Balanitis called inflammation of the glans penis. It is the most common inflammatory disease of the male reproductive system occur at any age, including balanitis uncommon in children.
Types of balanitis
Balanitis origin is the primary and secondary, the nature of acute and chronic. Clinical symptoms distinguish the following forms of balanitis:
- Simple or irritative;
- Chronic hypertrophic;
- Obliterans balanitis.
Causes of balanitis
The main reason is the failure balanitis personal hygiene when conditions are favorable for infection, falling on the genitals. Also a reduction in the value of local and sometimes general immunity. Simple balanitis, if untreated, can turn into erosive, ulcerative and chronic. Balanitis obliterans usually occurs as a distinct disease primary chronic course, and its causes are still not clear.
Secondary balanitis is just one of the symptoms, which manifests itself a common disease of the body, autoimmune, infectious, or endocrinology. Frequent sightings balanitis in elderly patients with diabetes mellitus, also found balanitis, which is a consequence of autoimmune processes - scleroderma, psoriasis, systemic lupus erythematosus, and others. Among the infectious diseases balanitis often provoke syphilis, gonorrhea, trichomoniasis, genital herpes, and and fungi genus Candida. Most often it is Candida albicans, a yeast infection is the same, which is the cause of yeast infections in women, it is the cause of Candida balanitis in men.
Balanitis in children is usually caused by narrowing of the foreskin (phimosis), because of which in the prepuce smegma accumulates and remains of urine serving irritant. When connecting infection inflames the head of the penis (balanitis), but in this case it is inflamed with the inner layer of the foreskin, and develops balanoposthitis.
Symptoms of balanitis
The first symptoms of balanitis are unpleasant sensations in the head of the penis: burning, itching, especially when trying to open the head. It becomes visible redness and swelling of the head. In the case of acute illness flowing to the usual symptoms of balanitis joins general deterioration: increased body temperature, a headache, reduced the overall tone. Symptoms of balanitis include increased production of smegma, sometimes the amount of it so much that permeates underwear; and purulent discharge from the prepuce.
Symptoms of balanitis in erosive and ulcerative form are, respectively, erosion and ulcers, erosive form if untreated, becomes ulcerated. Erosive and ulcerative balanitis accompanied by pain in the glans penis, increasing the motion.
Candida balanitis is characterized by a strong sense of itching, the appearance on the penis erosions, covered with a whitish bloom, which is exposed by removing the surface flushed. From the prepuce allocated liquid exudate in the crown grooves can accumulate white cheesy flakes.
Obliterans balanitis behaves appearance areas of scarring on the skin of the head. Lots pale, with atrophied skin, the appearance of them accompanied by a feeling of tightness. Under-onset disease in obliterating balanitis may occur narrowing (stricture) of the urethra, resulting in voiding.
The first sign of balanitis in children, especially small ones, is a troubled child's behavior. The kid is naughty, he may have a fever, it reacts violently while trying to expose the glans penis. Painful inflammation of the tissues of the head in contact with her urine, so urine can be accompanied by tears.
The diagnosis is usually not in doubt, and his statement is enough balanitis symptoms identified during the inspection of the external genitalia. Studies are needed to determine the causative agent of a disease that has a value in the treatment of balanitis. To this end, a bacteriological examination of smears from the urethra. In case of persistent, not giving conventional therapy balanitis, conduct a detailed diagnosis: PCR analysis of blood sugar, the study on the presence of an STI (sexually transmitted infections through).
Treatment of balanitis
Treatment of balanitis, uncomplicated purulent inflammation is usually limited to the use of local antiseptic and anti-inflammatory drugs. Recommended careful hygiene of the penis, which is necessary to expose the head, rinse thoroughly with warm water and soap, containing the minimum amount of perfume, then Berezhnaya movements dryness wet soft towel. Such procedures should be carried out every 3-4 hours. Local treatment balanitis complementary washing of the glans penis with antiseptic solutions: a weak solution of potassium permanganate, hydrogen peroxide, decoction of herbs antiseptic action (sage, chamomile, eucalyptus).
Treatment balanitis in erosive form, besides the above-described means is performed using anti ointments are applied to the affected area 2-3 times a day after hygienic procedures.
If the disease is complicated by lymphadenitis (inflammation of the lymph nodes), or turned into a necrotizing, gangrenous form, topical treatment of balanitis is carried out in conjunction with taking broad-spectrum antibiotics, a course of 7 to 14 days, depending on the severity of the process.
When Candida balanitis on the bare head applied ointment containing an antibiotic antifungal activity, as well as recommend a diet with a reduced amount of digestible carbohydrates (sweets, sweet carbonated water, juices).
Obliterans balanitis treated depending on the stage of the disease. In the early stages of application sufficiently long course of ointments containing anti-hormonal agents. On stage appearance narrowing of the urethra surgical treatment balanitis, eliminating the restriction and removing the skin subjected to scarring.
Treatment of balanitis in children is carried out locally by washing the head of the penis with an antiseptic solution. Kids these purposes can be several times a day to put in the bath with a decoction of herbs, pre-stripping at least a little head.
If it is determined that one of the causes of the inflammation of the glans penis phimosis served available, surgical treatment balanitis and phimosis, performing circumcision - circumcision surgery, or as it is called circumcision.