Doctor insights on:
Best Treatment For Balanitis
What kind of specialist is best for treatment of balanitis (seen family doctor already), dermatologist or urologist?
Either: If it is severe, with tight scar on foreskin, a urologist will cure it by simple circumcision. Castellani solution is excellent and an azole cream is often added. Miconazole, clotrimazole, ketoconazole. Balanitis is caused by small amounts of urine retained under the foreskin where bacteria ferment the organic material there. The metabolic wastes from these bacteria and yeasts are irritating. Ammo ...Read more
What is the best treatment to ensure complete entire eradication of candida balanitis? Candida confirmed, type unconfirmed.
Here are...: Key rx for balanitis is gentle cleaning ; drying the foreskin regularly, especially after each peeing plus timely ; thinly applying antifungal/steroid cream; definite rx is circumcision + good hygiene. Note: remember to pull down the retracted foreskin after each cleaning ; drying; otherwise, paraphimosis may ensue - an emergency. ...Read more
It is yeast: Balanitis is a yeast dermatitis a healthy balanced diet can prevent as can good hygiene. Probiotics orally can help balance the intestinal bacteria and ca n prevent infection. Using vinegar and water as a rinse in the shower or as a wipe in a baby can also help as vinegar breaks up the cell walls of yeast. ...Read more
Is topical butenafine appropriate in the treatment of candidal balanitis or would it be too harsh and cause further irritation?
Balantitis: Aaron, that should not be too harsh. I would avoid getting inside the opening of the urethra. If it does not start working in 2-3 days, I would con side seeing my doctor for some oral medication. Make sure you keep things as clean and dry as you can. Also make sure your partner has been treated. ...Read more
16 yr old male,uncircumcised,balanitis fr 3month,treatment not effective, post-void incontinence, Parasthesia in testicles,spraying urine. What is it?
Needs examination: The symptoms you describe would require an examination urgently. Either an emergency room or urologist if available. ...Read more
Suspected balanitis for 1 year, swab showed candida, anti fungal treatment,circumcision,hydrocortisone all failed !? What could be causing it?
Nizoral (ketoconazole): Nizoral has a broader spectrum of antifungal coverage than naftin (naftifine). Naftin (naftifine) indicated for trichophyton fungal infections (athlete's foot, jock rash) whereas Nizoral also covers candida (yeast) fungal infections which is commonly associated with balanitis. ...Read more
I'm 16 and have balanitis.I also have phimosis from what I have read on the Internet.Haw can I cure this without circumcision?
Suffering from balanitis, was prescribed timodine cream but failed to cure the condition, penis glans are inflamed and very dry & shiny in appearance ?
Castellani solution: If your pharmacy or chemist does not have it, they can make or obtain it. Get the clear, modified version. It will clear very quickly. Your product was worth a try but is not much good. Balanitis is due to tiny amount of URINE fermenting under your foreskin. Rinse off daily, best in a shower. Always blot or wash off the last drop of urine after you go. A circumcision will end the problem. ...Read more
For balanitis, if the cause is irritation is it best to start with just cleaning, or antifungal with or without hydrocortisone or start with bactroban (mupirocin)?
Here are some ...: Irritation in the glans penis is usually related with long foreskin; if so, circumcision is the surest long-term care of choice although antifungal with steroid cream + good local hygiene may give temporary relief. Occasionally, its irritation may not be related with contact dermatitis, lichen planus. Without a look at it, it's hard to give an accurate Dx. So, seek pro-evaluation / counseling if.. ...Read more
Acc. to Doc,suffering from Balanitis.After starting treatment,lots of white sticky discharge under foreskin,and inflammation increased.Really painful.
FollowUpWithDoctor: You are being treated with oral Antibiotics but still has lot of sticky discharge.We don't know how many days you have been treated as it takes time for antibiotics to work.But if still concerned follow up with your doctor.Did doctor take a culture? ...Read more
It is not: Look for some other cause. Depending on your actual physical findings, your physician may recognize possible etiologies and management. You were brave to write, and usually this is easily managed. ...Read more
Usually not at all..: It won't kill as long as it is contained within foreskin and glans penis as what you described. ...Read more
Based on ...: Usually, a detailed hx and inspection on the penis should give a reasonable confirmative diagnosis for balanitis xerotica obliterans (bxo). See urologist timely for detail. ...Read more
Poor hygeine: Phimotic foreskin is tight and either difficult or impossible to retract making penile glans & inner foreskin difficult or impossible to clean. Also smegma (whitish material composed of sloughed skin cells) collects under the foreskin, causes irritation which can lead to inflammation. Inflammation with or without infection of glans penis is balanitis. Smegma does not collect on a circumcised penis. ...Read more
Balanitis: Nope. This infection may scar a man but it is not in general life threatening. ...Read more
Balanitis of penis: Balanitis refers to inflammation of the head or tip of the penis. It has many causes, including yeast infection, seborrhea, contact allergic or irritant dermatitis to condoms or spermicides. In uncircumcised men, the foreskin can be involved, especially with yeast infection in diabetics. See a dermatologist or urologist for Balanitis diagnosis and therapy. ...Read more
I notice I get balanitis when on antibiotics. Am on 12 wks of antibiotics and again getting balanitis. What can I do?
Abstain sexually: for 1 week. Change to vinyl or hypoallergenic condoms. Have sexual partner checked for infection and get checked yourself. ...Read more
Who is the right person to see in regards to re-occurring balanitis associated with candida to also get a sample test done?
Primary care Dr.: You should get a full work up. With recurrent balanitis, i think about a need to rule out diabetes, as these patients are more prone to this. Have your doctor eval ant treat the balanitis, while also looking into potential reasons why this is recurring. Sexual history will need to be obtained, possibly treatment of sexual partners concurrently. Just get to your family doctor. ...Read more
I have balanitis(unknown cause) possible epididymitis and prostatitis. Can the cause of all these things be related to each other?
Where and how does one do the tests needed to find the exact specific organism that is responsible for recurrent chronic balanitis?
Usually, no need for: In practice, usually, there is no need for culturing "something" from glans penis with balanitis. If the underlying causes - constant moisture ; poor hygiene between glans penis and foreskin - for its occurrence are not modified, such a penis is doomed to recurrent balanitis regardless of how many antibiotics be used, but instead, undiscriminated use of antibiotics will breed more resistant bugs. ...Read more
I ddnt finish an antibiotic course for balanitis so the situation has recurred so can l continue taking the antibiotics until finished?
Here are some...: Balanitis-inflammation of glans penis-is usually related with tight long foreskin with inadequate hygiene, and its most common effective care includes enhancing topical hygiene with proper cleaning & drying + judicious use of topical anti-fungal + steroid cream gingerly 1-2 times daily for 3-5 days. Yet, the ultimate solution is circumcision. More? Seek evaluation/counseling... ...Read more
Re-occurring balanitis: what tests can be done to find exactly what possible type of candidiasis this is? What are all the possibilities it could be?
Balanitis: The question isn't really subtyping the fungal organisms as most are sensitive to topical antifungal such as nystatin. The real issue is why you particularly are getting recurring fungal infections. Diabetics, particularly the uncircumcised, tend to get recurring fungal balanoposthitis. Perhaps a circumcision is in order if you are uncircumcised. See your physician for diabetes testing as well. ...Read more
I am suffering from balanitis from 1 month with taking fluconazole 150 it's gone but after 2 days it's converted in balanophosthitis, any medicine pls?
Here are...: Key rx for balanoposthitis is gentle cleaning ; drying the foreskin regularly, especially after each peeing plus timely ; thinly applying antifungal/steroid cream; definite rx is circumcision + good hygiene. Note: remember to pull down the retracted foreskin after each cleaning ; drying; otherwise, paraphimosis may ensue - an emergency! and balanoposthitis is involving both head and foreskin. ...Read more