Treatment Options for Balanitis
Treatment options for balanitis depend on the underlying cause. In most cases, the condition responds well to a combination of good hygiene, topical medications, and avoidance of irritants.
Treatment options include:
- Improved hygiene
- Gently clean the penis daily using warm water.
- Avoid pulling back the foreskin forcefully, especially in children or men with phimosis.
- Steer clear of scented soaps, bubble baths, and antibacterial products.
- Topical antifungal creams
- If caused by Candida, doctors typically prescribe clotrimazole, miconazole, or nystatin.
- These are applied twice daily for about one to two weeks.
- Antibiotics
- For bacterial infections, oral or topical antibiotics like metronidazole or flucloxacillin may be prescribed.
- Steroid creams
- If inflammation is due to a skin condition, a mild corticosteroid cream can reduce redness and swelling.
- These are generally used for a short period to avoid thinning of the skin.
- Antiviral medication
- If balanitis is linked to genital herpes, antiviral medications like acyclovir may be recommended.
- Treating underlying conditions
- Managing diabetes is crucial to prevent recurrence.
- Men with phimosis may require gentle stretching exercises or circumcision.
- Circumcision
- In chronic or severe cases, particularly when phimosis is present, circumcision may be considered a long-term solution.
Home care tips during treatment:
- Keep the area clean and dry
- Avoid sexual activity until symptoms resolve
- Use breathable underwear and avoid tight clothing
Treatment in South Africa is available at most clinics and hospitals. Many antifungal and antibiotic creams are provided free of charge at government facilities. Private pharmacies also stock over-the-counter options, but proper diagnosis should always come first.
With early intervention, most cases clear up within 7 to 10 days. However, untreated or mismanaged balanitis can return or lead to complications.
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