The choice of methods used to eliminate balanoposthitis depends on the type of disease, its symptoms, and the nature of the course. The presence of concomitant diseases is also important.
First you need to understand what balanoposthitis is. This concept characterizes the inflammatory process of a mixed nature. The foreskin (inner leaf) and the glans penis are involved.
In the treatment of pathology, attention is paid to the presence of diabetes in the patient. Against the background of this disease, symptoms of balanoposthitis manifest in the form of contact bleeding of the scalp, the formation of cracks and expressions that provoke the development of adhesions and cicatricial processes. Moreover, the nature of the manifestations will depend not only on the age of the patient, but also on the duration of the disease itself. Partial stabilization of inflammation is observed with adequate antidiabetic therapy. However, it is more advisable to treat balanoposthitis with circumcision (circumcision).
The simple course of pathology involves light conservative measures. Treatment of mild balanoposthitis is carried out by gently exposing the head of the penis, carefully removing pus and smegma from the prepuce sac in the foreskin. In this case, washing with water and soap or a light antiseptic solution (rivanol, 0.5% potassium permanganate or silver nitrate) is used. The procedure is repeated three to four times a day. To avoid paraphimosis, carefully adjust the head of the penis.
Treatment of balanoposthitis in a more severe course involves the appointment of antibacterial drugs inside (Biseptolum, Olitetrina, Erythromycin, Nevigramona and others). The effect of drugs is aimed at eliminating inflammation, suppressing the activity of pathogenic (pathogenic) microorganisms. Antibacterial drugs have a beneficial effect on the performance of the genitourinary system.
The most common mycotic (fungal) infections of the penis include candidal balanoposthitis. In this case, the development of pathology occurs in combination with the spread of candidiasis (thrush). Treatment of balanoposthitis of this type is carried out using local antimycotic (antifungal) agents (Lavorna, Fluconazole). Great importance is attached to hygiene. It should be noted that an increase in the incidence of candidiasis greatly complicates the treatment of the disease "balanoposthitis." Treatment (ointment, tablets), which has been used traditionally, becomes ineffective.
Gonococcal inflammation is accompanied by copious discharge from the urethra. In this case, therapeutic measures to eliminate gonorrhea helps to alleviate the symptoms of balanoposthitis.
Xerotic obliterating inflammation of the head and foreskin has undergone therapy over the past few decades, which includes the use of corticosteroids or testosterone propionate. In case of detection of meatostenosis (an abnormal narrowing in the external opening of the urethra of a congenital nature), dilatation (expansion) of the external opening or surgical correction by the method of meatoplasty or meatotomy can be prescribed. The use of local corticosteroids, especially in children, can improve the course of pathology at an early and intermediate stage. However, in the later stages of xerotic obliterating inflammation, a positive effect was not observed. At the same time, prolonged local use of corticosteroids can contribute to the progression of epidermal atrophy.