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Acute superficial balanitis can be treated through daily cleaning and care, topical drugs, oral drugs, physical therapy, surgical treatment, etc. Acute superficial balanitis is usually caused by bacterial infection, fungal infection, local irritation, excessive foreskin, decreased immunity, etc.

1. Daily cleaning and care

Keeping the perineum clean and dry is the basic treatment measure. Wash the foreskin and glans with warm water every day and avoid using irritating lotions. After cleaning, dry gently to avoid residual moisture. It is recommended to wear loose and breathable cotton underwear to reduce local heat and friction. People with excessive foreskin can try to turn the foreskin up every day to fully expose the glans, but the action should be gentle to avoid damage. If there is accumulation of smegma, it needs to be cleaned in time but cannot be forcibly peeled off.

2. External use drugs

For bacterial inflammation, antibiotic topical ointments such as erythromycin ointment and mupirocin ointment can be used as directed by your doctor. Fungal infections require the use of antifungal drugs such as clotrimazole cream and bifonazole cream. When there is significant edema, hydrocortisone cream can be used short-term to relieve symptoms. Clean the affected area before use and apply a thin layer 1-2 times a day. It should be noted that hormone drugs should not be used for a long time to avoid secondary infection or skin atrophy.

3. Oral medications

When the infection is severe, oral antibiotics such as cefaclor dispersible tablets and azithromycin tablets can be used. Fungal inflammation requires oral administration of fluconazole capsules or itraconazole capsules. People with severe itching can take antihistamines such as loratadine tablets. When taking oral medications, you must strictly follow the doctor's instructions to complete the course of treatment, and you are not allowed to increase or decrease the dosage on your own. Do not drink alcohol during medication and observe whether there are any adverse reactions such as gastrointestinal discomfort.

4. Physical therapy

In the acute stage, you can try cold compress to relieve redness, swelling and pain for 10-15 minutes each time to avoid frostbite. For those with chronic and recurring attacks or those with foreskin adhesion, physical therapy such as infrared irradiation can be used to promote local blood circulation. Physical therapy needs to be performed by professionals in medical institutions, and medications and nursing measures are still required during treatment. The frequency and duration of treatment are adjusted according to the condition.

5. Surgical treatment

Circumcision should be considered in patients with recurrent phimosis or combined phimosis. Surgery can completely solve the problems of cleaning difficulties and bacterial growth caused by excessive foreskin. Either traditional circumcision or stapler surgery can be chosen, and the wound needs to be kept clean and dry after surgery. The timing of surgery should be to avoid the acute infection period, and coagulation function and other tests need to be completed before surgery. Avoid strenuous exercise and sex for 2-4 weeks after surgery.

During treatment, sexual life should be avoided to prevent cross-infection, and spouses should be examined and treated simultaneously. The diet should be light and limit the intake of spicy foods. Maintaining a regular schedule can help restore immunity. If fever, ulcer exudation, or symptoms continue to worsen, timely follow-up visits are required to adjust the treatment plan. After surgery, patients need to change dressings regularly according to medical advice and observe wound healing. Pay attention to cultivating good hygiene habits every day and avoid unclean sex.