For a past couple of weeks, I have a redness, swollen and pain in my penis (it has all the indication of having a balanitis, and I have tried using ring guard for a week but the condition only gone worse, now I am using clotrimazole for a couple of days still no improvement, and I also tried some antibiotics, so can someone help me out with this problem please.
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Balanitis describes inflammation of the glans penis and posthitis means inflammation of the prepuce. In practice, both areas are often affected together, and the term balanoposthitis then used. It is a collection of disparate conditions with similar clinical presentation and varying etiologies affecting a particular anatomical site. Balanitis is common in uncircumcised men as a result of poorer hygiene and aeration or because of irritation by smegma and in many cases preputial dysfunction is a causal or contributing factor. Balanitis may be more severe in the presence of some underlying medical conditions. It has been reported as a source of fever and bacteremia in neutropenic men and candidal balanitis may be especially severe in patients with diabetes mellitus. The objectives of management are: to minimize sexual dysfunction to minimize urinary dysfunction to exclude penile cancer to treat premalignant disease to diagnose and treat sexually transmitted disease. *all persistent/undiagnosed genital lesions regardless of appearance must be evaluated for herpes predisposing factors include poor hygiene and over washing, over-the-counter (otc) medications, as well as non retraction of the foreskin many cases of balanitis seen in practice are a simple intertrigo; that is, inflammation between two layers of skin with bacterial or fungal overgrowth rapid resolution can be achieved most frequently in practice by advising the patient to keep his foreskin retracted if possible, having advised him of the risk of paraphimosis saline baths are also useful and medicated otc talcum powders are helpful in drying the area. This advice is simple, but compliance may be challenging many patients will present having tried antifungal creams, often obtained otc. Such cases usually come with relapse. The simple measures have a more durable effect.
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