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Balanoposthitis: treatment in men, photos, forms and ways of infection

Balanoposthitis is a urological pathology, and among patients in the urologist's office or a dermatovenerologist, one sixth of men seek help from this particular problem. The disease is accompanied by inflammation and is often triggered by two or more pathogens (mixed infection).


Balanopostitis - what is it?

Balanoposthitis is an inflammatory disease affecting the tissues of the inner leaflet of the foreskin and glans penis. These zones are in contact with each other, so most often the infectious process affecting one of them is transmitted to the other.

Less often, it only takes place when the foreskin is inflamed, or only balanitis is inflammation of the head of the penis.


Various microorganisms can provoke the development of balanoposthitis:

  • Bacteria are the most common pathogens, and in most cases the tissues are affected by several of them at once. For example, with streptococcal staphylococcal infection. These two types of bacteria are considered conditionally pathogenic, normally live on human skin, but can get to the genitals and under certain conditions begin to multiply uncontrollably. From pathogenic microbes, balanoposthitis is caused by gardnerella, pale treponema, chlamydia, gonococcus, and others.

Attention! The primary symptom of syphilis - hard chancre - is often located exactly on the head of the penis and may be accompanied by inflammation.

  • Fungi are microorganisms of the genus Candida, some species of which live in the vagina and urethra in women. Once on the male genitalia, with weakened immunity and other factors, they can provoke inflammation.
  • Viruses - they are least likely to cause balanoposthitis, and fall on the penis during intimacy. Most often it is genital herpes , which is well accustomed to the mucous membrane of the urethra and external genital organs.
  • Parasitic lesions, such as the simplest microorganisms, are rare and prevail in countries with hot and humid climates — in the tropics.

Balanoposthitis Forms

Balanoposthitis Forms

By the nature of the flow balanopostitis is:

  1. Acute when symptoms are pronounced and the disease progresses rapidly;
  2. Chronic - the symptoms are less intense, the course of the disease is replaced by periods of relapse and remission.

Acute balanoposthitis in men is more common, its duration is 1-2 weeks. Without timely treatment of balanoposthitis or with illiterate self-treatment without prior diagnosis, the disease becomes chronic, which lasts for months and even years.

There are many forms of balanoposthitis, the most common ones are:

  • candidal;
  • herpetic;
  • erosive;
  • chlamydia;
  • zircon;
  • purulent;
  • anaerobic;
  • ulcerative-pustular;
  • gangrenous.

Candida balanoposthitis is a form of candidiasis that develops with a decrease in the body's immune forces and metabolic disorders, for example, in diabetes mellitus. The disease begins with an itch, the appearance of light on the surface of the penis, moderate hyperemia.

Without treatment, a bacterial infection can join the candidal lesion, and the course of the disease becomes chronic.

Chlamydia is the causative agent of chlamydial balanoposthitis , and pathology is a form of urogenital chlamydia. It manifests pain when urinating, secretions from the urethra, redness and slight focal lesions of the head and foreskin.

Extensive erosions and ulcers are rare. Pathology is contagious, and without treatment, inflammation spreads to other organs - the urethra, epididymis, prostate gland. Reuters syndrome is a serious complication of chlamydial balanoposthitis.

This is an autoimmune disorder, aggravating the course of the disease and leading to the appearance of rash and joint damage and provoking the development of zirconium balanoposthitis.

Herpetic balanoposthitis is caused by the herpes type II virus, which, once in the mucous membrane of the genitalia and then into the bloodstream, may not manifest itself for a long time. If the immune system is weakened, the pathogen is activated, forming a rash in the genitals in the form of painful and itchy watery blisters.

Pathology is sexually transmitted and can affect other organs, in particular, the brain.

The virus of genital herpes is transmitted through contact with the affected rash genitals and through biological fluids.

  • It is important for both partners to know: if the initial infection of a woman occurs during pregnancy, then due to the lack of antibodies to the mother’s virus, the risk of fetal death or the development of congenital anomalies of the child’s CNS is high.

The erosive form of balanoposthitis destroys the epithelium and mucosa of the foreskin and glans penis, on which reddish-pink painful rough ulcers and erosion are formed.

Over time, an infection develops on the damaged tissues, purulent areas appear, necrotization along the edge of erosions, and inguinal lymph nodes increase. The treatment is long, but scars and scars do not remain after it.

How do you get balanoposthitis?

The surest way to catch balanoposthitis is to have unprotected sex with an infection carrier. During sexual contact, viruses, bacteria, fungi, or protozoal microorganisms can enter the genitals.

Moreover, some of them, being part of the normal microflora of the female vagina (for example, staphylococcus), hitting the penis, can begin to actively reproduce due to reduced immunity of men or other factors.

Therefore, after intimate proximity without a condom, it is important to use antiseptics (Miramistin, Chlorhexidine). The following factors also contribute to infection:

  • Failure of intimate hygiene.
  • Indiscriminate and frequent sex life, not only increases the risk of infection, but also leads to microtrauma and irritation of the mucous membrane. Pathogens take root easily on the affected surface, while holistic skin and epithelial cover are a barrier for many microbes.
  • Concomitant pathologies that contribute to the reproduction of microorganisms - diabetes mellitus, kidney disease.
  • Features of the anatomy, for example, such an anomaly as phimosis , in which the foreskin is very narrow and does not reveal enough head of the penis. Because of this, smegma accumulates under her leaf, which promotes the reproduction of microbes.
  • Exposure to chemicals.
  • Cancer of the penis.
  • Infectious diseases of the kidneys and urinary tract - urethritis, pyelonephritis, cystitis - as well as urolithiasis and hydronephrosis .

Symptoms of balanoposthitis in men

Symptoms of balanoposthitis in men

Candida balanoposthitis, photo

When balanoposthitis symptoms appear individually depending on the causative agent of the disease. Most often there is pain and itching of the epithelium, swelling and redness of the head of the penis, rarely no symptoms for a long time.

In acute balanoposthitis, the symptoms of a man are pronounced, among them:

  1. Hyperemia and pain;
  2. Discharge from the urethra;
  3. Burning when urinating.

It is important to consult a doctor immediately when the first signs appear, otherwise it is possible to develop an erosive purulent lesion and chronic disease. Chronic form is manifested by slight swelling, redness and irritation of the affected area, the formation of plaque.

Symptoms of balanoposthitis photo

Symptoms of balanoposthitis photo 2

Without timely treatment, pain increases, and symptoms of balanoposthitis in men such as phimosis, difficulty urinating and erectile dysfunction can also develop.

Independent disappearance of signs of the acute form of the disease does not indicate recovery - the source of inflammation remains in the body and can affect other organs, including the prostate gland.

Balanoposthitis treatment, drugs

Balanoposthitis treatment, drugs The treatment regimen for balanoposthitis is determined by a urologist or dermatologist based on the results of tests and examination of the affected area. Therapy involves the use of:

  • Conservative methods are drugs that affect a particular group of pathogens. Tablets, injections and ointments for the treatment of balanoposthitis are prescribed depending on the pathogen (antifungal, antiviral, immunostimulating, and others).
  • Surgical intervention, shown with the ineffectiveness of drugs. The operation consists of dissection of the foreskin narrowed as a result of inflammation or circumcision.
  • Nontraditional therapy is an auxiliary measure - the use of compresses, trays of decoctions of herbs and other folk remedies.

For candidal balanopostitis in men, treatment involves the use of:

  • Antifungal drugs - topically Fluconazole , Clotrimazole, Lomeksin, Candide, Pimafucin, Tetraborate, ingestion of Diflucan , Flucostat or Itroconazole;
  • Laser phoresis and blood laser therapy;
  • Bath and lotions with calendula, barberry, chamomile, clove decoctions.

The gangrenous form is treated with means from the group of sulfonamides and antibiotics, topically used solutions of antiseptics with an acidic medium - potassium permanganate, oxygen water, silver nitrate.

When herpetic balanoposthitis shows:

  • Antiviral drugs locally and orally (Acyclovir, Famvir, Valacyclovir);
  • Immunomodulators and immunostimulants (Lokferon, Tsikloferon, Likopid, Timalin, Viferon, Neovir).

If cicatricial phimosis takes place, then the foreskin is dissected or cut, and further smeared on the affected area with healing ointments - Panthenol, Levomekol, hormonal creams with progesterone, sinestrol.

Lotions with a 10% solution of carbolic acid are shown with ulcerative-pustular balanopostitis. A 0.1% solution of rivanol is also used. The erosive form is treated with antibiotics and sulfonamides, bismuth powders.


When balanopostitis in men, treatment should be timely and be prescribed only by a specialist after the diagnosis. In this case, the prognosis is favorable and the risk of complications is virtually absent.

After infection with herpetic balanoposthitis, the herpes virus remains in the blood for life, but with a healthy lifestyle, a balanced diet, strengthening the immune system is not manifested for many years.

Possible effects of balanoposthitis:

  • inflammation of the lymphatic vessels of the penis and surrounding areas (lymphangitis);
  • infection and inflammation of the urinary tract and kidneys;
  • cicatricial phimosis ;
  • severe pain, in particular when moving;
  • urination during sexual contact;
  • erectile disfunction.

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