Treatment Of Balanoposthitis In Men - A List Of Medicines And Ointments

2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43

Treatment of balanoposthitis in men

Content:

• Local treatment of balanoposthitis in men
• Antibacterial ointments
• Hormonal ointments
• Antifungal ointments
• Medicinal plants
• Antibiotics for the treatment of balanoposthitis
• Operative intervention
• Preventive measures to prevent balanoposthitis

Local treatment of balanoposthitis in men

Local procedures in the treatment of balanoposthitis have an auxiliary effect. In complex therapy, they are of no small importance, since they allow you to get rid of the disease in the shortest possible time.

Healing baths with antiseptic solutions are the most common procedure that doctors recommend to all their patients with balanoposthitis. For the baths, you can use the following antiseptics:

Potassium permanganate (potassium permanganate)

To prepare the bath, you need to dilute a small amount of potassium permanganate in water. This agent acts as a powerful antiseptic, which is pathogenic for most bacteria. You can buy potassium permanganate at any pharmacy. It is dispensed in powder form.

The solution should be slightly pink in color. If a small child suffers from balanoposthitis, then you just need to bathe him in this solution, opening the head of the penis during the procedure. And for the treatment of older children and adult men, you need to dilute the powder in a glass of water and lower the penis there, also having previously opened its head. The exposure time of the penis in a solution of potassium permanganate is no more than 10 minutes. The procedure can be carried out up to 3 times a day.

Furacilin

Furacilin has a pronounced antibacterial and antiseptic effect. The drug can be purchased in the form of a ready-made solution or in the form of tablets.

If it is in the form of a solution, then it can simply be poured into a glass and used for its intended purpose. The tablets should first be crushed to a powdery state, and then dissolved in boiled water (2 tablets should be taken for 250 ml of water).

At the penis, the head is exposed and lowered into the prepared solution. The procedure takes about 10 minutes. You can repeat it up to 3 times a day.

Levomekol

This drug contains chloramphenicol and methyluracil. The first substance is a broad-spectrum antibiotic that is active against a large list of pathogenic microorganisms. The second substance has a regenerating and restorative effect. Levomekol is a drug that can be used to treat various types of balanoposthitis.

Contraindications to the use of the drug: fungal infection of the skin, psoriasis, eczema and hypersensitivity to its components.

As a rule, the drug is well tolerated, but such side reactions as itching, burning, skin rashes, dermatitis, urticaria and tissue swelling are not excluded. If, after applying the ointment, similar symptoms occur, then you should stop using it and consult a doctor for advice. The drug is not used to treat children under 3 years of age.

Before applying the ointment, the external genitals must be washed and dried, the skin must be clean. A bandage with ointment is applied to the penis and left overnight. The course of treatment can last about 5 days.

Xeroform ointment

This drug has a pronounced antiseptic, anti-inflammatory and drying effect.

As a rule, the ointment does not give side effects. However, allergic reactions at the site of application cannot be ruled out. They happen when there is an individual intolerance to the components of the drug. Therefore, if there is a burning sensation or itching, then the ointment should be washed off with water and consult a specialist.

Before applying the ointment, the genitals should be thoroughly washed and only then applied to the affected area with a bandage with the drug. To provide a therapeutic effect, it is left overnight. The course of treatment lasts up to 5 days.

Lorinden, Lokakorten, Lokasalen

All these drugs have one main active ingredient - flumethasone pivalate.

An ointment with such a component helps to eliminate inflammation, removes allergic manifestations. It is a hormonal drug that is effective for the treatment of balanoposthitis, triggered by the body's autoimmune reactions. It helps to cope well with itching, severe pain and inflammation.

Lorinden

Lorinden ointment in addition to flumethasone contains salicylic acid. It is not used to treat fungal skin infections, viral and bacterial balanoposthitis. Contraindications are also the presence of weeping ulcers and childhood.

The ointment is applied to the penis with a thin layer no more than 3 times a day. When the inflammatory process begins to subside, the number of applications should be reduced to 1-2 times. The course of treatment should not exceed 3 weeks. It is also allowed to apply the ointment in the form of a bandage and leave it for a day.

Possible side effects: burning, itching, dry skin. If the drug is used for too long, then reactions characteristic of glucocorticoid hormones develop: atrophy of the skin, purpura, dermatitis, steroid acne, etc.

Locacorten

This ointment is similar to Lorinden in its composition and effects. It also contains flumethasone and salicylic acid, i.e. a glucocorticosteroid and keratolytic agent.

It is applied to the damaged area of the skin with a thin layer 1-3 times a day. The course of treatment should not exceed 2 weeks.

To prevent a relapse of the disease, the ointment should be applied for 1 week, 1 time per day. Side effects are similar to those that occur when using Lorinden ointment.

Antibacterial ointments

There are many ointments containing an antibiotic in their composition. The doctor must recommend a specific drug. The choice depends on which bacteria triggered the development of balanoposthitis, as well as on the sensitivity of microorganisms to a particular type of antibiotic. In order to decide on this issue, it is necessary to conduct an antibioticogram.

Hormonal ointments

Prednisolone ointment

The ointment has the main active ingredient - prednisolone. It is a hormonal drug that has a pronounced anti-inflammatory and antihistamine effect. Applying the ointment helps to quickly eliminate swelling, itching and pain. The drug is prescribed for balanoposthitis, which is of an autoimmune nature. The tool quickly eliminates all negative manifestations of the disease, however, it is prohibited to use the ointment for more than 7 days in a row.

Before applying, you should thoroughly wash and dry the penis. The drug is applied in a thin layer and left overnight. With a severe course of the disease and severe symptoms, it is possible 2-3 times to use the drug.

Contraindications to the use of the drug: viral, bacterial or fungal infection, tuberculosis of the skin, syphilis, neoplastic diseases, the presence of ulcers and wounds on the surface of the penis. The ointment is not used to treat children under 2 years of age. Other prohibitions on its use are the presence of acne, rosacea.

The drug is capable of producing multiple side effects, especially if over-applied or used for too long. First of all, this concerns the directly processed surface. Redness of the skin, the appearance of itching, burning, swelling, acne is possible.

Locoid

It is a hormonal ointment for external use. It contains an active substance called hydrocortisone-17-butyrate. The use of the ointment helps to relieve inflammation, eliminate itching, and reduce tissue swelling. The drug is practically not absorbed into the bloodstream when applied topically and accumulates only in the granular layer of the epidermis.

Locoid is not prescribed for the treatment of viral, bacterial and fungal balanoposthitis. The ointment is recommended for treating inflammation caused by autoimmune processes.

The drug is applied to a clean genital organ 1 to 3 times a day. Do not use more than 30-60 g of the drug per week.

As for side effects, Locoid rarely causes them, the main one is considered to be itchy skin. The ointment can be used to treat children over 6 months of age.

Advantan

This ointment contains an active ingredient such as methylprednisolone. It is used to eliminate severe inflammation, itching and allergic manifestations of balanoposthitis. Applying the ointment helps to reduce swelling, irritation and pain. The drug is not used to treat viral, tuberculous and syphilitic skin lesions.

The drug is applied to the washed and dried penis once a day. The course of treatment should not exceed 12 weeks.

Most often, the ointment is well tolerated by patients. It is extremely rare that skin reactions such as itching, burning, erythema, blistering rashes occur.

Elidel

The drug contains an active ingredient called pimecrolimus. It has a pronounced anti-inflammatory effect.

The drug is not used to treat viral, fungal or bacterial balanoposthitis in the acute stage.

The cream is applied to the penis with a thin layer, and then gently rubbed until completely absorbed. Frequency rate of application - 2 times a day.

The most common side effects from the use of the drug are burning sensation, itching and redness of the skin in the area of application.

Antifungal ointments

Antifungal ointments are used to treat mycotic balanoposthitis. They are prescribed in the case when the fungal nature of the disease is clarified. The drug is selected depending on which yeast-like microorganism provoked the development of inflammation.

Clotrimazole

Cream for external use with the active ingredient of the same name. Possesses a wide antifungal spectrum of action. The drug is effective against yeast-like and mold fungi. In addition, it is harmful to staphylococci, streptococci, Trichomonas and some gram-negative bacteria.

The drug has no contraindications for application. They are smeared with a previously washed and dried penis 2-3 times a day. The course has an individual duration.

Possible side effects: burning and itching in the area of application of the drug. Allergic reactions, skin flaking, erythema, irritation and edema are possible.

If recovery does not occur after 4 weeks of regular use of the cream, then the diagnosis should be reconsidered.

Candide

Cream Candide is an analogue of Clotrimazole cream and contains exactly the same active ingredient. Therefore, all recommendations for the use of the drug are similar to the drug described above.

Omoconazole, Mikogal and Miconazole

These creams have a similar composition and contain an active ingredient called miconazole. The drug effectively fights against yeast-like fungi of the genus Candida, dermatophytes and other mycotic microorganisms. In addition, the cream helps to destroy streptococci and staphylococci, which very often provoke complications of fungal balanoposthitis.

Local application of the drug eliminates itching, reduces edema, and promotes early wound healing.

The cream is applied to the affected area of the genital organ 2 times a day. Beforehand, the penis must be washed with clean water and soap and blotted with paper or towel.

As a rule, the drug is well tolerated, but in some cases it can provoke the development of allergic reactions, including itching, rash, redness and dryness of the skin.

The cream is not used for herpes fever, against the background of renal or hepatic failure, as well as for individual intolerance to imidazole derivatives.

Terbinafine

It is a cream with the main active ingredient terbinafine hydrochloride. It has a wide spectrum of antifungal activity and is effective against mold, dimorphic, yeast and dermatophytes. The drug can be used to treat balanoposthitis in adults and children over 3 years old.

The cream is applied to a clean penis, from which it is necessary to remove all residual moisture. If the effect of treatment is absent for 3 weeks, then the therapeutic regimen should be revised.

The cream is not used to treat men with chronic renal and hepatic failure.

Medicinal plants

Medicinal plants with antiseptic properties: sage, chamomile, plantain, St. John's wort, calendula, string, oak bark.

Of the above herbs, you need to choose one and prepare an infusion from it (2 tablespoons of dry raw materials pour 200 ml of boiling water). After the drug has cooled to a comfortable temperature, a penis with an open head is placed in a glass with it. The exposure time is about 20 minutes. You can repeat the procedure up to 6 times a day. The course lasts 5 days.

All of these plants have a pronounced antiseptic and anti-inflammatory effect. They can help reduce the symptoms of inflammation by destroying the bacteria that caused it. In addition to trays, you can also use medicinal ointments that are applied topically, for example, a preparation with calendula tincture.

Antibiotics for the treatment of balanoposthitis

Balanoposthitis requires the appointment of systemic antibacterial agents only if the disease is of an infectious nature, or is accompanied by the occurrence of gangrene, the appearance of ulcers and other severe complications.

Rules for taking antibiotics for balanoposthitis:

• The drug should be prescribed by a doctor, based on the analysis performed to determine the type of bacteria and their sensitivity to a particular drug.
• Self-administration of antibiotics for balanoposthitis is unacceptable.
• Mild forms of the disease do not require antibiotic therapy.
• You need to take drugs strictly following the instructions of your doctor.
• Antibiotics should always be drunk at the same time. Otherwise, there is a risk that they will not have the desired effect.

Treatment of non-specific bacterial balanoposthitis

Antibacterial drugs that are prescribed for the treatment of balanoposthitis:

1. Cefazolin. The drug has two forms of release: in tablets and in powder, which is used to prepare a solution followed by its intramuscular administration. Doctors recommend using intramuscular injections for bacterial balanoposthitis, since the effect of such treatment is much higher than from oral administration of the drug.

   Dosage:

   • Adults 0.5-1.0 g intramuscularly. Saline is used for dilution. Enter 6-8 times a day.
   • Children 20-50 mg / kg. The received dose must be divided into 3 or 4 doses per day.

   The drug has contraindications for use, including an allergic reaction to the components that make up it.

2. Ceftriaxone. This drug belongs to the group of cephalosporins. It has a wide range of antibacterial activity and is quite effective in the treatment of balanoposthitis, even if other antibiotics did not achieve the desired result.

   The drug has two forms of release: in tablets and in powder, which is used for the preparation of injections. Doctors recommend using the injection of the drug, which makes it possible to increase its effectiveness.

   Dosage:

   • Children under 12 years of age: 20-100 mg / kg.
   • Children over 12 years old and adults: 1-2 g once a day. To prepare a solution for injection, use a saline solution.

   The drug is not prescribed for people prone to bleeding, patients with enterocolitis. A history of an allergic reaction to cephalosporins is a direct contraindication to the administration of this drug.

3. Azithromycin (trade names of drugs: Sumamed, Zimax, Azinox, Sumazid, Zitrolide). This drug belongs to the pharmaceutical group of macrolides. It has a wide spectrum of antibacterial activity. With balanoposthitis, a tablet form of drug release is most often prescribed.

   Take 2-4 tablets 1 time per day, before meals.

   Contraindications: disorders in the functioning of the kidneys, liver and heart.

Treatment of gonorrheal balanoposthitis

In order for the patient to get rid of the balanoposthitis caused by gonococci, the doctor may prescribe one of the following antibacterial drugs:

1. Cefixime. This drug belongs to the group of beta-lactam antibiotics. It is highly active against microorganisms that cause gonorrhea. Drug release form: tablets of 200 or 400 mg.

   Dosage for different age groups:

   • Children under 12 years of age: 4-8 mg / kg, every 12 hours.
   • Children over 12 years old and adults: 1 tablet 400 mg or 2 tablets 200 mg per day.

   The duration of the course should be determined by the doctor, based on the patient's condition.

   The drug is not prescribed for individual intolerance to beta-lactam antibiotics.

2. Ciprofloxacin. This drug belongs to the group of fluoroquinolones. It is active against most bacteria that cause the development of genitourinary infections, including against gonococci. The drug is available in tablet form and in powder form for injection.

   Ciprofloxacin is prescribed for the treatment of adult patients at a dose of 500 mg. Intravenously administered 100 mg of the drug. The course of treatment is determined by the doctor.

   Contraindications: under 15 years of age.

3. Ofloxacin. This drug also belongs to the group of fluoroquinolones and is the drug of choice in the treatment of gonococcal balanoposthitis.

   Dose: 400 mg once. The course of treatment is determined by the attending doctor.

   Contraindications: epilepsy, age less than 15 years.

Treatment of Trichomonas balanoposthitis

For the treatment of balanoposthitis provoked by Trichomonas, the drug Metronidazole is prescribed. Its trade names are Trichopolum and Metrogyl.

Mode of application:

• 250 mg - children 1-5 years old.
• 375 g - children 6-10 years old.
• 500 mg - teenagers 11-15 years old.
• 0.5 g 2 times a day - for adults. A single dose of the drug at a dosage of 2 g is possible.

Contraindications: diseases of the hematopoietic and nervous system.

Treatment of candidal balanoposthitis

For the treatment of candidal balanoposthitis, Fluconazole is used (analogs: Flucostat, Diflucan).

This drug is active against yeast-like microorganisms of the genus Candida. It is available in the form of capsules for oral administration.

To get rid of the disease, a single dose of the drug is required at a dosage of 0.2-0.4 g per day. The course of treatment is determined by the doctor and depends on the severity of the inflammation.

Contraindications: age under one year.

Treatment of herpetic balanoposthitis

For the treatment of herpes infection, Acyclovir is used (trade names: Atsivir, Acyclovir-Acri, Acyclovir BMS, Herperax, Ciclovax, Acyclovir Virolex, Lizavir, Herpesin, Lovir, Zovirax, Supraviran, Acyclovir Hexal, Medovir, Cevirin).

Acyclovir is highly active against herpes viruses. For adult patients, it is prescribed at a dosage of 0.2 g, 5 times a day. Take a break before resting at night.

Contraindications: individual intolerance to the components of the drug, age up to 3 years (for the tablet form of the drug).

Operative intervention

With balanoposthitis, an operation is prescribed in the case when the disease has a severe course:

• If the inflammation cannot be stopped by taking medications, which leads to the chronicity of the disease. Before sending a patient for surgery, it is necessary to wait until the acute process subsides.
• If cicatricial phimosis develops. This complication is a consequence of frequent relapses of the disease and is characterized by scarring in the foreskin. As a result, it narrows greatly, which prevents the normal exposure of the male genital head.

The operation for balanoposthitis is called "circumcision" (circumcisio).

Preventive measures to prevent balanoposthitis

In order to prevent the development of the disease, the following recommendations are required:

• Adhere to the rules of intimate hygiene.
• Change your underwear regularly.
• Refuse promiscuous sex.
• A woman should not less carefully observe intimate hygiene, so as not to provoke the development of balanoposthitis in her sexual partner. Regular check-ups with a gynecologist are also important.
• Young boys should be bathed in water with a little potassium permanganate added.
• If the head of the penis does not open well in a child, then you should hold it for several minutes in warm water. After that, the foreskin will move away more easily, and hygiene will be performed better.
• The male child should be regularly examined by a pediatric surgeon (as planned).

Author of the article: Lebedev Andrey Sergeevich | Urologist

Education: Diploma in the specialty "Andrology" received after completing residency at the Department of Endoscopic Urology of the Russian Medical Academy of Postgraduate Education in the urological center of the Central Clinical Hospital No. 1 of JSC Russian Railways (2007). Postgraduate studies were completed here by 2010.