it is a skin inflammation of the glans penis in men. Balanitis is often combined with other inflammatory disease postitem, which is an inflammation of the foreskin of the penis. Because these lesions almost always develop at the same time, they are called by one term balanoposthitis.
Epidemiological studies have not been conducted, however, balanitis is most common in men who have frequent and indiscriminate sex. In this group of patients balanoposthitis is secondary and acts as the main symptom, most likely sexually transmitted, diseases. Also, balanitis occurs as a consequence of significant weakening of the immune system, people suffering from chronic somatic disorders. Often the disease is triggered by failure to comply with basic elements of personal hygiene. Unfortunately, it is often for this reason can develop balanitis in children.
Balanoposthitis has a number of varieties that differ in several clinical areas classification. First of all, on the basis of the reasons for the development of balanite segmentyou on the primary (independent disease) and secondary (as a consequence or a symptom of an underlying disease). Taking into account the current stage of progress of the inflammatory process, there are three stages of balanoposthitis simple, erosive and gangrenous. Balanite klassificeret infectious pathogen, e.g., fungal, bacterial and chlamydial forms, and with the physical elements, balanitis may be, for example, mechanical, thermal or radiation.
The reason for the development of balanite can be any factor that facilitates the penetration of pathogenic bacteria into the skin of the penis head, for example, mechanical damage or the accumulation of smegma. Among the main causes of balanoposthitis, the first place is a lack of hygiene and the regular injury of the skin of the glans penis. Increase risk of development of inflammatory process violations such as surgical removal of the prepuce and phimosis (a significant narrowing, which prevents the release of smegma), and permanent use of a narrow clothing or synthetic underwear.
Provocateur secondary balanite acts underlying disease, usually long and strongly violate metabolism. Examples of such primary disease can be diabetes, heart failure, venereal diseases or diseases of the urogenital system such as urethritis and Timothy. It is very important to regularly pay attention to personal hygiene and teach their kids from an early age, because it is the most effective way to prevent balanitis in a child.
Because the symptoms of balanoposthitis are not different specificity and is able to hide the underlying disease with its identification should exclude self-treatment and immediately consult a specialist for a professional diagnosis.
The main symptom of this balanoposthitis redness of the head and the foreskin of the male sexual organ, as well as their pronounced swelling. Initial stage of the disease corresponds to balanitis, the symptoms of which is a manifestation of itching of the glans, combined with painful effect during intercourse, and disclosure of the foreskin. With the participation of phimosis, as one of the precipitating factors, there is presence of pus or smegma in the area prepucialna pouch, accompanied by a characteristic odor.
Sometimes, especially in advanced forms of balanite, it may affect the overall tone. This can lead to higher fatigue and slight rise of temperature. As the head of the penis is a very sensitive area of the penis, which is the main erogenous zone in men, in patients suffering from balanica and posticum, significantly increased sexual excitability.
The most common complication of balanoposthitis is the erosive or ulcerative form balanite in which the head is formed of multiple small ulcers. Thus the complicated form of the disease develops when insufficient or not available at all treatment and painful time walking, sexual intercourse and urination.
If the treatment is completely absent and the patient is not observed even in the erosive stage, balanitis develops into lymphangitis, in which the inflammation covers the coming lymph nodes and lymphatic channels of the penis. Lymphangitis is characterized by clear red stripes on the penis, along its length (especially on the back). Absent further treatment, the inflammation extends to the next to the penis the lymph nodes and may start even gangrene (penis).
Diagnosed with balanoposthitis usually obvious and does not require additional research. A key question for the diagnostician is the accuracy of determining the causes of balanite, for the further relief of precipitating factors or underlying disease. If, after a General internal examination, the doctor still questioned the diagnosis, it is necessary comprehensive examination using the latest methods and tools. Usually it is the General analysis of urine and blood from a finger, STI testing, and, by direction of the therapist, the patient may need to undergo examination by a specialized doctor to determine the condition of the skin, endocrine and genitourinary systems.
Secondary balanitis, treatment is carried out, eliminating the primary violation and additional factors probably also stimulating the inflammatory process. In the initial stages simple balanopostite require regular hygiene care with soap and water and weak solutions of anti-inflammatory and antiseptic properties. For example, treatment balanite are often implemented by applying solutions of potassium permanganate, hydrogen peroxide or furatsilina. Heavy and complicated shape balanite, in particular, in erosive and gangrenous stages, treated by the preparation and determination of the patient specific antibacterial complexes.
For example, one of the most common fungal balanitis candidal balanitis treated topically with the use of clotrimazole or oral fluconazole prescribing.
Caused by phimosis balanoposthitis, should be treated surgically , which is why surgical intervention is assigned immediately, of course, only in the absence of contraindications. During the acute phase of the disease, performed the dissection of the foreskin (longitudinally), and once the inflammation subsides, and the severity of the disease will subside carry out a full circumcision (circular cut).