Is it possible to treat inflammation of the foreskin with bepanthen? Ointment for balanoposthitis in men: a list of effective drugs and the basic principles of their action. Balanoposthitis cream

Inflammation of the tissues of the genital organs is a fairly common occurrence. In such cases, the head of the penis and the foreskin are predominantly affected.

To eliminate the problem, topical drugs are prescribed without fail. Let us consider in more detail - which ointment for balanoposthitis in men is considered the most effective and how to choose the right medicine for a particular case.

Balanoposthitis can develop in a man at any age. It is impossible to ignore this problem, since the disease can provoke serious complications.

In some cases, inflammation becomes chronic. Ultimately, the infection can spread to neighboring organs, provoke the formation of purulent ulcers on the penis, up to its necrosis.

In order to get rid of balanoposthitis as quickly as possible, it is necessary to go to the hospital at the first symptoms. Only a qualified doctor can draw up a treatment program suitable for a particular patient, based on the results of the examination and laboratory tests.

A complete therapy should take into account the following aspects:

• patient's age;
• form and severity of inflammation;
• the presence of associated diseases;
• the reasons that provoked balanoposthitis;
• existing symptoms.

Until severe complications have developed that require surgical intervention, drug therapy is used for treatment. Its main goals are to eliminate the unpleasant symptoms and causes of the disease.

Elimination of symptoms

To facilitate the patient's well-being, as a matter of priority, it is necessary to select drugs that can reduce the intensity of the manifestation of the disease. For local effects on the inflamed areas of the penis, various ointments are usually prescribed.

With balanoposthitis in men, the following symptoms can be observed:

• redness of the head and leaf of the foreskin;
• tissue hyperemia;
• swelling in areas of inflammation;
• the appearance of an unpleasant odor;
• specific discharge from the urethra of a serous or purulent nature;
• pain when touching the penis;
• painful urination;
• erosion formation;
• enlargement of regional lymph nodes;
• the appearance of spots on the genitals.

The severity of the symptoms and their number depend on the form of the disease. With simple acute balanoposthitis, there is only painful redness.

With an erosive form, erosions appear, with a gangrenous form - severe swelling and purulent ulcers. In the chronic course, the manifestations of the disease temporarily disappear, and then another exacerbation occurs.

Impact on the cause of the disease

If you act only on the symptoms of balanoposthitis, you can provoke its chronicity. To fully eliminate the problem, it is important to establish the cause of its occurrence and direct efforts to combat it. With an advanced course of the disease, an ointment for the treatment of balanoposthitis is not always able to cope with this task; systemic medications are required.

The causes of inflammation can be:

• non-compliance with hygiene standards, the accumulation of bacteria in the preputial space;
• damage to the penis or its irritation;
• specific infections (syphilis, chlamydia, gardnerellosis);
• nonspecific bacterial infections (E. coli, staphylococcus aureus, streptococcus);
• autoimmune processes in the body;
• a significant decrease in immunity;
• fungal infection;
• narrowing of the foreskin (phimosis);
• allergic reaction;
• diabetes.

It is quite possible to cope with most of the provoking factors through high-quality drug therapy, as well as by correcting lifestyle and observing hygiene standards.

Types of drugs

For the treatment of balanoposthitis, there are a huge number of drugs. To select the optimal set of drugs, it is recommended to take a swab from the urethra, serological tests and PCR in advance, standard analyzes blood and urine. This will allow you to more accurately determine the cause of the development of inflammation and select those drugs whose composition the best way able to influence the problem.

If you choose directly an ointment from balanoposthitis, you should pay attention to its components, in particular, the main active ingredient. The price of most of these funds is low, so it does not play a special role in the selection process.

Additionally, antiseptic solutions for washing the genitals and tablets for systemic infection control and strengthening of immunity can be prescribed.

Main categories of drugs

Of decisive importance is the purpose of the drug in relation to the effect on infections of various origins and the ability of the remedy to eliminate certain symptoms.

According to the composition and direction of action, ointments from balanoposthitis in men are divided into the following categories:

1. Antimicrobial. They have antiseptic properties, relieve inflammation.
2. Antibiotics. Able to overcome most pathogenic microorganisms, effective in the presence of sexually transmitted infections.
3. Antimycotics. They are prescribed when a fungal infection is detected.
4. Hormonal. They help to eliminate the inflammatory process, are prescribed for autoimmune disorders.
5. Healing. Accelerate the recovery of damaged areas, soothe irritation and eliminate dryness.
6. Drying. They can be used in the presence of erosions and ulcers, dry weeping areas, stopping purulent inflammation.
7. Antiallergic. Eliminate allergic manifestations, reduce itching, swelling and redness.
8. Combined. Combine the properties of different groups of drugs. They are the most effective, as they act simultaneously in several directions.

List of effective drugs

Consider which local drugs are most often prescribed for balanoposthitis and what is the principle of their impact on the problem.

It is worth remembering that the ointment for balanoposthitis in men, depending on its composition, may have some contraindications regarding its use.

Most often they are:

• allergy to the components of the drug;
• skin diseases in the genital area and adjacent areas;
• metabolic disease;
• circulatory problems;
• the presence of open wounds;
• active phase of venereal infections;
• childhood.

To reduce the risk of developing undesirable consequences and to improve the effectiveness of therapy, the following recommendations should be observed:

• in the course of treatment, laboratory parameters and the patient's condition as a whole are monitored;
• the disappearance of symptoms does not always indicate the elimination of the disease, therefore it is recommended to continue using the medication for some more time;
• make sure that the patient does not have hypersensitivity to the individual components of the cream;
• it is necessary to select a remedy based on the cause of the development of the disease;
• make sure that the prescribed drugs are combined with each other, do not provoke an overabundance of certain substances in the body and do not block the action of each other.

Further prevention

In order not to encounter balanoposthitis again in the future, it is necessary to adhere to certain recommendations.

Instructions for the prevention of the disease include the following:

• compliance with hygiene standards, daily washing of the genitals using special intimate gels;
• selection of underwear by size;
• protection of the genital organs from injury, mechanical damage and irritation;
• timely and high-quality treatment of infectious diseases;
• washing hands before and after going to the toilet;
• use of quality condoms;
• limiting the number of casual sexual relationships;
• the passage of preventive treatment in case of detection of STDs, thrush or inflammation of the genital organs in a partner;
• hypothermia protection;
• increased immunity;
• rejection of bad habits;
• the use of soft powders for washing underwear;
• refusal to use hygiene products, lubricants, underwear, if they provoke an allergic reaction on the genitals;
• timely admission to the hospital if suspicious symptoms appear;
• circumcision of the foreskin.

For getting additional information about ointments and creams used to treat balanoposthitis, see the video in this article.

Currently, in connection with the rapid development of medicine, all new drugs are being introduced. The treatment of skin diseases of the genital organs in men deserves special attention. Often, males suffer from a pathology such as balanoposthitis. This condition is characterized by an inflammatory process that affects the head and foreskin. As you know, treatment can be general and local. In the first case, drugs are taken orally or parenterally. Therapeutic effect achieved when there is a certain concentration of the drug in the blood.

As for local treatment, it has found wide application in skin diseases. Balanoposthitis is no exception. Local treatment involves the use of various ointments, creams, gels. They are absorbed through the skin and act directly on the lesion. You can treat this method at home, but always under the supervision of a doctor. Treatment of balanoposthitis in men should be carried out depending on the severity of the condition. Let us consider in detail what balanoposthitis is, how ointment treatment is performed when antifungal drugs are used.

Etiology of balanoposthitis

To treat balanoposthitis, you need to know what this condition is. Both adult men and children can suffer from balanoposthitis. The disease affects the penis in men. An interesting fact is that this pathology often develops in those men who have not been circumcised. Pathology can occur against the background of other diseases, such as urethritis, prostatitis. Often, inflammation develops with injuries, exposure to irritating substances.

In most cases, the etiological factor in the development of balanoposthitis in men is the introduction of various microorganisms. It can be cocci, E. coli. Specific pathogens include chlamydia, Trichomonas. Fungi are of great importance. Treatment with ointment is largely determined by the type of pathogen. For example, in the presence of fungi, ointments based on antifungal drugs are prescribed. Balanoposthitis can develop if hygienic measures are not observed, if endocrine pathology(diabetes). Very often the reason lies in phimosis. Even a simple skin care product can cause allergies and organ inflammation in a man.

Clinical manifestations

Medicines in the form of an ointment for balanoposthitis are most effective in moderate and severe forms of the disease. With a mild course, it is enough to follow hygiene procedures, washing the affected area with antiseptics. Because of all this, you need to know the leading clinical signs of this condition in men. The symptoms are very varied. In men, there is swelling of the head of the penis and foreskin, hyperemia. They experience discomfort due to pain, itching and burning in the affected area. The process of excretion of urine is disturbed. Characterized by stranguria (pain in the separation of urine). This pathology also affects sexual function. Sexual contacts become painful for men.

With balanoposthitis, several forms are distinguished. With a simple catarrh, itching, burning, erosion, purulent discharge are observed. The head is hyperemic and edematous. The erosive form is more severe. With it, erosion is more extensive. Often secondary phimosis develops. Lymphadenitis and lymphangitis may develop. Gangrenous. It can form ulcers. Puffiness, phimosis, hyperemia are characteristic. In men, intoxication of the body is observed.

Ointment for candidal balanoposthitis

For the treatment of balanoposthitis caused by microscopic fungi, an ointment or cream based on antifungal drugs is used. The most famous drug is Lamisil. It is effective in the presence of fungi of the genus Candida. It is available in the form of ointments (creams). This ointment is based on the active substance Terbinafine, which has a fungicidal effect, that is, it destroys fungi in men. This remedy is indicated not only for candidiasis of the skin of the penis, but also for other diseases. These include fungal infections of the skin, nails, lichen. A contraindication to its use in men is hypersensitivity, pathology of the kidneys and liver, alcoholism.

Some men may experience side effects e.g. skin irritation. With balanoposthitis, the ointment is applied to the affected area with a thin layer. At the same time, it needs to be rubbed a little. The duration of treatment varies from 2 weeks to a month. It is possible to treat the disease in men with another ointment or cream. These include Fluconazole, Exifin and many others. The last one is cream. He white color and uniform consistency. The mechanism of action does not differ from other means.

Treatment of allergic balanoposthitis

Medicines for this condition do not always contain antimicrobial agents. In some cases, balanoposthitis in men can develop as a result of irritation of the skin. The cause may be an allergy to latex or synthetic fabric underwear. In this situation, treatment includes the use of ointments or creams that have hormonal activity. These include ointment (cream) "Akriderm". This ointment contains a corticosteroid. As you know, these substances have a powerful anti-inflammatory effect.

In addition to the elimination of inflammation, the ointment allows you to get rid of allergies, swelling, itching, burning.

This drug is very widely used to treat allergic dermatitis. It is also indicated for other pathologies. The drug "Akriderm" is used in the form of an ointment for external use. It is applied twice a day. The ointment (cream) is dispensed without a prescription, so any patient can purchase it. The course of treatment for men lasts 2-4 weeks.

"Levomekol" for the treatment of balanoposthitis

Of great value are ointments (cream), which are effective against any microorganisms, that is, they have a wide spectrum of action. For the treatment of balanoposthitis, Levomekol ointment can be used. Its advantage is that it is a combination drug. It is active against cocci, fungi, Escherichia coli. This drug belongs to the group of antiseptics. For men, it is also used when inflammation occurs with necrosis and the presence of pus. This drug (ointment) improves tissue repair without damaging the cells themselves.

The drug "Levomekol" is used somewhat differently. It is applied to gauze pads and then applied to the affected area. It is recommended to store the drug at an air temperature not exceeding +15°C. The ointment has a white or yellowish color. It does not have a strong odor, so it is widely used by patients. It should be noted that such medicinal product is indispensable in children's practice. It is used in any form of pathology. In this case, the bactericidal effect is exerted by chloramphenicol, which is one of the components of the ointment.

Thus, ointments and creams today are effective treatments for many diseases in men. They are used for balanoposthitis in most cases. If after a course of therapy the patient's condition does not improve, then it is necessary to clarify the diagnosis. To choose one or another remedy, you first need to determine the form of the pathology and establish its cause. Ointments are on a different basis. If microorganisms were the cause of balanoposthitis, then it is advisable to purchase an ointment based on broad-spectrum antimicrobial agents. With the candidal form, antifungal ointments or creams are used. Treatment should be prescribed strictly individually, taking into account all contraindications. If you follow all the above instructions, then the treatment of balanoposthitis will be successful, and the sick man will recover quickly.

Balanoposthitis (ICD code 10 N48.1) is an inflammatory disease, as a result of which the foreskin and glans of the male penis are affected. According to statistics, about 11% of men have this diagnosis. But there are cases of detection of the disease in women and children. How to treat balanoposthitis can be prompted by a doctor after an examination and some tests. The main therapy is the use of local preparations (creams, ointments, etc.).

Treatment of pathology can be quite long and continues until the symptoms and cause of balanoposthitis are completely eliminated. The duration of the course of therapy is affected by the form of the disease, the severity of the symptoms and the type of pathogen. Acute balanoposthitis is treated within 2-3 weeks.

The urologist Junker Oleg Alexandrovich will tell about the disease:

Before starting treatment, the patient needs to review the correctness of hygiene procedures and, together with the sexual partner, be examined for possible STDs. Only after that, the doctor (urologist and venereologist) will be able to prescribe the correct treatment.

If you do not pay attention to the problem in time, the disease can become chronic. Chronic balanoposthitis is much more difficult to treat.

Causes of the disease

All causes that can lead to the appearance of balanoposthitis are of an infectious and non-infectious nature.

Infectious causes include:

• Candidiasis.
• Human papillomavirus.
• Trichomoniasis.

Genital herpes is a viral lesion of the genital mucosa, characterized by the appearance of a group of vesicles, and then erosions and sores.

• Herpes genital.
• Streptococci.
• Staphylococci.
• Syphilis.
• Gardnerellosis.

Non-infectious causes include:

1. Psoriasis.
2. Irritative balanoposthitis.
3. Lichen flat.
4. Diabetes.

Risk factors that contribute to inflammation are:

• Non-compliance with hygiene rules.
• Decreased body defenses.
• Allergic diseases.

• The presence of a chronic infection in the body.
• Infections of the genitourinary system (urethritis, etc.).
• Promiscuous sexual relations.

Symptoms of the disease

The main cause of balanoposthitis is the patient's failure to follow the rules of personal hygiene. Symptoms of the disease depend on the stage of the pathological process.

Simple balanoposthitis

This is the mildest form of the disease. Its manifestations include:

1. Feeling of burning and itching. This symptom is considered the very first. While touching the head of the penis, when urinating or rubbing against clothes, the discomfort intensifies.
2. Discomfort at the time of opening the head of the penis.
3. Redness of the affected area. Thus, the inflammatory process makes itself felt.

The table shows general and local symptoms, as well as complications of the disease.

1. Swelling of tissues.
2. The formation of painful cracks and erosions (erosive balanoposthitis).
3. Discharge of pus from the urethra. Thus, purulent balanoposthitis manifests itself.

Gangrenous balanoposthitis

This form of the disease is considered the most severe. Its features are:

• Phimosis.
• Ulcers.
• Violation of the patient's condition.
• The appearance of scars.
• Perforation of the foreskin.

Balanoposthitis caused by STIs

Symptoms of the disease will depend on the type of pathogen:

1. The gonorrheal appearance, in addition to the classic signs of balanoposthitis, is accompanied.
2. Chlamydial - characterized by clear spots of red color.
3. Trichomonas - pus accumulates under the foreskin. The head swells and becomes red.

1. Candidiasis is accompanied by itching, burning and pain in the head area. After a while, curdled discharge from the urethra appears.
2. Herpetic. Vesicles with a clear liquid inside can be noted on the foreskin. After opening them, red sores appear in this place. Often this type of disease is chronic.

Immunologist Ermakov Georgy Aleksandrovich will talk about the symptoms and treatment of the disease:

1. Syphilitic - diagnosed in the presence of a primary chancre on the skin.
2. Papillomavirus is accompanied by the occurrence of genital warts.
3. Balanoposthitis with gardnerellosis occurs with virtually no symptoms. If the patient's immune system works well, then after a few days, the disease goes away on its own.
4. Circinar balanoposthitis is manifested by clear red spots on the head of the penis.

The disease is caused by non-specific causes

In this case, the signs of balanoposthitis will depend on the primary disease:

• At diabetes in a man, the head of the penis turns red, its sensitivity increases, pain, cracks are possible, in place of which scars remain.
• Psoriatic balanoposthitis is manifested by the appearance of red scales.
• With lichen planus - nodules appear on the head, having irregular shape covered with white scales. The skin becomes red.

Features of the disease in a child

Sometimes small children can also be affected. As a rule, they are diagnosed with irritative or simple infectious balanoposthitis, which lasts for 5-6 days, after which it disappears.

Among the reasons for its appearance in children, there are:

1. Developed foreskin, hanging down and moving with difficulty.
2. Phimosis.

1. Profuse discharge of semen, which accumulates in the fold between the foreskin and the glans penis.
2. Failure to comply with simple hygiene rules.

Diagnostics

To make a diagnosis and prescribe treatment, the doctor will examine the patient and prescribe some tests for him:

• A general blood test, in which you can see the presence of an inflammatory process by the number of leukocytes and the ESR index.
• A general urine test, in which an increased number of leukocytes will indicate the presence of inflammation.

A blood test for ESR is a non-specific indicator that makes it possible to detect inflammation of various origins.

• A bacterial urine test to identify the pathogen and its sensitivity to antibacterial drugs.
• PCR will make it possible to isolate the DNA of the pathogen and determine its type.
• Scraping from the urethra for the presence of pale treponema.

If the appearance of inflammation led genital infection, then it is necessary to examine the partner as well.

Complications

In patients whose immune system is weakened, as well as those who do not follow the rules of personal hygiene and do not carry out treatment, complications may develop:

1. Chronic balanoposthitis may occur if treatment is not started on time or completed ahead of time. In this case, remission is possible at first, but later the symptoms of the disease will worsen again. It is much more difficult to treat chronic pathology.
2. Decreased sexual function. The inflammatory process can lead to receptor atrophy and decreased sensitivity. This reduces the potency.
3. Cystitis, prostatitis and other diseases of the genitourinary system. Pathogenic bacteria that caused balanoposthitis can rise up the urethra and cause these diseases. As a rule, this occurs in people with reduced immunity and those who did not follow the principles of treatment.

Symptoms and complications of prostatitis

1. Lymphoangitis - the transition of the inflammatory process to the inguinal lymph nodes.
2. Paraphimosis - clamping the head of the foreskin. In this case, there is a violation of the blood circulation of the organ, lymph flow and an increase in the size of the head of the penis, which becomes red and painful. This condition requires immediate medical attention, otherwise gangrene is possible.
3. Gangrene of the penis is characterized by the death of tissues that turn black. The disease begins suddenly for a man. As a result, it worsens general state, the temperature rises and foci of necrosis appear.

Treatment

How to cure balanoposthitis? This question will be answered by the doctor after examination and delivery. necessary analyzes, which can identify the causes of the inflammatory process.

Each patient must follow certain rules:

• Observe the hygiene of the penis.
• Eliminate the causative agent of inflammation. For this, antiseptic solutions, herbal tinctures, etc. can be used.
• Carry out antibacterial and antiviral therapy using drugs. Only the attending physician can prescribe an individual treatment regimen.

Solovyov Nikolai Konstantinovich, urologist-andrologist at the Moscow Doctor Medical Center, will tell you what caused the disease and how to treat it:

The main methods of treatment:

1. Taking medications (tablets, ointments, solutions) prescribed by a doctor. So "Levomekol" with balanoposthitis is considered a fairly effective drug.
2. In case of complications, drugs are used that can increase the body's defenses.
3. The fungal type of the disease is treated with antifungal agents (ointments "Nizoral", "Clotrimazole", etc.).
4. In the anaerobic form, antibiotics are indicated ("Azithromycin", etc.).
5. Surgical intervention, which involves the excision of the foreskin. In such cases, the patient should not try to open the head on his own, as this can lead to microcracks and further aggravate the inflammatory process.
6. Possible treatment of balanoposthitis in men folk remedies. Decoctions and infusions of medicinal herbs can alleviate the general condition of the patient and reduce the manifestations of the inflammatory process. Doctors recommend taking baths, compresses and wiping the penis with such drugs.

Use of antibacterial drugs

Very often, pathogens become the cause of inflammation, including: E. coli, staphylococci, streptococci and other aerobic and anaerobic bacteria. In such cases, the doctor will prescribe a course of antibiotic therapy to the patient. Depending on what has become the causative agent, broad-spectrum antibiotics are prescribed:

• Antibacterial drugs are prescribed only in case of severe forms of the disease or when balanoposthitis is caused by sexual infections.
• Antibacterial therapy is not prescribed when allergic, viral or fungal balanoposthitis is established.
• Antibiotics for balanoposthitis, which are considered the most effective - tablets "Doxycycline" and "Levomycetin".
• Often prescribed drugs: "Erythromycin", "Roxithromycin" and "Oletetrin", derivatives of quinol "Nevigramon", nitrofuran "Furagin" or oxyquinoline "Nitroxoline".

Azithromycin is an effective antibacterial agent. Price in pharmacies from 32 rubles.

• Anaerobic balanoposthitis is treated with Azithromycin.
• When diagnosing a specific infection, penicillins and cephalosporins ("Tsiprolet") are prescribed.
• Treatment of candidal balanoposthitis in men is carried out with Fluconazole or Clotrimazole.
• Chlamydial and ureaplasmic types of balanoposthitis are treated with metronidazole derivatives.

Along with pills for systemic treatment, injections and intravenous infusions of medications are used, depending on the symptoms and severity of the disease.

If balanoposthitis is bacterial in nature, then both partners should take antibacterial drugs. During treatment, it is necessary to exclude the use of alcoholic beverages and unprotected sex.

The use of ointments

For local treatment of balanoposthitis, various ointments are widely used:

1. With the fungal nature of the disease, the ointment should have an antifungal effect. These drugs include: "Fluconazole", "Candide", etc. "Clotrimazole" for balanoposthitis is the most popular of this group of drugs. Pimafucort ointment, which absorbed the properties of antifungal and hormonal drugs, was recognized as no less effective. It is often prescribed if it is necessary to cure chronic candidal balanoposthitis.
2. In the case of an allergic or autoimmune nature of inflammation, doctors recommend using hormonal ointments "Oxycort", "Lamisil", "Locacorten", etc.

Dressings with ointment are applied to the damaged areas at night after thorough hygiene of the genital organs. This procedure is done within 5 days. Treatment must be carried out under medical supervision.

1. "Triderm" with balanoposthitis is advised to use when a mixed type of infection is detected in a patient. The ointment has antibacterial, antifungal and hormonal effects.
2. With a nonspecific bacterial infection, the combined ointment "Levomekol" is used. It contains levomycetin, which has an antibacterial effect, and methyluracil, which is able to restore damaged tissues.
3. A powerful antibacterial effect has an ointment from balanoposthitis "Baneocin". Its constituent bacitracin and neomycin are able to cope with the infection and relieve the inflammation process.

Ointments should be used for a long period of time. At the same time, they are applied to the affected area several times a day.

It is impossible to use ointments for the treatment of balanoposthitis if the patient has:

• Malignant neoplasms.
• Trophic ulcers.
• Skin tuberculosis.
• Necrosis.
• Allergy to individual components of the drug.

What ointments are used for the disease? The venereologist, urologist Lenkin Sergey Gennadievich will tell:

Before you start using any drug, you need to conduct a test. To do this, a small amount of ointment is applied to the back of the hand or near the elbow. If after a while, redness, itching, rash or burning occurs in this place, then you can not use this remedy.

If you use the ointment in large quantities overdose symptoms may occur: redness, swelling, rash. Periodically, any drug must be changed, since prolonged use can reduce its effectiveness.

Use of antiseptic solutions

Various antiseptic solutions are often used for local therapy of the disease. They are allowed to be used at home. The most popular are:

1. Solution "Chlorophyllipt" on a water basis. It has anti-inflammatory and antibacterial action.
2. Erosive balanoposthitis, accompanied by the formation of ulcers and erosions, is treated with "Fukortsin" (Castellani liquid), which is able to cope not only with pathogenic bacteria, but also with fungi.
3. Chlorhexidine is used to disinfect and treat inflammation. The solution is used for washing, lotions, baths and applications. Similar action has "Miramistin". But when using these solutions, you need to be careful, as there is a possibility of damage to the mucous membrane and dryness on the skin.

Bath use

If the disease does not have complications in the form of phimosis, the doctor may recommend therapeutic baths. For their preparation, you can use Furacilin, Dioxidin or Miramistin. The duration of the procedure should not exceed 15 minutes. To achieve the maximum effect, the penis should be gently moistened with a solution. After the bath, the site of inflammation is gently wiped with a sterile napkin and treated with any antiseptic preparation.

Baths of chamomile decoction are prepared as follows: per liter hot water add about 20 grams of chamomile flowers. The resulting solution is used for disinfectant lotions.

The doctor may recommend such baths:

• If yeast-like fungi are detected in the test results, it is worth using baking soda which dissolves in warm water.
• If there is phimosis, then after the operation, baths with decoctions of medicinal herbs (chamomile, calendula or sage) should be used.
• When balanoposthitis has become chronic, the patient is prescribed baths with Miramistin. Additionally, it is necessary to use corticosteroids (ointment "Prednisolone", "Oxycort", etc.).

The use of folk remedies

Treatment of balanoposthitis at home can be supplemented with folk remedies. It has been proven that some medicinal herbs able to relieve inflammation, eliminate burning sensation and other signs of the disease. To the most popular means traditional medicine include:

1. Aloe leaves with anti-inflammatory action. They are applied to the affected area, previously cleared of the skin.
2. Compresses with a decoction of chamomile. For its preparation, dried flowers are poured with boiling water and kept in a water bath for 5-10 minutes. After cooling, the broth is filtered and used to prepare compresses.

Preparation of olive oil and calendula tincture

1. Treatment of erosive balanoposthitis involves the use of olive oil and tincture prepared from calendula. To prepare the remedy, one spoonful of dried calendula flowers is poured into 70 ml of olive oil. You need to insist the drug for 3 weeks, putting it in the sun. When the tincture is ready, all the sores and cracks are wiped with it.
2. Plantain is considered an excellent anti-inflammatory agent. The leaf of the plant should be washed well and applied to the sore spot, secured with a gauze bandage. Every half an hour, the bandage with the sheet should be changed to a new one.

Dear readers, from the video below you will learn some tips on how to treat pathology at home:

1. A good remedy is sage, which is used to prepare baths. To do this, a few tablespoons of dried herbs are poured into 500 ml of boiling water and kept in a water bath for 5-10 minutes. After complete cooling, the broth is filtered and used for baths, rubdowns or lotions.
2. St. John's wort has medicinal properties. A decoction from it is prepared and used in the same way as a sage remedy.

Treatment of balanoposthitis with folk remedies will be effective only if they are used regularly for a long period of time. It is important to pay attention to the characteristics of your body and the possible individual intolerance of traditional medicine.

List of popular medicines

Treatment of balanoposthitis is inextricably linked with the use of drugs. A special place is given to local preparations:

• Miramistin is the best ointment for treatment, which has a bactericidal effect. Due to a wide spectrum of action, it is prescribed in the treatment of any type of balanoposthitis. The ointment has one side effect - a burning sensation, which disappears on its own after a few minutes. The medicine is not prescribed to people with individual intolerance to its individual components.
• "Levomekol" - helps to speed up the healing process. The ointment has proven its effectiveness against many bacteria (aerobes and anaerobes). In case of individual intolerance to its components, an allergic reaction is possible.
• "Triderm" is able to treat balanoposthitis not only at the initial stage, but also when the disease has managed to become chronic. The active components of the ointment are able to relieve inflammation, have antiallergic, antifungal, and antibacterial effects. You need to use the drug several times a day for 2-4 weeks. In case of intolerance to the components of the drug, irritation, itching, dry skin, and a rash may occur. "Triderm" can not be used for skin tuberculosis, chickenpox or skin reactions that have occurred as a result of vaccination.
• "Furacilin" is used for the preparation of baths or lotions. The drug has a broad antimicrobial activity. Possible skin reactions in the form of rashes and dermatitis. With prolonged use, inflammation of the nerve is possible. Caution should be taken by people with kidney disease.

Very effective remedy. Its price is low, within 100 rubles

• "Chlorhexidine" is an antiseptic that can be used for washing, lotions, baths or compresses. Its introduction into the urethra is allowed. Adverse reactions are extremely rare and manifest as itching, rash or dry skin. Overdose "Chlorhexidine" does not cause.
• Hydrogen peroxide is used for disinfection. To do this, it treats the affected areas of the skin. Among the shortcomings of the remedy is a temporary effect, which completely disappears a few hours after use. It is recommended to use peroxide when the first signs of balanoposthitis occur. It is not used if the patient has phimosis.
• "Clotrimazole" is known for its antimicrobial action. The medicine is prescribed for candidal balanoposthitis. To do this, the ointment is applied to the skin after hygiene procedures. The duration of use depends on the degree of the disease. In some cases, adverse reactions (redness and burning of the skin) were noted. In this case, the drug should be discontinued and reused only after the disappearance of side symptoms. "Clotrimazole" is not prescribed for children and people with hypersensitivity to its components.
• Potassium permanganate has excellent antiseptic properties and accelerates the healing process of wounds. It can be used at different stages of pathology. But this must be done carefully, since undissolved grains of potassium permanganate can cause severe burns. She has no contraindications for use.

In addition to the treatment of inflammation, potassium permanganate baths can be prescribed as additional hygiene measures for patients.

• "Fluconazole" is effective only in the case of candidal balanoposthitis. It is quickly absorbed into the skin and acts for a long period of time. An analogue of the drug are the ointments "Flucostat" and "Diflucan".
• "Bepanten" is used to speed up the healing process of wounds. The ointment has an anti-inflammatory, moisturizing and regenerating effect. The cream is prescribed for the prevention and treatment of balanoposthitis. It is applied to clean and dry skin several times a day. The duration of use depends on the degree of damage and the individual characteristics of the patient. In some cases, a reaction on the skin may occur, so it is better not to use it for people with high sensitivity to the active components of the drug.
• "Pimafucort" has a powerful anti-inflammatory, antifungal and antibacterial action and is effective against many pathogens. With prolonged use, stretch marks may appear at the site of its application. The medicine is not prescribed for babies under 1 year old and for those who are allergic to certain components of the ointment.
• "Fukortsin" is prescribed as an antimicrobial and antifungal agent. It is used for the preparation of baths, compresses and applications. After it dries on the skin, the treated area must be lubricated with cream. A side effect in the form of a burning sensation is possible. "Fukortsin" is not used in case of high sensitivity of the patient's body to its components. It is not advised to treat them with large areas of skin, since the active ingredients are able to penetrate into the bloodstream and have a toxic effect.

Fucorcin is an antiseptic solution with high bactericidal and disinfectant properties. The average price in pharmacies is from 75 rubles.

• "Synthomycin ointment" for balanoposthitis is a broad-spectrum antibiotic. It is active against many pathogenic bacteria. It is applied to the affected areas with a thin layer several times a day for 3-5 days. With prolonged use, the medicine can cause side effects in the form of itching, burning and redness of the skin.
• Tetracycline ointment has an antibacterial effect and is able to stop the reproduction of pathogenic microflora.

Is balanoposthitis contagious?

This disease with untimely treatment can cause a lot of unpleasant consequences. Therefore, many men are interested in the question: “Is balanoposthitis contagious and can they get infected from a partner”? Urologists assure that this disease is not contagious. However, there are a number of sexually transmitted infections that can cause inflammation of the foreskin and glans penis.

Another question that often arises in men is: “Is it possible to go to the sauna or bath with balanoposthitis”?

Water procedures are well reflected in the patient's condition, however, in this case, the sauna will not the best option. This is due to the fact that:

1. In such places, there is a risk of catching various infections, which will negatively affect the patient's condition.
2. At elevated temperatures, existing bacteria will develop more rapidly.

Therefore, until complete recovery, it is better to refuse to visit such places.

At first glance, balanoposthitis is a harmless disease. But if you do not pay attention to it in time, the consequences can be extremely unpleasant. The course of treatment should be prescribed by a doctor after identifying the causes of the disease.

Balanoposthitis is a urological disease, which is characterized by a simultaneous inflammatory process of the glans penis in men (balanitis) and certain areas of the foreskin (posthitis). In fact, these are two diseases, but often they occur simultaneously, and they were combined under the general name - balanoposthitis. Patients sometimes call this disease balanoposthitis of the foreskin. It occurs in both adult men and children. Balanoposthitis in boys is more often diagnosed at the age of 3 to 7 years.

Causes

Among the causes, the infectious nature of the disease and non-infectious are distinguished. Infectious balanoposthitis mainly occurs due to sexually transmitted infections (STIs), which include:

• Syphilis.
• Gonorrhea.
• Genital herpes.
• Candidiasis.
• Human papillomavirus (HPV).
• Gardnerellosis.
• Mycoplasmosis.
• Chlamydia.
• Trichomoniasis.
• Infections of the reproductive system (urethritis, cystitis, prostatitis).
• Nonspecific pathogens (E. coli, staphylococcus aureus, streptococcus).

Non-infectious causes of balanoposthitis include:

• Diabetes.
• Irritative balanoposthitis - occurs as a result of any stimulus, such as mechanical or chemical (thermal).
• Lichen flat.
• Psoriasis.
• Rare Behçet, xerotic obliterans balanoposthitis, Zun's plasma cell balanitis).

Predisposing factors

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

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

Symptoms

Treatment of balanoposthitis in men usually does not cause difficulties with a correct diagnosis. Symptoms of the disease depend on the severity of the course 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, they distinguish simple balanoposthitis, erosive and gangrenous.

Simple balanoposthitis

This is a mild form of this disease. Treatment of balanoposthitis in men in this case usually takes 5-7 days. Characteristic features simple balanoposthitis are:

• Burning and itching. Usually appear first. These discomforts are usually aggravated by rubbing against underwear, touching the foreskin and glans, and during urination.
• The head (as well as the foreskin) is red - these signs of inflammation can be located in the form of foci, either separated from each other or combined into one group.

• Puffiness and wrinkling of the head and foreskin are observed, i.e. maceration of the skin occurs - this is bursting, loosening of tissues as a result of their impregnation with intercellular fluid.
• Erosions are formed on the head and foreskin. This may be a single spot on the foreskin or multiple erosions, often combined into a single group.
• Often, purulent discharge is observed from the urethra.

Erosive balanoposthitis

This type of balanoposthitis is characterized by the formation of multiple erosions on the head and foreskin. First, a white swollen growth appears in a certain area. 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 traces remain.

Gangrenous balanoposthitis

This form of the disease is very severe and is characterized, in addition to local lesions, also common features intoxication, namely: fever, weakness and malaise. Very painful bleeding and purulent ulcers are observed on the head and foreskin of the penis. Due to the edema, phimosis occurs, i.e. it is impossible to expose the head of the penis. After tightening the ulcers, scars remain. They can also lead to phimosis, because these scars are connective tissue formations that are not able to stretch. In addition, perforations may remain on the foreskin after the ulcers have healed.

Signs of balanoposthitis in some STIs

Some signs of balanoposthitis with a non-infectious nature of occurrence

Features of balanoposthitis in boys

Infectious balanoposthitis in childhood practically never occurs. The most common causes of this disease in children:

• Violation of the rules of personal hygiene.
• The release of an excessive amount of smegma, which accumulates between the head of the penis and the foreskin, forming a breeding ground for bacteria.
• Phimosis.
• or an overdeveloped foreskin.

First of all, it is necessary to establish the cause that caused the disease. It is not recommended to self-medicate. It is necessary to contact a urologist or dermatologist (venereologist). Treatment of balanoposthitis in men is often carried out specific, depending on the causative agent of the disease. It is necessary to carefully follow all the recommendations of the doctor.

So, if candidal balanoposthitis is established in men, treatment should be carried out using antifungal agents. At the same time, "Mikogal", "Miconazole", "Terbinafine", "Candide", "Clotrimazole", "Omoconazole" and others are used locally. The ointment is rubbed into the affected areas 2 times a day. Before the procedure, it is necessary to carry out thorough hygiene of the genital organs (wash with soap and water). Usually this treatment lasts about 3-4 weeks.

Antibacterial and antiallergic agents are often used when treating balanoposthitis in men. Preparations "Locasalen", "Lorinden", "Locacorten" based on flumatozone pivallate are powerful agents that simultaneously have anti-inflammatory and anti-allergic effects. Treatment with these drugs is also carried out under the supervision of a physician.

"Levomekol" - ointment. Price

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

Very effective for balanoposthitis drug Its price is low, within 100 rubles. Therefore, the tool is used for any type of this disease.

Dressings with ointment are applied to the damaged areas at night after thorough hygiene of the genital organs. This procedure is done within 5 days. Treatment must be carried out under the supervision of a physician.

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

Synthomycin ointment is probably found in every home first aid kit. This name is familiar to many since childhood, because it was often used for various skin problems and wounds. This drug is able to quickly heal skin lesions.

Synthomycin ointment for balanoposthitis is prescribed quite often, because its main component is an antibiotic similar to chloramphenicol. It inhibits the growth of bacteria that penicillin, streptomycin and sulfanilamide cannot cope with. This drug has antiseptic properties, so it is widely used to treat diseases caused by gram-positive bacteria. Synthomycin ointment for balanoposthitis can stop the most severe inflammation. It is produced in various concentrations. On tubes with that medicine the numbers 1, 5 or 10 are indicated, which indicate the percentage of the active substance in it per 1 ml of the auxiliary. The filler in this preparation is a mixture castor oil, emulsifiers, distilled water and preservatives.

What is the scope of synthomycin ointment? This remedy, in addition to balanoposthitis, treats about 40 more diseases. The most common of them are: herpes zoster, subcutaneous mite (demodecosis), inflammation of the sweat glands, furunculosis, burns, impetigo, etc.

No matter how wide the scope of this ointment is, it has contraindications. These are: individual intolerance to levomycetin and substances similar to it in chemical structure, disorders of hematopoietic processes, psoriasis and eczema, fungal diseases skin, infancy, pregnancy and lactation.

The instructions for synthomycin ointment indicate side effects that may appear during its use. So, this drug can cause local skin irritation, inhibition of the hematopoietic process, an allergic reaction (rash, urticaria and even anaphylactic shock), the development of repeated fungal infections of the mucous membrane and skin.

In the treatment of balanoposthitis, synthomycin ointment is used externally after hygiene procedure genitals. It is applied in a thin layer to the affected areas after drying them with a soft towel. If suddenly you have an allergic reaction or you feel a strong burning sensation and itching at the application site this tool stop using it immediately and ask your doctor to prescribe another drug. After all, balanoposthitis must be treated, and the sooner the better.