologist prescribes a drug that can eliminate the symptoms and cause of the disease. Treatment of a chronic form of the disease can be carried out with ointments or tablets (antibiotics).

    The most common drugs in the treatment of balanoposthitis:

    • ointments with anti-inflammatory effect (Lokoid, Elidel),
    • antifungal ointments (clotrimazole, terbinafine, miconazole),
    • ointments having the active component flumetasone pivalate (Locacorten),
    • Levomekol ointment,
    • Acyclovir (tablets) is prescribed when the cause of the disease is herpes,
    • Fluconazole (tablets) cure candidiasis,
    • Metronidazole (tablets) is prescribed for balanoposthitis caused by trichomonads,
    • penicillins are prescribed for gonorrheal form of the disease,
    • broad-spectrum antibiotics are prescribed in case of a disease from other pathogens (Azithromycin, Ceftriaxone).

    Important! The treatment regimen for balanoposthitis and the appointment of drugs is performed by the attending physician. With self-medication, complications and undesirable consequences can occur.

    If you comply with hygiene standards and doctor's prescriptions, with the help of drugs you can get rid of balanoposthitis if the disease does not proceed in a neglected form.


    With balanoposthitis, it is recommended to eat foods rich in vitamins A, B, C, E, saturated with iodine, selenium, and try to exclude foods rich in sucrose.

    The menu of a patient with balanoposthitis should include products:

    • various cereals
    • low-fat dairy products,
    • boiled chicken, veal, beef meat,
    • a lot of greenery
    • legumes (beans, beans, soybeans),
    • vegetables (sauerkraut, beets, tomatoes, cucumbers),
    • bran bread
    • a lot of berries and fruits (blueberries, currants, wild leeks, cranberries),
    • freshly squeezed juices, green tea.

    Compliance with the diet helps to restore the protective properties of the body, increase the speed of tissue healing.

    Treatment principles

    In acute inflammation, the treatment is mainly medication. The following medicines are used:

    • antiseptics (Miramistin, Chlorhexidine, hydrogen peroxide, potassium permanganate solution),
    • local antimicrobials (Dioxidin, Levomekol),
    • anti-inflammatory drugs (Lorinden A),
    • corticosteroids
    • antifungal ointments and tablets (Terbinafine, Binafine, Thermicon, Mikogal, Canizon),
    • antihistamines (used for allergic forms of the disease),
    • systemic antibiotics (macrolides, cephalosporins, fluoroquinolones, 5-nitroimidazole derivatives).

    Medications are prescribed taking into account the age of the patients, contraindications and tolerance of the components. With balanitis, baths with decoctions and infusions of herbs (sage, string, St. John's wort, plantain) are useful.

    With the development of complications, inefficiency of conservative therapy and the presence of obliterans balanitis, surgery is indicated. Most often performed:

    • circumcision (circumcision of the foreskin),
    • Meatotomy (dissection of the external opening of the urethra during narrowing)
    • urethral plasty.


    Chronic balanoposthitis can be cured for a very long time. Subject to treatment, relapses can occur almost painlessly. With proper treatment, you can achieve a good result.

    The cardinal decision - circumcision - helps to restore the functions of the penis and eliminates the risk of an inflammatory process.

    Preventative measures

    The main measures for the prevention of inflammation of the glans penis are:

    • observance of the rules of intimate hygiene (daily showering with a washcloth, using means for intimate hygiene, washing the prepuce bag, regularly changing clothes, washing after sexual intercourse),
    • grease rejection
    • exclusion of unprotected sexual intercourse,
    • increase immunity
    • exclusion of injuries
    • timely treatment of psoriasis, depriving and other infectious pathologies,
    • periodic visits to the doctor.

    Prevention of complications of balanitis requires compliance with all treatment recommendations.

    Causes of balanoposthitis in men

    There are several risk factors for balanoposthitis, and they are all of a different nature.

    Non-infectious causes:

    • poor hygienewhen skin folds, the glans penis is not completely cleaned. Under such conditions, the preputial sac accumulates smegma (white-yellow mass). It contains bacteria, lard, skin cells,
    • mechanical or chemical stressAfter which comes the inflammation of the skin folds. May be the result of excessive washing with disinfectants,
    • allergy - reaction to the drugs used, to latex, materials for underwear, perfumes.

    The main cause of balanoposthitis, according to doctors, is non-compliance with personal hygiene.

    Infectious causes:

    Symptoms and signs of balanoposthitis

    Each stage of balanoposthitis has its own intensity and its own characteristics:

    • weakly affected skin - itching, pain, burning on the head of the penis, swelling of the affected area, redness, premature ejaculation, the duration of sexual intercourse was significantly reduced,
    • changes in the skin of the penis head - dryness and too thin mucous membranes, the foreskin is narrow, the head with sores, fissures, it is difficult to expose, there is pain during sexual contact,
    • pathological discharge - smegma is allocated intensively, stains linen, gray-green pus comes out of the urethra, temperature rises, there is a fever, weakness. In a normal state, a man does not feel discomfort.

    The listed symptoms can occur separately or in combination.

    The main causes of the disease

    Before understanding what these diseases are and proceeding with the treatment of balanitis and balanoposthitis, it is necessary to establish the causes that could lead to their appearance.

    After all, it is known that before treating any disease, you need to know not how to eliminate its symptoms, but how to defeat the pathogen.

    Often the cause of the appearance of such diseases is the failure to observe personal hygiene and phimosis.

    With phimosis, the foreskin narrows, because of this it is not possible to fully open the glans penis, which makes it impossible to fully maintain intimate hygiene.

    In normal condition, the head of the male member produces the so-called smegma. It is a mixture consisting of the epithelium of the urethra, sweat, secretion of the sebaceous glands and microscopic crystals of urine.

    Smegma is very rich in proteins, which various microorganisms with pleasure eat.

    Non-observance of intimate hygiene leads to the fact that smegma is broken down by bacteria, as a result of which a secondary infection develops. In such conditions balanitis especially quickly becomes balanoposthitis.

    A variety of injuries of the penis can lead to the development of balanitis and balanoposthitis. The head is covered with very thin skin, which is injured even with minor mechanical influences.

    • allergies
    • urethritis,
    • diabetes,
    • anemia,
    • other diseases leading to a weakening of the protective functions of the body.

    The cause of balanitis and balanoposthitis are often yeast fungi, as well as staphylococci and streptococci.

    Diagnosis of balanoposthitis

    Such a diagnosis is established during a physical examination. The doctor examines not only the genitals, but also the inguinal region, lymph nodes. To detect an infection:

    • a smear is taken from the head of the genital organ, and then from the urethra, which, thanks to microscopy, will indicate the pathogen,
    • the patient is asked to take a blood test to detect antibodies and pathogens,
    • without an identified cause of severe balanoposthitis, a biopsy is prescribed, because there are similar diseases - Behcet’s disease, Stevens-Johnson syndrome, cancer,
    • when examining the patient's urethra, the doctor interviews him for "inflating" the foreskin with urinary emission. If there is evidence of a urinary tract infection, the bladder is subjected to ultrasound. It will refute or confirm that it is an obstacle to the outflow of urine.

    The main symptoms of the disease

    The skin of the glans penis is red and swollen. The foreskin is usually also. The most serious symptom of simple balanitis and balanoposthitis is purulent discharge, which can be very profuse. The ulcerative form of balanitis and balanoposthitis is characterized by the appearance of necrotic ulcers. The skin is covered with bright red edematous purulent overlay. Lesions are noted not only on the head, but also on the foreskin.

    Typical symptoms of candida balanitis and balanoposthitis are burning and itching, provoked by generalized erythema of the glans penis and foreskin. White plaque may form and dryness may be noted, white papules appear. When removed, the surface is exposed. Cottage cheese flakes begin to accumulate. The foreskin is swollen and cracked.

    For obliterating balanitis and balanoposthitis, the appearance of pale areas of scarring with atrophied skin is characteristic. If the disease proceeds in an acute form, narrowing of the urethra may occur, against which there are problems with urination.

    Cases of balanitis and balanoposthitis are often noted among children. The main reason for the development of diseases at this age is phimosis.The skin of the head of the penis becomes inflamed, as a result of which urination is accompanied by a strong burning sensation.

    In addition, the accompanying symptoms of balanitis and balanoposthitis are:

    • trouble sleeping
    • nervous tension and stress,
    • temperature rise.

    Features of diagnosis and treatment of balanitis and balanoposthitis

    Diagnosis of the disease in most cases is limited to examining the penis and examining the symptoms. In order to determine the causative agent of the disease, additional studies may be prescribed. For this, a bacteriological analysis of a smear from the urethra is performed. As a rule, a blood test is performed for sugar content and studies for the presence of other diseases of the genitourinary system. In the case of balanitis and balanoposthitis in acute form, you should definitely see a urologist and refrain from sexual intercourse during treatment.

    The treatment order of balanitis and balanoposthitis is determined by the causes and stage of the disease.

    If the disease is not accompanied by purulent inflammations, then antiseptic and anti-inflammatory drugs are used for treatment. The patient must follow the rules of intimate hygiene.

    The glans penis must be exposed and rinsed with a mild detergent in warm water. After washing the head should be dipped with a dry towel.

    Local therapy is carried out in combination with rinsing the glans penis with simple antiseptic agents. Usually this is hydrogen peroxide, but before using any remedy, you should definitely consult a doctor.

    Various anti-inflammatory ointments are widely used. After hygienic procedures, they are used to treat the affected areas.

    In case of complications of balanitis and balanoposthitis, the appearance of ulcers or enlarged lymph nodes, broad-acting antibiotics are prescribed. In no case do not start taking any medications without the advice of a doctor.

    For the treatment of candidiasis balanitis and balanoposthitis, antifungal ointments are prescribed.

    In addition, the doctor may recommend a diet low in easily digestible carbohydrates, i.e. soda, sweets and juices will have to be abandoned.

    Some doctors argue that using antibiotics to treat balanitis and balanoposthitis is pointless. According to them, antiseptics give much more positive results without complications.

    In severe cases, a course of antibacterial therapy is prescribed.

    In the event that the cause of the development of balanitis and balanoposthitis was phimosis, treatment begins with a simple operation. If the disease proceeds in an acute form, then a longitudinal incision of the foreskin is first performed, and after the severity of the process subsides, the circumcision operation is performed, i.e. the foreskin is removed in a circle.

    Using folk recipes

    In the absence of purulent inflammation, various anti-inflammatory and antiseptic folk remedies can be used to treat balanitis and balanoposthitis. However, it is still not recommended to use them without consulting a doctor.

    Possible consequences and preventive measures

    If you do not treat the balanitis and balanoposthitis in a timely manner, the disease can worsen and lead to inflammation of the urinary tract. One of the common complications of the disease is cicatricial phimosis.

    Prolonged inflammation on the head of the penis can cause atrophy of the receptor apparatus, which will lead to a decrease in the sensitivity of the head. As a result, it can impair potency and reduce the quality of sexual activity.

    Untimely treatment can lead to the formation of numerous sores, accompanied by pain during urination, sexual intercourse and walking.

    Paraphimosis may develop.With this disease, the head is infringed by a narrowed foreskin. Most often it appears during masturbation, sexual intercourse and an attempt to expose the head. She turns blue, severe pains appear. Paraphimosis is an emergency condition that requires immediate treatment.

    Among the preventive measures, first of all, it is necessary to note the observance of personal hygiene rules and a timely reaction to the appearance of phimosis. In the morning and evening, the penis should be washed with warm water. The head should be cleaned regularly from smegma.

    After taking a bath or shower, it should be gently wiped with a soft towel. Do not have sex without a condom. If you feel pain or difficulty trying to bare your head, see your doctor right away.

    Modern methods of treating balanoposthitis

    Treatment of balanoposthitis depends on the stage at which the inflammatory process is located. The patient must consult a specialist. After applying the correct diagnostic measures, obtaining reliable information, the attending physician will be able to establish the real cause and prescribe the most effective therapy. It may consist in the use of tablet antifungal and antibacterial agents. If the general hormonal background, metabolism is disturbed, this problem is also eliminated, additionally prescribed treatment.

    With conservative treatment of balanoposthitis, the maximum effect can be achieved if a man takes medications such as Fluconazole, Diflucan, Mikosist, or other analogues, but only prescribed by an experienced specialist.

    Some patients are attracted to local treatment with ointment, which is prescribed by an andrologist. It can be xeroform, decamine, prednisolone ointment. If the tissues of the skin have a deep lesion, antibiotics should be prescribed. With the inflammatory process started, a knowledgeable doctor will recommend circumcision of the narrow foreskin.

    If untreated, the inflammatory process of the lymphatic system of the penis and groin begins, as a result - gangrene, a fatal outcome is possible.

    Everyone must understand that with inadequate individual hygiene, untimely treatment, the patient will certainly experience severe pain in the penis.

    Complications of balanoposthitis in the absence of timely treatment

    Neglecting the treatment of balanoposthitis leads to complications, such as:

    • urinary tract and bladder become infected, the prostate becomes inflamed,
    • sensitivity of the head decreases, and, as a result, a weak sensation of orgasm,
    • lymphogenitis - rarely, but inflammation of the vessels of the penis appears, which leads to tissue necrosis,
    • allergic symptoms - scars form after various skin diseases. They appear the same on the penis, which leads to a narrowing of the foreskin, after which discomfort occurs, difficult urination,
    • if the head, foreskin are in constant inflammation, oncology can form.

    What is balanitis and balanoposthitis

    Balanitis is called inflammation of the glans penis, and postitis is the defeat of the foreskin, or rather, its inner leaf. In most cases, these two pathologies do not exist separately from each other. Inflammation of one area quickly goes to another, causing a lot of discomfort. In such cases, they talk about balanoposthitis - a disease that combines balanitis and post.

    Balanoposthitis affects the apex of the penis - its head and foreskin

    This disease is considered one of the most common in males with uncircumcised foreskin.

    Modern medicine identifies five main causes of this ailment:

    • infectious agents (bacteria, viruses, fungi and so on),
    • skin diseases - dermatoses - of an inflammatory nature (psoriasis, eczema, allergic reactions and others),
    • background and precancerous pathologies,
    • metabolic disorders (diabetes mellitus and others),
    • non-observance of personal hygiene rules (is the main reason for the development of the disease).

    The clinical symptoms of the pathology depend on the stage of the inflammatory process and its type. But there are general signs of the disease:

    • swelling of the head and foreskin,
    • hyperemia (redness) of the inflamed areas,
    • copious discharge from the preputial sac,
    • a feeling of itching and burning in the area of ​​the head of the penis.

    Features of the integument of the penis

    Outside, the male genital organ is lined with thin skin membranes that are easily displaced, are wrapped near the top of the head and attached to its base (coronal groove) with an inner leaf, then passing into the mucous membranes.

    The foreskin protects the glans penis from external influences

    The folds of skin covering the head are called the foreskin. It not only protects against mechanical damage, for example, friction against clothing, but also protects the mucous membranes from drying out. The inner leaf of the foreskin forms the so-called prepuce bag and contains glands that secrete sebum, which is part of the prepuce lubricant, otherwise called smegma, which accumulates in the coronal groove of the head. If you do not cleanse the covers of this secret in a timely manner, balanoposthitis may develop: smegma is an excellent medium for the propagation of pathogens, which provoke inflammatory processes in this area.

    What is balanoposthitis

    With the course of balanoposthitis happens:

    • acute, in which all the signs of the disease are pronounced. A feature of this form of pathology is that it passes within one to two weeks, sometimes without medical help,
    • chronic, characterized by a sluggish course and the constant presence of uncomfortable sensations in the area of ​​the glans penis. Such a disease is difficult to treat: long-term treatment, requiring great strength and cost from the patient. Therefore, it is best not to start the process and consult a doctor in the acute stage of balanoposthitis and not wait for everything to pass on its own.

    There are several types of balanoposthitis, depending on the cause of the ailment:

    1. Catarrhal (or simple) balanoposthitis. The cause of this type of pathology is the accumulated smegma in the preputial sac. Usually this happens if you follow the basic rules of personal hygiene. The secretions irritate the mucous membranes and skin, causing pain and discomfort.
    2. Purulent balanoposthitis. Usually, such a pathology proceeds in an acute form, in which not only local, but also general symptoms are expressed, namely: weakness, irritability, severe soreness and fever. Such balanoposthitis is characterized by discharge from purulent foci located on the foreskin and glans penis. All the covers in this case acquire a bright red hue.
    3. Erosive balanoposthitis. It is characterized by the appearance of erosion or non-healing ulcers on the mucous membrane of the glans penis or on the skin of the foreskin. In this case, the formation may bleed or release a clear liquid.
    4. Gangrenous balanoposthitis. One of the most serious and dangerous types of disease. It is characterized by the constant appearance of spots - purulent and necrotic foci, from which fetid discharge comes out. There is a capture and necrosis of new areas of the head and foreskin. At the same time, the patient's health significantly worsens, body temperature rises, weakness, irritability and apathy appear. All this is accompanied by intolerable pain.
    5. Herpetic balanoposthitis.This type of disease is mainly transmitted through sexual contact and is caused by the second type of herpes virus. It is characterized by the appearance of a small rash. At first, it looks like red spots, and then, as the pathology progresses, it turns into vesicles filled with liquid. Herpetic balanoposthitis gives the patient a lot of discomfort: he has severe pain and intolerable itching in the affected area.
    6. Fungal balanoposthitis. The main cause of the pathology is fungi of the genus Candida. The remaining representatives of this group of microorganisms of this type of balanoposthitis are extremely rare. Candidiasis balanoposthitis is one of the most common forms of the disease. A distinctive feature is the curdled discharge from the urethra and their accumulation on the glans penis.
    7. Chlamydial balanoposthitis. This type of disease is usually not accompanied by any subjective sensations. Sometimes the disease is accompanied by some discomfort in the area of ​​the glans penis. Pain and redness in most cases are absent. Chlamydia usually requires serious and long-term treatment for both partners.
    8. Anaerobic balanoposthitis. It is quite rare, but it is dangerous. The peculiarity lies in the fact that pathogens for their life do not need oxygen. This is fraught with the fact that they can enter the urethra from the surface of the penis, and then into other urogenital organs, causing their inflammation.

    The most common cause of balanoposthitis is smegma accumulated in the preputial sac

    Therapy Features

    In most cases, balanoposthitis is treated on an outpatient basis, that is, the patient visits a specialist at a medical institution at the appointed time, and carries out all his recommendations at home. If there is no effect, the tactics of therapy change, the tools used are replaced by other, more effective ones. Hospitalization in a hospital is required only in complicated cases of the disease, namely: with anaerobic, purulent and gangrenous types of balanoposthitis, when the manifestations of the pathology are not only local, but the general well-being of the patient suffers.

    The main feature of the treatment of the disease is that in addition to the use of drugs, it is necessary to strictly observe other specialist recommendations, namely:

    • use underwear only from fabrics created from natural fibers - it is better if it is 100% cotton,
    • every day to carry out the toilet of the external genital organs, it is advisable to use soap solutions with a neutral pH level,
    • to be examined by a doctor for a sexual partner,
    • treatment should be carried out in both partners at once if sexually transmitted diseases are detected,
    • refuse sexual contacts throughout the treatment.

    Compliance with personal hygiene rules will significantly reduce treatment time and prevent relapse


    Each type of disease has its own treatment standards. In this case, such groups of drugs are used as:

    • Antibiotics. They are used for bacterial forms of balanoposthitis locally and inside. They inhibit the activity of microbes and stop their reproduction. Broad-spectrum antibacterial agents are mainly used, such as Amoxicillin, Azitrox, Ciprofloxacin, Sumamed, tetracycline ointment, and others.
    • Antiseptics. They are mainly represented by local exposure agents that cleanse the surface of the skin from germs. The most prescribed include chlorhexidine, furatsilin, Miramistin and a solution of potassium permanganate (popularly called potassium permanganate), Baneocin.
    • Antiallergic drugs of local and systemic action. They are used in the form of tablets, creams, gels.Used tools such as Zirtek, Fenistil and others. In severe forms of allergies resort to the appointment of glucocorticosteroids, for example, Polcortolone, Prednisolone.
    • Complex exposure drugs:
      • Triderm - a product produced in the form of a cream and ointment, which has anti-inflammatory, antifungal and antibacterial effects.
      • Levomekol is a therapeutic ointment with antimicrobial and regenerating (restoring) properties.
      • Akriderm is a topical preparation in the form of ointment and cream with anti-inflammatory, anti-edematous effects. In addition, it relieves itching and other manifestations of allergies.
      • Hyoxysone is an anti-inflammatory ointment with antibacterial properties.
    • Antifungal agents. They are used for balanoposthitis of fungal nature, in particular, the candidal form, of which Lamisil, Pimafucin, Mycoseptin, Clotrimazole are often used.
    • Nonsteroidal anti-inflammatory drugs. They are used to relieve symptoms of inflammation, pain and lower body temperature. The most popular are: Ibuprofen, Nise, Paracetamol, Nimesil and others.
    • Antiviral drugs. Used for balanoposthitis viral nature, in particular, herpetic form. With such a pathology, Zovirax, Acyclovir and others are often prescribed.

    Folk remedies

    Most likely, folk remedies will not be able to completely get rid of balanoposthitis, but with their help it is possible to eliminate some manifestations of the disease that cause uncomfortable sensations. Despite the harmlessness of such treatment, before using it is still worth consulting a doctor. Indeed, many natural remedies can cause allergic reactions, thereby exacerbating the already poor condition of the skin of the penis and worsen overall well-being.

    A very good tool to help soothe inflamed skin and mucous membranes is considered to be a chamomile infusion. In addition, it has emollient and antiseptic properties.

    One tablespoon of dried flowers of the plant is poured with a glass of boiling water and insisted for at least twenty minutes. During this time, the healing fluid will cool and you can use it. Infusion can be used in the form of lotions, nourishing, and then applying gauze napkins to the affected areas. It will also be useful in the form of baths, for which liquid is poured into the container, and then the genitals are placed there. The duration of each procedure should be at least fifteen minutes.

    Chamomile infusion eliminates inflammation and promotes the healing of damaged skin surfaces

    Another great way to eliminate unpleasant symptoms is aloe juice and pulp. For one procedure, one leaf of the plant will be enough. It is peeled and crushed to a mushy consistency. Then the resulting mass is evenly distributed over the gauze bandage, which is tied to the affected area of ​​the penis. Such an application usually lasts no more than twenty minutes, after which it is washed off with warm boiled water. The procedure can be performed two to three times a day.

    Aloe relieves inflammation and eliminates discomfort

    The healing properties of sage with balanoposthitis are widely known. It has antiseptic and anti-inflammatory effects. In addition, it will help to cope with unpleasant sensations, in particular, with itching.

    An infusion of the plant is used, which is prepared at the rate of 2 tablespoons of crushed raw materials for half a liter of boiling water. The healing fluid is kept for at least thirty minutes, and then filtered and poured into a container. The genital organ is placed in this infusion and kept in it for fifteen minutes, after which the excess liquid on the skin and mucous membranes is removed with a soft dry towel (or even better with a disposable towel).

    Sage perfectly relieves inflammation

    Since ancient times, the healing power of propolis has been known. With its help, many diseases are treated. It helps with balanoposthitis. Usually, alcohol tincture is prepared at the rate of one tablespoon of crushed propolis per 200 ml of alcohol or vodka. Maintain the composition in a tightly closed container (bottle or jar) in a dark place for ten days. The tool is used for erosive balanoposthitis: it perfectly burns skin and mucous defects, dries them and disinfects. But when using it, you need to take into account the fact that it is extremely undesirable to get tinctures on the inflamed integument, since it will act on them even more annoyingly, exacerbating the symptoms of pathology. It must be used exclusively pointwise.

    Propolis tincture dries erosion and ulcers well

    Surgical treatments

    Usually, surgical treatment of balanoposthitis is resorted to only in exceptional situations: with a chronic neglected process, the development of cicatricial phimosis, fusion of the foreskin and with too frequent relapses of the disease. An important condition for the operation is the elimination of acute inflammatory manifestations of the disease. In other cases, medication is enough to get rid of balanoposthitis.

    With this disease, they resort to a method such as circumcisio, which is also called circumcision of the foreskin. This operation is performed on an outpatient basis and under local anesthesia. After the end of all actions, the patient goes home, where in the future he will independently carry out rehabilitation treatment prescribed by the surgeon.

    Like any surgical intervention, circumcision requires a preliminary examination of the patient and the necessary tests.

    There are four types of circumcision:

    • partial, when only part of the foreskin is removed, while the head of the penis remains completely closed skin fold,
    • when the head is exposed, but the coronal groove remains completely covered with a small fold of skin,
    • moderate, when the head is completely exposed, and the coronal groove is partially covered with a small fold of skin,
    • complete (or tight excision), characterized by the complete removal of all the skin of the foreskin.

    Surgical intervention begins with the introduction of an anesthetic into the outer part of the foreskin and the area located under the head of the penis. Make circular cuts of the inner and outer leaves. The excised area is removed, and the skin is connected with suture material. After the anesthesia ceases to be effective, the patient is allowed to go home. This usually occurs after 2–4 hours.

    Circumcision in some cases is the only way to permanently get rid of balanoposthitis.

    After the operation, the patient is prescribed local creams and ointments that help accelerate regeneration. Sutures are removed after approximately seven days. Complete healing, subject to strict adherence to medical prescriptions, occurs approximately two to three weeks after the operation.

    Restoration of sexual activity is possible only after complete restoration of the skin. At first, intimacy will be uncomfortable. It's okay, these are normal sensations. After some period of time, they will disappear.

    Follicular balanoposthitis

    Follicular balanoposthitis is an infectious disease that most often occurs due to stagnation of sperm or urine in the preputial sac. The peculiarity of the follicular form is that the patient feels small, but dense nodules. The patient has a mucopurulent secretion, there is swelling of the head and foreskin of the penis. Inflammation can affect the entire urethra and lead to the development of urethritis.

    Treatment of the follicular form of balanoposthitis involves curettage, that is, scraping and cauterization of follicles. If the disease is at the initial stage of development, then the patient is washed with a preputial bag using antiseptic solutions, antibiotics and ointments are prescribed.

    Xerotic balanoposthitis

    Xerotic balanoposthitis (sclerosing lichen) is a chronic inflammatory lesion of the genitals in both men and women. The disease is very rare. The main factors provoking the appearance of xerotic balanoposthitis:

    • Autoimmune diseases and hormonal disorders - thyroid lesions, alopecia, diabetes mellitus, impaired tissue assimilation of sex hormones.
    • Genetic predisposition - scientists have proved that this form of balanoposthitis is hereditary and can be transmitted from mother to daughter.
    • Viral and infectious pathogens.
    • Local factors - mechanical damage to the skin due to wearing tight underwear and constant friction of the genitals.

    The symptomatology of the disease in the initial stages of its development does not differ from other forms of balanoposthitis. The first sign of inflammation is skin atrophy and the appearance of whitish spots on the head and foreskin of the penis. The main symptom of xerotic balanoposthitis is a whitish sclerotic ring. Subsequent stages of the disease cause scarring and tightening of the skin of the foreskin. Because of this, it becomes impossible to open the head of the penis, since cicatricial phimosis is formed. The appearance of tears is also possible.

    Treatment of this form of balanoposthitis depends on what stage the inflammatory process is at. So, with cicatricial changes in the genitals, the process of narrowing the urethra, impaired urine outflow and urination can begin. As a result, complications of balanoposthitis will lead to urolithiasis, renal failure, and urinary tract infections.

    There are two types of treatment for xerotic balanoposthitis. The first method is a conservative treatment using glucocorticoid hormone ointments. The second method is circumcision, that is, surgical excision.

    Nonspecific balanoposthitis

    Nonspecific balanoposthitis is a form of inflammatory disease that is similar to other types of balanoposthitis in its symptoms and treatment methods. A feature of nonspecific balanoposthitis is that the patient has an increasing swelling of tissues on the glans penis and foreskin. It is swelling that is the first sign of nonspecific balanoposthitis, which allows us to differentiate this form of the disease from others. But in addition to swelling, the patient suffers from severe itching, burning, pain during urination and hyperemia of the skin.

    A neglected form of nonspecific balanoposthitis can lead to the development of pathological phimosis, the only way to treat which is surgical intervention. A non-specific form of inflammation is caused not by bacterial and infectious pathogens, but is a concomitant symptom of diabetes mellitus and very often appears in patients with chronic alcoholism. At the same time, the glans penis is very painful and swollen, so it is difficult for the patient to open it. Another important symptom of nonspecific inflammation is the release of large amounts of liquid pus from the preputial sac.

    Treatment involves eliminating the cause of the disease. If the primary pathological condition is completely cured, then the symptoms of balanoposthitis will come down. Ignoring the symptoms and reluctance to treat inflammation, lead to the fact that balanoposthitis takes a chronic and relapsing form. The only advantage of nonspecific balanoposthitis is that it is not transmitted during intercourse.

    Catarrhal balanoposthitis

    Catarrhal balanoposthitis is a simple form of infectious and inflammatory disease. As a rule, this type of inflammation appears due to the effect of decaying smegma on the skin of the penis. Catarrhal balanoposthitis causes decomposition of the secretion of the inguinal glands in the preputial sac. The disease occurs due to the action of staphylococcal and streptococcal microorganisms, E. coli and smegma bacillus. Trauma to the glans penis can also lead to catarrhal inflammation. This can occur due to wearing tight underwear or during intercourse due to the increased dryness of a woman's vagina.

    The main symptoms of the catarrhal form of balanoposthitis are itching, burning, swelling and hyperemia of the head and foreskin of the penis. At the same time, attempts to move the foreskin and open the head cause pain and become impossible. Without medical assistance and therapeutic therapy, the symptoms are aggravated, and purulent discharge with an unpleasant odor appears, and in some patients the body temperature rises to 39 degrees.

    Treatment of catarrhal balanoposthitis does not take much time and consists of washing and bathing the penis, lubricating the head with medications. If the symptoms of inflammation are aggravated by high fever and purulent discharge, then the patient is prescribed a course of antibiotics.

    Irritant balanoposthitis

    Irritant balanoposthitis is an inflammatory process that occurs due to stagnation of physiological fluids in the preputial sac (skin covering the glans penis). As a rule, the disease is caused by stagnant residues of urine, smegma and its decay products. Due to non-compliance with personal hygiene, the patient develops an irritant balanoposthitis. The most common factor provoking the development of the disease is trichomonas and gonorrhea urethritis, diabetes mellitus. External irritants, such as congenital phimosis, excessive masturbation, frequent contact of the penis head with soap, can also cause irritant balanoposthitis.

    This form of inflammation does not apply to infectious inflammatory processes, but it is possible that an infection will appear during the progression of the disease. The main causative agents of infection are staphylococci, herpes, streptococci, yeast, E. coli and others. The first symptom of this form of balanoposthitis is red skin on the genitals, as well as spongy skin. Puffiness appears on the head and foreskin, and purulent fluid with an unpleasant odor is released from the preputial sac.

    Inflammation causes swollen lymph nodes in the groin, pain, burning, desquamation of the epithelium. With the advanced form of irritant balanoposthitis, the patient develops numerous ulcers. Treatment is usually conservative, but if the disease has led to phimosis, then excision of the foreskin is necessary.

    Simple catarrhal balanoposthitis

    It is one of the most common subspecies that doctors most often have to deal with. The patient develops such balanoposthitis after contact with various stimuli (chemical, mechanical). Often the cause of the development of the disease is a man's non-observance of elementary rules of personal hygiene. Gradually, smegma accumulates under the foreskin, which is a good medium for the reproduction of bacteria and fungi.

    A man develops the following symptoms:

    • pain in the head of the penis,
    • the foreskin turns red and swells,
    • purulent contents accumulate between the head and foreskin,
    • phimosis, urinary retention - all this threatens the patient in the absence of timely treatment.

    Recurrent balanoposthitis

    This form is characterized by a change in periods of remission and relapse. In those days when the disease recedes, the patient does not bother anything, and he does not go to the doctors.Exacerbations occur periodically, and all symptoms come back. Symptoms in this case are similar to those that develop in an acute form, but are slightly less pronounced. It turns out that a man always has a risk of developing a complication of the disease.

    Ulcer balanoposthitis

    If you do not seek treatment in a timely manner, then the disease can go from the lungs and stages to the ulcer form.

    • Small sores appear on the surface of the inflamed head. At the same time, even simple walking causes unpleasant sensations, urination is painful, and sexual intercourse is impossible.
    • Violation of the integrity of the skin makes the body defenseless against many harmful factors. As a result, microorganisms are more likely to penetrate and provoke inflammation of the lymph nodes of the inguinal region.

    Traumatic balanitis and balanoposthitis

    In most cases, the reason for the development of this form is not the injury received as a result of an impact or any accident. Wearing too tight underwear is the main reason for the development of the disease. If the laundry is not thoroughly rinsed after washing, large amounts of detergents may remain on it, which, upon contact, will cause a slight burn to the skin of the penis and provoke a traumatic balanoposthitis.

    • Redness and swelling of the glans penis can be observed both on the entire surface and locally, at the site of application of the adverse factor.
    • If the impact was significant, then the stem of the penis can also change, where the skin is less sensitive and better protected.

    Keira erythroplasia and Zun balanitis

    These are two apparently similar diseases with a radically different prognosis. Zun balanitis has a benign prognosis, but erythroplasia is a disease with a malignant course that requires immediate treatment with radical methods, since in the most severe case the patient’s life threaten.

    • Everything looks like atrophy of the skin on the head of the penis. Gradually, pink plaques appear that do not merge with each other.
    • If we are talking about a severely neglected case, then on the head you can find vegetation, erosion and ulcers.
    • What is noteworthy, the patient practically does not bother anything, except for the changed appearance of the penis.

    Adhesive balanoposthitis

    As a result of this disease, the head of the penis cannot be exposed, leaving the foreskin. In this case, all tissues swell, become red and painful. Most often, this balanoposthitis develops in children, since their foreskin more closely fits the head, and many still have physiological phimosis.

    With this form of the disease, doctors very often offer a surgical method of treatment - circumcision (circumcision of the foreskin).

    Irrital balanoposthitis

    According to the mechanism of development, the form is close to traumatic. Inflammation in patients occurs in response to constant and regular irritation of the skin of the head of the foreskin:

    • non-observance of personal hygiene rules,
    • very frequent masturbation
    • excessive use of makeup products
    • lack of natural lubrication in the sexual partner,
    • congenital narrowness of the flesh, etc.

    Watch the video: Medical Information : How to Cure Yeast Infections in Men (February 2020).

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