Candidal balanitis

　　Mycotic balanitis is a common reproductive infection disease. Both phimosis and unclean sexual behavior can lead to mycotic balanitis. There are many types of balanitis, and mycotic balanitis is the most common type of balanitis. The pathogenic agents causing this type of infection are bacteria, fungi, or parasites, etc. Mycotic balanitis caused by drugs often has itching and burning sensation. So, what is mycotic balanitis? Regarding this, the following urological experts will introduce the pathogenic causes of mycotic balanitis.

　　1, Can be caused by non-infectious factors:

　　Generally non-infectious factors include local trauma, friction, contraceptives, soap and detergents, etc., which can cause edematous erythema, erosion, exudation, and even hemorrhage locally. If secondary bacterial infection occurs, it can become purulent and form an ulcerative surface. Patients have significant pain and difficulty in movement. Clinically, it is called acute superficial mycotic balanitis.

　　2, Trichomonas infection:

　　It is often transmitted by the spouse having trichomoniasis. The symptoms are mild, mainly manifested as erythema and papules on the glans, small blisters, etc. The boundary is clear, and the range gradually expands. Patients often feel itchy. Trichomonads can be found in the secretions.

　　3, Candida infection:

　　Candida is a conditionally pathogenic fungus, so candidal mycotic balanitis often occurs secondary to diabetes, senile消耗性疾病 and after a large amount of antibiotic or hormone treatment, can also be primary, often transmitted from spouse candidal vaginitis, the glans and coronal sulcus can have superficially red erosion and thin-walled pustules, but the local Candida may not be found, may be caused by local allergic reaction caused by Candida.

　　4, Amebic infection:

　　Patients often have mycotic balanitis lesions first, locally losing normal barrier function, followed by transmission of amebiasis from the intestines. Local erosion, ulceration, and tissue necrosis are obvious, and the trophozoite of amebas can be found in the direct smear of secretions.

　　Expert reminder:Mycotic balanitis is very troublesome. Not only does it bring trouble to life due to its symptoms, improper treatment can also lead to many complications, such as urinary system diseases, leading to male infertility, leading to sexual dysfunction, etc., which are extremely harmful. Therefore, if symptoms of mycotic balanitis appear, timely treatment should be sought, and treatment should not be delayed due to procrastination.

　　Mycotic balanitis often occurs in young and middle-aged adults aged 20 to 50. Due to the vigorous secretion of sebaceous glands in young and middle-aged adults, the vulva is moist, and wearing thicker underwear or insufficient vulvar hygiene can easily allow mold spores scattered in the air or parasitizing here to take root and germinate, causing trouble, and may be transmitted to the spouse. Many middle-aged and young women due to changes in their own physical condition, or taking antibiotics and other drugs, or excessive cleanliness, often wash the vagina, causing the vaginal acid-base environment to change, normal parasitic bacteria mutually restrained imbalance, the fungi (mold) here can take advantage of the opportunity to enter, causing inflammation of the vulva and vagina in patients. It is very likely to be transmitted to the spouse after sexual intercourse, causing mycotic balanitis.Mycotic balanitis requires active treatment to prevent the condition from worsening. Below, I will introduce the complications of mycotic balanitis:.

　　1. Endangering Reproductive System Health:

　　Balanoposthitis is also likely to cause inflammation of the prostate, testicles, epididymis, sperm ducts, and other organs. If not treated promptly and effectively, the mutual infection can cause great harm to reproductive health.

　　2. Causing Urinary System Diseases:

　　Balanoposthitis is also prone to cause ascending infections of the urinary system, commonly seen in cystitis, nephritis, pyelonephritis, etc. Improper treatment during the acute stage can be life-threatening.

　　3. Leading to Sexual Dysfunction:

　　During the inflammatory period of balanoposthitis, the glans'性感inducing nerves are damaged by inflammation, making men prone to premature ejaculation during sexual life, which may lead to erectile dysfunction.

　　4. Causing Infertility:

　　Due to the inflammatory secretions hidden in the prepuce entering the vagina during sexual intercourse along with seminal fluid, it reduces the quality of seminal fluid and destroys the spermatocyte cells, leading to infertility.

　　5. Leading to Dry and Obstructive Balanitis:

　　It is a more serious pathological injury of balanoposthitis, which not only destroys the normal physiological structure and appearance of the prepuce and glans, but also seriously affects the quality of sexual life between couples.

　　Mycotic balanitis is a common male disease, with a large number of patients. So, what are the typical symptoms of mycotic balanitis? Many men want to know this question. When discussing the causes of mycotic balanitis, it is generally said that it is due to unclean underwear, or long prepuces or phimosis. Experts point out that in fact, these are all caused by bacteria寄生 on underwear or in prepuce smegma. Mycotic balanitis patients should be treated as soon as possible, and the following will introduce the typical symptoms of mycotic balanitis in detail:

　　1. Pearl-like Penile Papules Disease:

　　The rash is the size of millet seeds, similar in color to the surrounding skin, without pain or itching. Although it has no effect on urination or sexual life, the psychological pressure is very great. The etiology of pearl-like penile papules has not been clearly identified, and the diagnosis mainly relies on the distribution and morphology of the rash. The most important thing for individuals with this condition is to recognize this disease and free themselves from fear and anxiety. This disease has no impact on health or the physiological function of the penis.

　　2. White Spots on the Glans:

　　White spots of various shapes may appear on the glans, some completely white, some lighter, without pain or itching, with a smooth surface without other skin rashes, and the surrounding pigmentation is often darker than the normal skin color. Since the white spots on the glans are related to chronic stimulation by prepuce smegma, and there is a possibility of malignant transformation, individuals with phimosis or long prepuces who have white spots on the glans should have prepuce circumcision as soon as possible.

　　3. Proliferative Erythema:

　　The manifestation is a single or several red spots on the glans, which can be round, annular, or irregular in shape, with clear boundaries, slightly elevated and hard, and a shiny surface. Sometimes, there may be erosion, scab formation, or papillary hyperplasia. The disease may remain unchanged for many years, or it may undergo changes. The etiology of proliferative erythema is unknown, but it mainly occurs in individuals with long prepuces, and it is believed to be related to long prepuces and the stimulation of prepuce smegma. The author has performed prepuce circumcision surgery on several patients with this disease, and the red spots of some individuals naturally disappeared. Therefore, all patients with this disease should have routine prepuce circumcision. There is no definitive opinion on the treatment of proliferative erythema at present.

　　4, Angioedema:

　　Angioedema is like urticaria, an acute allergic reaction caused by the glans to food, drugs, or insect bites. The disease can occur only on the glans, or occur simultaneously with urticaria. Children are prone to glans edema, which is manifested as the foreskin is highly edematous and shiny, like a large blister. But it does not affect urination. The disease often occurs at night, with slight itching and no systemic discomfort, and can regress spontaneously after a few days.

　　After understanding the symptoms of candidal balanoposthitis, as long as we pay more attention to it in daily life, we can easily find and distinguish such diseases. Experts remind male friends: if you or your friends have candidal balanoposthitis, go to the hospital for examination and treatment in time.

　　Candidal balanoposthitis is a disease that seriously affects the patient's life. The harm of this disease is great. Patients should pay attention to prevention. What are the key points for preventing candidal balanoposthitis? It is hoped that male friends can take a serious look and do a good job of preventing candidal balanoposthitis. Candidal balanoposthitis refers to inflammation of the inner plate of the foreskin and the glans penis. A kind of lipid substance secreted in the foreskin cavity normally can accumulate into foreskin垢 and stimulate the foreskin and glans penis to cause candidal balanoposthitis when there is phimosis or paraphimosis.

　　Candidal balanoposthitis can be caused by infection and non-infection. Infections such as Candida albicans, Trichomonas, Chlamydia, Mycoplasma, and gonococci can cause candidal balanoposthitis due to unclean sexual contact. Non-infection factors are often due to phimosis, insufficient cleaning, unclean substances between the foreskin and glans, that is, foreskin垢, which accumulate and stimulate the local foreskin and mucosa to cause inflammation. The following introduces the key points for preventing candidal balanoposthitis:

　　First, pay attention to local hygiene, clean the glans and foreskin every day. If the foreskin is too long, it should be treated in time, and circumcision may be necessary if necessary. It is very necessary to clean the foreskin垢 in time.

　　Second, if one partner has a sexual organ disease, stop sexual life and treat it in time. If there is a trichomoniasis or candidiasis infection, both partners should be treated at the same time.

　　Third, frequently clean the foreskin and glans penis, keep the foreskin cavity clean and dry. Avoid unclean sexual contact and keep clean.

　　Fourth, if ulcers or erosions form, change the medicine in time, change it twice a day, and avoid uncomfortable stimulation.

　　Fifth, avoid using corticosteroid hormone ointments for acute candidal balanoposthitis to prevent more serious infections.

　　Sixth, have a light diet, avoid spicy and刺激性 food, rest well, and avoid overwork.

　　Candidal balanoposthitis is completely preventable. Pay attention to developing good hygiene habits in daily life. It must be emphasized that those with phimosis and paraphimosis (the foreskin cannot be flipped back) must undergo circumcision in a timely manner.

　　These are the key points for preventing candidal balanoposthitis that the editor has explained for everyone. It is hoped that male friends can remember them and take preventive measures for candidal balanoposthitis in a timely manner.

　　Many men feel that it is a very embarrassing thing to have urological diseases, so even if there are symptoms, they are not ashamed to go to the hospital for timely and effective treatment, which will反而加重病情,不利于 future treatment. When the male glans appears inflammation, the patient is very painful. This disease is candidal balanitis, but many patients are not sure about this disease. Patients should be diagnosed and treated in time, but how can patients be diagnosed? The following introduces what examinations need to be done for candidal balanitis.

　　1. The disease can be diagnosed by direct microscopic examination:

　　Scrape the surface scales of the penile glans, corona sulcus, or prepuce as the specimen to be tested. Prepare the specimen with a certain concentration of potassium hydroxide or saline, and under the microscope, you can see a group of ovoid spores and pseudohyphae. If there are more pseudohyphae found, it indicates that the candidiasis is in the pathogenic stage.

　　2. Use staining to check the disease:

　　It can also be stained with Gram staining, Congo red staining, or PAS staining before microscopic examination, and the positive rate is higher than that of direct microscopic examination. Gram staining stains spores and pseudohyphae with blue, while Congo red and PAS staining stains spores and pseudohyphae with red.

　　3. Through separation culture and observation, patients with negative smears can undergo candidal culture:

　　Under sterile conditions, the specimen to be tested is inoculated onto Sabouraud's culture medium, and in most cases, the tube culture method is used. During inoculation, the slanting tube culture medium is slightly broken, and 2 to 3 inoculations are made per tube, with 2 tubes inoculated for each specimen. After incubating the culture medium in a 37℃ incubator for 24 to 48 hours, observe the growth of a large number of milky white colonies. Use a inoculating needle to pick up a small amount of colonies for smearing, and perform direct microscopic examination or staining after smearing, where a large number of spores can be seen, and a preliminary diagnosis of candidal infection can be made.

　　4. Application of candidal antibody test:

　　White念珠菌 antibodies can be detected by immunodiffusion or latex agglutination method.

　　Patients with candidal balanitis can perform self-examination:

　　Firstly, the prepuce is located in the front of the male reproductive organ, tightly wrapping around the penis. It is not only an important part of the male reproductive organ but also has important physiological significance. Long prepuce refers to the condition where the glans penis is completely covered by the prepuce when the penis is flaccid, and the glans penis cannot be fully exposed even after the penis is fully erect. Knowing these methods of checking phimosis and prepuce can help male friends discover the disease more quickly and effectively, and prevent the disease from causing other injuries.

　　Secondly, phimosis is a disease caused by an overly narrow prepuce opening, which prevents the glans penis from being exposed outside the prepuce. Phimosis can be divided into different types due to different causes and clinical manifestations, such as congenital type and acquired type caused by repeated infection and inflammation of the glans penis, leading to narrowing of the normal prepuce opening. The congenital type can be further divided into hypertrophic type and atrophic type, where the hypertrophic type refers to a loose prepuce with a narrow prepuce opening. When the patient urinates, the prepuce swells up like a lantern. Urine cannot be discharged smoothly and can only be discharged little by little along the narrow prepuce.

　　By understanding the methods of checking phimosis and prepuce, male friends can have a good understanding of the disease, be able to discover the disease in time and perform surgical treatment immediately, avoid the potential harm caused by the disease, and recover health as soon as possible.

　　In addition to actively participating in the treatment of candidal balanoposthitis under the guidance of a doctor, patients with candidal balanoposthitis should also pay attention to the health care of candidal balanoposthitis. The diet of candidal balanoposthitis is an important part of the health care of candidal balanoposthitis. Experts say that in addition to actively participating in the treatment of candidal balanoposthitis under the guidance of a doctor, patients with candidal balanoposthitis should also pay attention to the health care of candidal balanoposthitis. What are the dietary health care measures for candidal balanoposthitis?

　　Experts point out that the best way to treat candidal balanoposthitis and improve immunity is to eat more things that improve immunity, such as ginseng, royal jelly, and common foods such as mushrooms, monkey head mushrooms, black fungus, silver ear, fresh radish, lily, garlic (hot), tomatoes, sweet potatoes (white potatoes), tea, kelp (cold), astragalus (warm), honey, etc.

　　The following introduces dietary health care measures for candidal balanoposthitis:

　　Lack of vitamin C is a common cause of candidal balanoposthitis. Therefore, the diet for candidal balanoposthitis can adopt various methods for nourishment, such as mushrooms, red dates, pork skin, honey, etc. Blood-heat and上火 can also cause the skin of the glans to peel off, so it is best to cool the blood and also nourish the blood.

　　A large amount of vitamin C in the body is burned, and it needs to be supplemented. Often use nourishing yin and reducing fire, such as mushrooms, kelp, ophiopogon, gypsum, sand root, raw earth, etc.

　　The diet for candidal balanoposthitis should also be mild and nourishing. Red dates for blood nourishment and lotus leaves for cooling and appetizing, or mushrooms for clearing blood and cooling, can be used. Chrysanthemum clears the liver and improves eyesight, rose activates blood circulation and qi, and has a strong antioxidant capacity, all of which can alleviate candidal balanoposthitis.

　　Dietary health care for candidal balanoposthitis:

　　(1) 50g of red beans, 500g of glutinous rice, cooked into porridge and eaten. It can clear heat, detoxify, and promote diuresis and reduce edema.

　　(2) 250g of fresh toon leaves, cleaned, chopped, mixed with a little flour paste and salt, 500g of vegetable oil, heated, the paste is added to the oil, fried until golden and removed. It can clear heat and promote diuresis, detoxify and reduce swelling.

　　(3) An appropriate amount of fresh mung bean sprouts, stir-fried with vegetable oil, seasoned with salt and other seasonings, served with meals. It has the effect of clearing heat and detoxifying.

　　(4) One loofah, 50g of glutinous rice, an appropriate amount of sugar. First cook the porridge until half-cooked, add the loofah when the porridge is cooked, remove the loofah and add sugar, eat the porridge. It can clear heat, detoxify, cool blood, and reduce boils.

　　(5) 50g of mung beans, 100g of glutinous rice, cooked into porridge and eaten. It can clear heat, detoxify, and reduce edema.

　　(6) Four pork feet are cleaned, 50g of scallion, an appropriate amount of salt, and cooked in a pot over low heat until tender. The meat and soup are eaten in separate servings. It has the effect of detoxifying and reducing swelling.

　　(7) 15g of silver flower, 10g of mung bean skin, taken as tea, has the effects of clearing heat and detoxifying, and reducing swelling.

　　(8) Winter melon drink: One winter melon (about 500g) is cleaned, peeled, cut into slices, cooked with an appropriate amount of water, a little salt and seasoning, and eaten. It has the effect of clearing heat and promoting diuresis.

　　(9) Appropriate amounts of lonicera japonica and scutellaria baicalensis, decocted for tea drinking, have the effects of clearing heat and dampness, and detoxifying.

　　Mycotic balanoposthitis is a common male reproductive organ infectious disease, which not only affects normal physiological function but also prevents sexual activity and even spreads to others. Male friends who find their glans inflamed are advised to go to a regular hospital for examination and treatment as soon as possible. Do not buy medicine from pharmacies and take it privately, as this not only fails to cure the disease but may also worsen the condition, causing physical and economic burdens for future treatment. Therefore, male patients with mycotic balanoposthitis must be treated thoroughly. Let's see the expert's detailed explanation of the treatment methods for mycotic balanoposthitis.

　　1. Keep the local area clean and hygienic, avoid irritation:

　　If not a fungal patient, with dry desquamation, topical corticosteroid cream can be applied. For those with erosion and exudation, a 1:8000 potassium permanganate solution or a 1:2000 lead acetate solution can be used for cleaning and wet敷ment of the affected area. The ulcer surface should be changed daily, and physical therapy should be performed.

　　2. Patients with obvious infection and fever, with lymphadenopathy, can be treated with antibiotics.

　　3. Patients with clear etiology should be treated specifically for the cause:

　　For patients infected with Candida, antifungal drugs can be taken orally and antifungal powders or clotrimazole creams can be applied externally. Trichomoniasis patients can be treated with metronidazole.

　　4. For patients with long prepuces, circumcision can be performed after the acute inflammation is controlled.

　　5. Patients diagnosed with Behcet's disease may consider using analgesics, corticosteroids, transfer factors, dipyridamole, aspirin, vitamin E, vitamin B complex, vitamin C, and vitamin B12 for treatment.

　　(1) Patients with oral ulcers can gargle with prednisolone mouthwash, and the ulcers on the glans can be cleaned with a 1:8000 potassium permanganate solution and then treated with antibiotic ointment.

　　(2) Patients with recurrent chronic attacks may consider using immunosuppressants such as cyclophosphamide or traditional Chinese medicine, but all of them need to be carried out under the guidance of a specialist physician.

　　The above methods are common treatments for candidal balanoposthitis, and some male patients, ashamed to go to the hospital for treatment after the disease, are exactly what they need, allowing self-treatment at home. However, experts still recommend going to a regular hospital for treatment to avoid improper self-treatment and aggravating the condition.