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Candida balanitis treatment

  • White discharge from the urethra
  • White plaque on the glans penis
  • Painful urination
  • Penis pain
  • Physical pain
  • Burning penis
  • Penis itching
  • Tissue mortification
  • Swelling of the foreskin of the penis
  • Fever
  • Redness of the foreskin of the penis
  • Odor
  • Swelling of the foreskin of the penis
  • Scarlet spots on the penis
  • Bad Cheesy Curd
  • Cracks in the foreskin of the penis
  • Swollen lymph nodes
  • Enlarged inguinal lymph nodes
  • Peeling of the skin around erosion
  • Penile erosion
  • Penile sores

Candidiasis balanoposthitis is an ailment that affects the urogenital system of a man. Called by Candida. They penetrate the mucous membranes and human skin, resulting in the formation of multiple filamentous forms. This disease affects men of all ages.

If such fungi enter the female body, then the patient develops candida vulvovaginitis. The people call this ailment thrush.

Etiology

The disease can appear in men due to the following reasons:

  • prolonged use of hormones or antibiotics,
  • the use of cytostatic drugs. Such funds are prescribed to patients with malignant tumors. These drugs are so powerful that, by launching necrosis of cancer cells, they worsen the general condition of the body,
  • self-medication. Most drugs can only be taken as prescribed by your doctor. If a person self-medicates for a long time, then he risks undermining his immune system, which will contribute to the active reproduction and development of bacteria,
  • penis skin damage,
  • overweight,
  • underdeveloped thymus gland. Hypofunction of this organ is fraught with a decrease in the number of T-lymphocytes in the blood. Because of this, immunity worsens,
  • diabetes,
  • idiopathic phimosis. This is a narrowing of the foreskin, as a result of which the head of the penis is not removed,
  • elongation of the foreskin of the penis,
  • non-observance of personal hygiene rules,
  • unprotected intercourse. A man can get Cand>

Candidiasis balanoposthitis is not only an unpleasant, but also a dangerous disease, so if the first symptoms appear, immediately contact a doctor.

  • redness of the foreskin of the penis. By the way, redness may appear after drinking alcohol. Even if a person does not have any other symptoms of this disease, an examination should be immediately taken. Some men explain redness as an allergy to alcohol and are drawn to visit a doctor. Over time, red spots of various shapes appear on the foreskin,
  • edema and swelling of the foreskin of the penis,
  • damage to the inner sheet of the foreskin,
  • discomfort in the inguinal region. Men begin to complain about the following symptoms: itching, burning and unpleasant odor.

If treatment is not started in a timely manner, then the condition will gradually worsen. Then the following symptoms will appear:

  • the formation of ulcers and erosion on the head of the penis. Over time, abundant discharge begins to come out of these formations (especially after sexual contact),
  • enlarged lymph nodes in the inguinal region,
  • painful urination. In addition, a white substance will be released from the urethra every time you use the toilet,
  • peeling of the skin around erosion,
  • the appearance of zones of necrotic epithelium.

Symptoms of the disease vary depending on its form:

  • acute candidal balanoposthitis. In this case, the patient's body temperature rises sharply. The penis begins to hurt and turns red,
  • chronic candidal balanoposthitis. This form is manifested by continuous itching, discomfort, swelling, slight redness of the penis and constant humidity of the glans penis. In addition, white plaque accumulates in the coronal groove area. Discomfort intensifies after sexual contact and with increased humidity. In addition, the pain becomes stronger during exercise. Sometimes the skin of the penis begins to crack.

Diagnostics

After talking and examining the patient, the doctor writes him directions for the following tests:

  • blood analysis. This study is carried out if you suspect any disease. When diagnosing candidal balanoposthitis, it is done in order to find out the number of leukocytes and the erythrocyte sedimentation rate. If the number of leukocytes is increased, and ESR is increased, then the inflammatory process occurs in the body,
  • general urine analysis. This study is also being conducted to find out the number of white blood cells. If their number is higher than normal, then the body has inflammation,
  • bacteriological analysis of urine. The results of this study reveal the causative agent of the disease,
  • polymerase chain reaction. Thanks to this study, the type of bacteria is being clarified. This is because PCR isolates the causative agent DNA,
  • scraping from the urethra. This study excludes the presence of syphilis in the patient.

If the patient has a permanent sexual partner, then specialists will examine him too.

Treatment

If a person does not start competent treatment of candidal balanoposthitis in time, the disease will take a chronic form. In addition, the lack of therapy is fraught with the fact that the ailment will pass to other organs and cause more dangerous diseases: prostatitis and vesiculitis. It is only necessary to start treatment under the supervision of a doctor, because independent therapy can not only not relieve the ailment, but also lead to dangerous complications. As a rule, the doctor prescribes local or complex treatment. In some cases, you have to resort to surgical intervention.

  • local therapy. This treatment involves treating only the inflamed organ. The patient should wash the penis daily and remove discharge and curd coating from it. After that, you need to apply a cream ("Clotrimazole" or "Lamisil") and a powder containing streptocide, xeroform and dermatol to the affected area. In addition, therapy involves the use of disinfectant baths, which are prepared from potassium permanganate, a solution of dioxidine and rivanol. The doctor prescribes antimycotic drugs that must be used for a period of 14 days. If everything is done correctly, then after a while not only the symptoms of the disease disappear, but he himself,
  • complex therapy. The patient not only treats the inflamed penis, but also takes pharmacological preparations. For the treatment of candidiasis balanoposthitis, a man takes fluconazole once a day. This tool disrupts the biosynthesis of membranes and destroys fungi. If a person started the disease or it is too difficult, a specialist prescribes a wide spectrum of antibiotics. In addition, the patient is assigned a special diet. A man should exclude from his diet spicy, pickled, sweet, rich food, as well as alcohol. In order to strengthen the immune system, the patient takes immunostimulants and vitamin supplements. In addition, during treatment it is worth abandoning sexual contacts. The duration of therapy depends on the severity of the disease and on the individual characteristics of the patient. Remember that complex treatment should be carried out not only by the patient, but also by his constant sexual partner,
  • surgical intervention. Often, surgery is prescribed for men with a chronic form of candidal balanoposthitis.Surgical intervention involves a longitudinal dissection of the foreskin of the penis. After surgery, the patient should undergo drug treatment, including antibacterial and antifungal drugs.

Prevention

Candidiasis balanoposthitis in men can be prevented in the following ways:

  • daily use of natural yogurt, grapefruit juice, garlic, red pepper and lingonberry. These products inhibit the growth and reproduction of fungi in the body,
  • refusal of sweets. The fact is that sweet dishes create an excellent environment for the reproduction and development of fungi,
  • wearing underwear, which does not include synthetics,
  • refusal of self-medication,
  • systematic medical examinations,
  • careful personal hygiene,
  • refusal of casual sexual contacts. If you have a regular sexual partner in which you will be sure, then the likelihood of candida balanoposthitis will be minimized.

What is candidal balanitis in men

In the case of "male thrush," the location of pathogenic fungi is the head of the penis. Due to the structural features of the male genitalia, the process of the disease is quite difficult, sometimes almost asymptomatic or veiled (not like in women).

With self-medication or an improperly selected dosage of drugs, an acute disease becomes chronic (with complications). As a consequence - capture by candidiasis of increasingly large areas of the skin, introduction into neighboring tissues, intoxication of the whole organism by the vital products of fungi.

Important! If you find in yourself malomalsky signs of candida balanitis, immediately consult a urologist. And no self-medication!

Provoking factors for the occurrence of candidal balanitis are:

  • disorders of the endocrine system (diabetes mellitus, decreased hormone production),
  • weakening of immunity,
  • menopause,
  • the presence of allergic manifestations,
  • lack of vitamins in the body,
  • non-observance of personal hygiene rules in intimate proximity or contact with a carrier of infection,
  • the presence of chronic diseases of the genitourinary system or gastrointestinal tract,
  • trauma or microtrauma of the penis,
  • treatment with antibiotics and hormones,
  • oncological diseases and their treatment by chemical and radiation methods.

By spreading spores, Candida fungi (under favorable conditions of the external and internal environment) multiply intensively, penetrating deeper into the tissue and forming vast, new foci of infection.

How to recognize candida balanitis

At the beginning, the symptoms of the disease are not fully felt, only after some time after the “act of love” a man can suspect something was amiss. Symptoms may disappear even for a few days, but return with a vengeance upon repeated attempt at sexual intercourse. At the same time, the following are noted:

  • irritation of the mucous membranes on the skin of the glans penis in the form of bright red wet spots, vesicles and crusts,
  • the skin of the head of the penis is inflamed and erosive,
  • swelling, as a result, an increase in head size,
  • unpleasant sickly sour smell,
  • the formation of microcracks and injuries,
  • cheesy discharge from the penis,
  • soreness when visiting the toilet "little by little",
  • soreness of the lymph nodes in the groin.

Important! Candidiasis balanitis in advanced form leads to serious consequences - a painful narrowing of the foreskin and infringement of the glans penis, which are treated difficultly and for a long time (with the help of surgical intervention).

To diagnose thrush, a specialist doctor will need to examine both partners. To do this, tests are prescribed (smear and culture) to understand the degree and stage of the disease, as well as to exclude the "bouquet of Venus."

What is the best treatment

Important! For the treatment of candidal infection with drugs of various forms, an integrated approach is proposed. Both tablets and capsules for oral administration, as well as ointments, creams and solutions for external use are involved. The treatment is aimed primarily at antifungal therapy, and then at anti-inflammatory and restorative.

Encapsulated and tableted forms:

  • Pimafucin. The most affordable and potent drug in the fight against balanitis. The dosage and schedule of administration will be prescribed by the doctor. Watch the timeliness and duration of medication.
  • Fluconazole Help for the extermination of any type of thrush. You can remove the itching, burning sensation, unpleasant discharge and soreness in a short period. Your task is to follow the course of treatment!
  • Forkan. The drug has excellent absorption in the blood and this contributes to a quick recovery. It is indicated for candidiasis in both men and women.
  • Futsis. For treatment, you need only one tablet of prolonged action. The duration of the drug is within seven days. Suitable for use on both floors.

Candida balanitis will "pass" faster if:

  • Strictly observe the rules of personal hygiene. Every day, repeatedly washed with soap without additives, warm water with the addition of potassium permanganate (pale pink solution), furatsillina. Pay attention to the washing of the foreskin from the discharge.

Hot or cold water can prolong inflammation or cause exacerbation.

  • To dry weeds, use disinfectant powders: dermatol, streptocide or xenoform.
  • Limit yourself from visits to public baths, saunas and pools.
  • To exclude, if possible, sexual activity during treatment, or use the "Soviet product No. 1" (condom).
  • Choose underwear from cotton that matches the size. His daily change is welcome.
  • Among topical preparations, use ointments, creams and solutions: Clotrimazole, Lamisil, Pimafucin, Zalain, Econazole, Nystatin, Candide, Dioxidine. They should be distributed in a thin layer to the affected areas twice a day for one to two weeks.
  • In addition, take B vitamins.

Traditional medicine

To defeat candida balanitis, even doctors advise supplementing the treatment with alternative recipes, such as:

  • a decoction of chamomile and succession, which has a disinfectant, wound healing, calming, anti-inflammatory effect,
  • infusion of calendula and St. John's wort will delight you with antifungal, antimicrobial and wound healing effects,
  • sea ​​buckthorn oil or rosehip oil - a regenerating and cleansing agent,
  • tea brewed with rosehip berries, blackberry and currant leaves will help restore defenses.

Various baths are widely used, for example, with baking soda. To prepare the bath solution, take one teaspoon of soda and dissolve it in a half-liter jar of water. Heat the liquid to body temperature, rinse the genitals twice a day, and also preferably after urination.

Dill water will help. The broth is prepared from the stems, leaves and roots of dill, chopping them finely. Prepared dill (about two hundred grams) is brewed with three glasses of boiling water. Boil for ten minutes. A warm broth is washed on the head of the penis three times a day, until recovery (until the thrush on the penis passes).

Aloe treatment is considered miraculous. The plant must be at least three years old. Home medicinal flower left without watering for about ten days. Only the lower, most succulent leaves of the plant are used. It is necessary that the raw materials lie on the shelf of the refrigerator for eight to twelve hours. To start, just one sheet is enough, on which the thorns are pre-cut.Then the leaf is longitudinally cut into two parts. The cut-off part of the sheet is wrapped around a diseased organ, so that the gel directly touches the affected areas of the skin and is wrapped with a bandage. Manipulation is repeated twice a day until complete recovery.

An effective plantain is effective. The leaves are washed with hot water and applied to the affected area. One “but” - use only fresh leaves!

An infusion with oak bark will help relieve itching and dry the weeping tissue. It is enough to pour one tablespoon of pharmacy oak bark with one glass of boiling water. Cover the broth and stand for about twenty minutes, strain. Rinse for about a week.

What causes the disease

Candidiasis balanoposthitis is caused by yeast-like fungi. These microorganisms are part of the normal biocenosis of the human body. They live in the lower intestines, on the skin, mucous membranes. Normally, the fungus does not harm and does not cause inflammatory processes. Troubles arise if the composition of the microflora changes, and the fungus begins to multiply intensively.

Conditions suitable for the development of candidiasis occur when:

  • immunodeficiencies
  • diabetes
  • oncopathologies,
  • sexually transmitted infections
  • chronic diseases of the genitourinary sphere,
  • vitamin deficiency
  • regular stress
  • taking specific drugs (cytostatics, hormones, antibiotics),
  • neglect of personal hygiene
  • systemic bacterial and viral diseases,
  • promiscuous sexual intercourse.

Often, several predisposing factors play a role. Candidiasis can be "picked up" during sexual intercourse, but doctors do not attribute the disease to STIs. Infection occurs if a man engages in unprotected sexual contact with a partner with active candidiasis. A large number of fungal microorganisms enter the mucous membrane of its genital organs. If immunity is in order, infection may not occur. If there is one or more of these factors, candidiasis will develop.

With a moderate increase in the concentration of the fungus on the mucous membranes, candidiasis proceeds with mild symptoms. The absence of treatment creates the conditions for the penetration of fungi into the deep structures of the epithelium. Candida can remain there for a long time in a "sleeping" state. The infection is activated periodically and does not cause serious changes in the well-being of the patient. Sluggish candidal balanoposthitis is called chronic.

What does the patient feel?

The disease usually begins with local manifestations - itching in the head area. Irritation of nerve endings leads to increased sexual activity of men. Very rarely, genital inflammation provokes systemic symptoms:

  • feeling of slight malaise
  • weakness,
  • a slight increase in body temperature.

The causative agent of candidal balanoposthitis

The causative agent of candidal balanoposthitis is a fungus of the genus Candida.

This is a unicellular microorganism that forms pseudomycelia and blastospores.

About 150 species of candida belong to this genus.

20 of them quite often cause diseases in humans.

In small quantities, these fungi are not dangerous.

They can dwell on the genitals of a man without causing any discomfort.

But with an excessive increase in the candida population, they begin to exhibit pathogenic properties.

The main pathogenicity factors of these fungi:

  • secretion of proteinases (enzymes that break down proteins)
  • adhesion (adhesion to the mucous membrane)
  • mucosal penetration
  • phenotypic and genotypic instability

Causes of candida balanoposthitis

There are two groups of causes of candidiasis balanoposthitis:

Exogenous infection.

Candidiasis is transmitted, like genital infections, from woman to man.

However, he was excluded from sexually transmitted diseases.

Because the genital tract of infection is not for this fungus the main trigger factor for the development of the inflammatory process.

Endogenous infection.

The disease causes a fungus that constantly lives on the genitals or skin of the genital area.

This happens in cases when favorable conditions are created for the development of candida.

She is very sensitive to any changes in immunity.

Severe or recurrent balanoposthitis develops against the background of HIV, diabetes mellitus, severe somatic diseases.

A mild form of candidiasis can develop even against the background of a banal overwork.

The greatest danger in terms of the risk of development of balanoposthitis of fungal etiology is a decrease in T-cell immunity.

This can lead to serious complications, including invasive forms of candidiasis (with damage to internal organs).

Exogenous factors that increase the risk of infection:

  • frequent change of sexual partners
  • maceration of the skin (softening under the influence of moisture), which may be due to sweating, inadequate hygiene of the genitals, hot climate, hard physical labor
  • exposure to skin of damaging factors (trauma, ingestion of chemicals)
  • antibiotic therapy (the destruction of bacteria that are competitors of fungi gives candida room for growth)

Endogenous factors, against which a person often suffers from candidal balanoposthitis:

  • stress
  • fatigue
  • somatic disease
  • endocrine disorders
  • concomitant infections of the urogenital tract, including sexually transmitted diseases
  • congenital immunodeficiency
  • chronic inflammatory processes of the genitourinary system, including non-infectious etiology
  • secondary immunodeficiencies
  • anatomical features of the structure of the reproductive system

Symptoms of candida balanoposthitis

The main clinical manifestations of the disease:

  • penis redness
  • itching
  • red spots
  • papules
  • erosion
  • pustules
  • cracks
  • white discharge
  • curdled raids

The disease can occur in various clinical forms.

They reflect the severity of candidiasis.

The most common membrane form of the disease.

The exudative component predominates in the clinical picture.

This is a classic thrush: a large number of white cheesy raids appear on the penis.

They are thick, easy to remove.

Inflamed skin opens beneath them.

It is covered with red spots and swollen.

There is usually no pain.

It appears only on palpation.

At rest, a man often complains of itching.

The discharge has a sour smell.

When removing plaque and examining it under a microscope, fungal cells can be easily detected in it.

If the disease progresses, raids become gray.

They are more tightly fixed on the surface of the penis.

When trying to remove a man may feel pain.

Under raids, erosive surfaces often open.

In some cases, they may bleed.

The erosive form of the disease is more severe.

Patients complain of pain in the head area of ​​the penis.

On examination, multiple erosive-ulcerative elements are found.

As a rule, this form of the disease develops against the background of:

  • pronounced decrease in immunity
  • severe weakening of the body (the result of a protracted illness, an injury or surgery, prolonged immobilization)
  • prolonged exposure to factors beneficial for Candida fungi (humidity, sweating, diabetes mellitus, taking antibiotics, etc.)

If only erosion is formed, then they subsequently heal without a trace.

When ulcers form, cicatricial changes may form.

If they affect the foreskin, this can result in phimosis.

Sometimes very painful cracks form on the head of the penis.

Erythematous-pustular form - occurs in severe candidal balanoposthitis.

Abscesses form on the penis.

The patient may require surgical treatment.

Balanoposthitis in women: is there such a disease?

Balanitis and balanoposthitis - inflammatory diseases of the head and leaf of the foreskin of the penis in men. The causes of the disease are different, it is the failure to comply with the simplest hygienic rules before sexually transmitted infections.

Symptoms of balanoposthitis are also diverse, with the development of the disease discharge, itching, burning and pain in the lower abdomen, swelling, inflammation and other unpleasant manifestations are possible.

Their intensity depends on the nature of the disease: non-infectious or infectious.

The reason may be infection with bacteria, fungi or viruses, injuries, improperly selected medications, an individual allergic reaction. Balanitis and post can be transmitted from one partner to another.

What is balanoposthitis in women? Diseases with a similar nature are characteristic of the female body. One of the most common - balanoposthitis in women - is candidal vaginitis or thrush. Candida fungi cause the inflammatory process in the vaginal area, the disease is diagnosed in 70% of women.

Causes and symptoms of candidal vaginitis

Candidiasis vaginitis is not a dangerous disease, but it can cause a lot of anxiety. There are many reasons for this. Among the most common:

  • various infections of the genital tract (chlamydia, gonorrhea, etc.),

taking potent medicines (especially antibiotics),

  • allergic reaction to food or detergents,
  • insufficient genital hygiene,
  • unprotected sex
  • overheating or hypothermia of the genitals.

Is balanoposthitis transmitted to a woman? The fungus is quickly transmitted from the diseased partner.

If the infection is detected in a pair, both partners should be treated, and the therapy should take place simultaneously. During treatment, sexual contact without a condom is excluded.

You can find out about the onset of the disease by very characteristic symptoms.

Symptoms of balanoposthitis in women include:

  • burning and itching in the genital area,
  • vaginal discharge of a whitish or cream color with a characteristic acidic odor,
  • pain during urination or intercourse,
  • swelling and redness of the genitals.

In some cases, fever, apathy, general weakness are possible. Symptoms worsen in the afternoon, most often they appear a week before the onset of menstruation.

Manifestations can be very bright or barely noticeable, exacerbations are replaced by periods of remission.

If untreated, vaginitis goes into the chronic phase, which can last a very long time. In some cases, the infection can enter the urethra, causing severe inflammation, burning and pain.

Photo balanoposthitis in women

Below you can find a photo of balanitis in women:

Treatment of balanoposthitis in women is carried out by conservative methods, it is possible to use tablets, ointments, vaginal suppositories, as well as proven folk recipes: baths, homemade suppositories, douching, decoctions for drinking.

Before starting treatment, it is recommended to visit a gynecologist. Patients undergo tests to clarify the diagnosis and exclude the presence of sexually transmitted infections.

In the acute form of vaginitis, Flucanazole is most often prescribed, which suppresses the vital activity of Candida fungi. The coated tablets are drunk on an empty stomach, the daily dose is 2-3 pieces.

The course of treatment is prescribed by a doctor. Clotrimazole, Ketoconazole, Nystatin, Netamycin has a similar effect. In chronic candidiasis, vaginal suppositories with nystatin are prescribed, the course of treatment is up to 2 weeks.

After thorough washing of the genitals, they are rinsed with a prepared infusion. For douching, you can use a children's enema, the procedure is carried out 1-2 times a day for a week.

A warm evening bath will help relieve the burning and itching associated with thrush. 100 ml of alcohol tincture of calendula or eucalyptus is added to the basin with water, the procedure lasts 10-15 minutes. It is best done before bedtime until the unpleasant symptoms disappear completely.

A mandatory point is proper nutrition. Light food with a predominance of fresh vegetables, fruits, lean fish and cereals will help get rid of thrush. Low-fat dairy products that improve the intestinal microflora function very well.

Suitable homemade yogurts without additives and sugar, kefir, fermented baked milk, cottage cheese.

It is better to refuse fatty sour cream and whole milk, as well as smoked meats, canned goods, yeast bread, muffins, sweets and starchy root crops. During the treatment period, it is necessary to exclude alcohol, including beer. Vitamin complexes that drink courses for 1-2 months will help strengthen immunity.

Candidiasis vaginitis or balanoposthitis in women is a disease that is diagnosed in women of different ages. It is not difficult to treat it, but the disease threatens with frequent relapses. Careful hygiene, a balanced diet and sexual contact with a trusted regular partner will help prevent them.

Candidiasis balanitis

When candidal balanitis is detected, treatment should be started immediately. The disease is difficult to treat and often takes a chronic form.

It develops covertly or with mild symptoms. As a result, many do not pay attention to discomfort. If untreated, pathogens begin to spread. They penetrate deep into the tissue and negatively affect the internal organs. They can even cause serious complications.

What it is

Inflammation of the glans penis is called candida balanitis. Candida microorganisms that cause thrush provoke the disease. These fungi are most common. They are always on the skin of healthy people, but without harmful manifestations.

Pathogens can be detected:

  • in any products
  • in land and water
  • on various household items.

This is due to their rare viability in any conditions.

Candidiasis balanitis in men is manifested much less often than in women. This can be explained by the characteristics of the male genitourinary system. The conditions for the spread of fungi are almost absent.

Causes

Candidiasis balanitis is a fairly common disease of the male genital organs. Fungal infection is transmitted mainly through sexual contact. But this fungus can multiply due to other factors. Fungal balanitis is considered a genital infection due to similar treatments.

There are main factors that increase the likelihood of a disease:

  • Impaired functioning of the endocrine system.
  • Diabetes.
  • Prolonged and uncontrolled use of antibiotics.
  • Ignoring personal hygiene.
  • Weak immune defense.
  • Congenital phimosis.
  • Indiscriminate sexual intercourse without protective equipment.

Depending on the cause of the development of pathology, separate forms of pathology are distinguished:

Primary balanitis is an inflammatory reaction that occurs due to the penetration of a fungal infection into the foreskin.

In secondary balanitis, pathogens enter the urethra. Inflammation is caused by the accumulation of curd under the epidermis.

The pathogenicity of this fungus is very conditional. The infection can be in the body for a long time and not manifest itself in anything. But, of course, its danger should not be underestimated, since serious consequences can arise.

By the way, very often the cause of this disease in men is dermatological diseases.

Signs of pathology

The main symptom of the disease, which is bound to cause anxiety, is a burning sensation and inflammation of the head of the penis.There are specific manifestations that distinguish balanitis from other types of disease.

The following symptoms can be distinguished:

Over time, the severity of symptoms increases. Painful sensations are present almost constantly.

Types of disease

Candidiasis balanitis occurs due to infection or trauma to the glans penis. That is, the cause is infectious or non-infectious.

The following factors include the development of the disease without the presence of infection:

  • violation of the integrity of the skin of the head of the penis,
  • accumulation in the area of ​​the smegma head,
  • irritating effect on the head of detergents,
  • sometimes balanitis is provoked by the use of low-quality protective equipment.

But infectious balanitis is divided into types:

  • Xerotic. It is caused by chlamydia and is associated with urethritis.
  • Tricomonas type. It is provoked by bacteria. It usually occurs if the foreskin is very long.
  • Circinar. It is distinguished by the presence of red spots on the head of the penis.
  • Herpetic. It is manifested by rashes that are similar to herpes.
  • Anaerobic. Edema and spots appear. Near the base of the head there is a sticky secret with a foul odor.

There are other types, but they relate to balanoposthitis, which has similar symptoms.

Possible complications

In the absence of therapy, serious complications arise.

  • Candida applies to the scrotum and groin.
  • Balanoposthitis - the foreskin becomes inflamed.
  • Urethritis - an inflammatory process occurs in the urinary canal.
  • Phimosis - the foreskin narrows, which does not allow to expose the head of the penis.
  • Vesiculitis - seminal vesicles become inflamed.
  • The risk of impotence.
  • Cracks appear on the head.
  • A wart rash and even ulcers appear.
  • Cancer of the genital organ is possible, since the chronic form of balanitis refers to precancerous conditions.

Taking medications should begin with the onset of the first symptoms. Along with medicines, it is recommended to consume fermented milk products that restore the balance of microflora. First of all, it is necessary to destroy pathogenic microorganisms and only then proceed directly to the treatment of candida balanitis.

In no case do not start the disease, otherwise surgical intervention will be required.

To eliminate the causative agents of the disease, which are Candida fungi, antifungal ointments are used. They are applied to the penis twice a day until the signs of balanitis disappear ...

In men, the treatment is mainly carried out with local drugs. This is miconazole or clotrimazole cream, which are quite effective. In case of an allergic reaction, they are replaced with nystatin ointment.

If the effect is absent or severe inflammation, then imidazole with hydrocortisone is used. Anti-inflammatory therapy and disinfectants are required to remove plaque.

  • baking soda
  • potassium permanganate,
  • boric acid
  • furatsilin.

The administration of fluconazole tablets is also provided.

If these measures were unsuccessful, then they resort to a laser and Lamisil spray. This treatment is indicated if balanitis is chronic and often recurs. When the bacterial flora is affected, antibacterial drugs are added.

Ethnoscience

When the question arises of how to treat candidal balanitis, it is worth recalling alternative methods. Fungal infection lends itself well to treatment by alternative methods. There are many folk recipes, time-tested and quite effective.

There are several ways to distinguish:

  1. Sage. The plant is poured with boiling water, infused for about 30 minutes and filtered. This decoction processes the affected area.
  2. Oak root This broth is considered the most successful way to kill the infection. Oak bark is brewed. The resulting broth is used to wash the penis.
  3. St. John's wort. Very useful baths from this infusion.Dry flowers of the plant are crushed and poured with boiling water. Then insist, strain and cool. The broth is used by compresses or to lower a member in it for a couple of minutes.
  4. Plantain. The leaf of the plant perfectly removes the inflammatory process. Before use, you need to mash the leaf a little, so that the juice appears. Bandages are made of leaves several times a day.

All alternative methods are used in combination with the use of antifungal agents. At an early stage, these methods contribute to the early elimination of signs of the disease. But before using folk recipes, you need to consult a specialist.

Preventive measures and complications

It should be noted right away that candida balanitis does not affect the digestive organs. It follows from this that diets should not be followed. More important is lifestyle. Be sure to observe personal hygiene. No special treatments: daily shower and regular change of underwear.

If you follow the recommendations of doctors, then the disease can be avoided:

  • Men with phimosis should wash their penis thoroughly.
  • It is necessary to timely treat chronic diseases and sanitize foci of inflammation.
  • It must be borne in mind that the head of the penis is often inflamed if the man has diabetes.
  • Doctors often advise circumcision of the foreskin.

There are also emergency measures that are carried out when signs of balanitis appear. The head of the penis is treated with a cream, the basis of which is petroleum jelly. Such an elementary procedure will prevent the development of the disease.

Doctors warn! Shocking statistics - stopped, more than 74% of skin diseases - a sign of infection with parasites (Acacida, Giardia, Toccocapa).

Glistens inflict a ring-tint of an organism, and the first one suffers our imminent system, which must be protected from various diseases.

Acute form

Acute candidal balanitis is manifested by the following symptoms:

  • itching and burning: sensations increase when the foreskin is moved away,
  • swelling, enlargement of the head,
  • redness or blueness of the skin,
  • flaky or red spots, rash, crusts, cracks in the head,
  • white plaque: when trying to remove it, redness, bleeding,
  • gray, white or creamy discharge (smegma), an accumulation of cheesy flakes: after taking a shower, smegma instantly stands out again,
  • an unpleasant pungent or sour smell that does not resolve even after washing,
  • skin irritation and dryness, increased sensitivity,
  • soreness, including during urination and an attempt to expose the head,
  • discomfort during sex,
  • premature ejaculation,
  • fever, headache, and general weakness.

The course of the disease is individual, therefore, it is not necessary that all symptoms appear immediately. A photo of candida balanitis in men will help you recognize possible signs of the disease.

If you suspect acute balanitis, you must consult a doctor. Ignoring the infection or self-medication will cause the problem to become chronic.

Chronic form

Chronic candidiasis balanitis often leads to complications and requires longer treatment. In addition to the symptoms of acute balanitis, new ones join:

  • purulent discharge
  • erosion, ulcers, pustules, papules, vesicles on the head,
  • spread of the rash to the scrotum, pubis, buttocks,
  • enlarged inguinal lymph nodes,
  • severe pain in the head when moving,
  • joint pain.

Depending on the manifestations, they speak of a simple, pustular, ulcerative, erosive or gangrenous form of balanitis.

Complications

In a chronic course, the infection spreads rapidly and leads to a number of complications:

  • balanoposthitis - inflammation of the foreskin,
  • urethritis - inflammation of the urethra,
  • cystitis - inflammation of the bladder,
  • prostatitis - inflammation of the prostate gland,
  • orchoepididymitis - inflammation of the testicle and its appendage,
  • vesiculitis - inflammation of the seminal vesicles,
  • phimosis - the narrowing of the foreskin, the impossibility of exposing it,
  • meatal stenosis - narrowing of the urethra,
  • warty growths on the penis,
  • granulomatous candidiasis - damage by fungi to various parts of the body,
  • malignant transformation - penis cancer,
  • impotence and infertility.

Asymptomatic form

Symptoms of candida balanitis may not occur at all. In this case, they talk about the erased course. The asymptomatic form is considered the most insidious. There are no manifestations, and the patient does not even suspect about the disease. As a result, balanitis passes into a chronic form and only after that makes itself felt.

How does infection happen?

Infection occurs in two ways:

  1. Infectious. The disease occurs after unprotected intercourse with an infected person. Candida balanitis itself does not occur in women. However, ladies often suffer from candidiasis (thrush) caused by fungi of the genus Candida. During sex, the infection gets on the penis. However, only men with weakened immunity or chronic diseases become infected as a result.
  2. Non-infectious. Candida mushrooms in a limited amount are part of the normal microflora and are found in the back crops of most people. However, in some cases, favorable conditions are created for the reproduction of mushrooms, their pathological growth is provoked, and balanitis develops. Such cases include:
    • head injury with damage to the skin (scratches, cracks, abrasions, cuts, burns),
    • irritation caused by an intimate hygiene product, a lubricant (lubricant),
    • insufficient hygiene, excessive accumulation in the region of the head of smegma or urine, which serve as a breeding ground for infection,
    • wearing tight underwear, or underwear made of artificial synthetic fabrics that interfere with normal air exchange,
    • allergic reaction to condoms and other local contraceptives.

Prerequisites for balanitis and risk factors

The following factors increase the likelihood of developing candidiasis balanitis:

  • long-term use of antibiotics, immunosuppressants or hormonal drugs that provoke microflora disturbance,
  • endocrine pathologies: hypothyroidism, obesity, diabetes mellitus and other metabolic disorders,
  • skin diseases: psoriasis, dermatitis, seborrhea,
  • autoimmune disorders
  • chronic gastrointestinal diseases,
  • radiation therapy and chemotherapy,
  • decreased immunity, frequent flu and colds, HIV,
  • anemia,
  • vitamin deficiency, general depletion of the body,
  • transferred venereal disease,
  • phimosis - narrowing of the foreskin,
  • promiscuous sex life, rejection of protective equipment,
  • change of climatic conditions,
  • frequent stress, overload, chronic fatigue,
  • nervous disorders
  • alcoholism,
  • abuse of sweet.

People with these disorders are at risk for developing the disease.

Treatment methods

Treatment of candida balanitis in men is carried out comprehensively and includes the following methods:

  • external therapy: the use of antifungal ointments,
  • systemic therapy: taking pills that suppress the activity of Candida mushrooms from the inside,
  • laser radiation: used for treatment failure, with frequent relapses, treats even stable forms, modulates the immune system,
  • circumcision of the foreskin: the procedure is performed according to the indications (with phimosis, diabetes, chronic form),
  • exclusion of provoking factors: treatment of a sexual partner, increased immunity, therapy of concomitant diseases, injuries, etc.

It is recommended that both partners be treated simultaneously, even if one of them has no symptoms.
In order to avoid re-infection during therapy, it is worth giving up sexual contact. It is also necessary to observe personal hygiene rules and change underwear at least 2 times a day.It is advisable to use soft disposable towels.

After a course of therapy, it is necessary to pass a smear to identify mushrooms. But even with the right treatment, relapses often occur. In this case, a second course will be required.

Treatment of candida balanitis begins with the use of local remedies that damage Candida fungi and cause their death. The choice of drugs is individual. The most commonly used antifungal ointments are Clotrimazole, Miconazole, Ketoconazole and Levomekol. When an allergic reaction or side effects occur, prescribe Nystatin ointment.

Creams are applied to the head and the inner part of the foreskin 2-3 times a day. It is first necessary to wash the penis, it is also desirable to use an antiseptic solution for washing. Ointment treatment continues until the symptoms disappear completely, but no more than 2 weeks.

Antiseptic solutions

Without the use of antiseptics, candida balanitis is difficult to treat. Chlorhexidine and Miramistin are considered the most effective solutions for treating the penis. The drugs kill pathogenic bacteria, cleanse the skin and relieve inflammation. Intolerance and side effects when using drugs are extremely rare.

An antiseptic solution is used immediately before applying antifungal ointments. First, the penis is washed with soap and water, wiped dry, and then treated with an antiseptic.

Also, solutions can be used for the preparation of baths and compresses.

As an antiseptic for fungal infections, you can use sodium tetraborate, potassium permanganate, furatsilin, brilliant green, methylene blue, boric acid, soda.

Tablets

Candida balanitis is treated comprehensively, including with the use of tablets that suppress the vital activity and reproduction of mushrooms.

As a rule, Fluconazole and its commercial analogues are used: Diflucan, Flucostat, Diflazon, Fucis. The drugs act pointwise, only on Candida fungi, and do not violate the microflora.

Tablets are taken 1 time per day for a week, at a dosage of 150 mg. If necessary, double the dose.

If Fluconazole is intolerant, Itraconazole (Orungal), Ketoconazole (Nizoral), Itrazole are prescribed, less commonly Natamycin, Nystatin.

If therapy is ineffective, with a running course or with severe inflammation, Imidazole and Hydrocortisone are prescribed. However, tablets can cause allergies, adverse reactions.

Folk remedies

To wash and rinse the penis, you can use decoctions of herbs with anti-inflammatory and antibacterial effects. The most effective are weak infusions of chamomile, sage, eucalyptus, cloves, marigolds, barberry. Decoctions are also suitable for point compresses and therapeutic micro-baths.

Alternative methods serve as an excellent complement to ointments, reduce inflammation and increase the effectiveness of therapy.

Features and causes of the disease

Candida balanitis is a balanitis caused by candida (infection with Candida fungi).

The cause of infection may be:

  • unprotected sex with a sick partner,
  • taking antibacterial medications for chronic diseases,
  • diabetes,
  • mechanical trauma to the glans penis,
  • autoimmune diseases
  • psoriasis, dermatitis, skin seborrhea,
  • phimosis.

The patient goes to the doctor with an acute form of balanitis, timely treatment helps to avoid the chronic stage.

The disease affects men of any age. Adults, sexually active people are more likely to become infected during sexual intercourse; the cause of candidiasis balanitis in children is congenital phimosis or inadequate hygiene of the genitals. For elderly patients, Candida is overtaken after medical treatment or as a result of severe chronic ailments.

A variant of candida balanitis occurs in women.

The disease has similar causes and symptoms, its official name is candida vulvovaginitis.

The fungus is quickly transmitted from one partner to another.

To prevent secondary infection, the couple should undergo treatment at the same time, only protected sex (using condoms) is allowed during therapy.

The main symptoms: how to recognize the disease?

The first symptom of candida balanitis is a change in the color of the glans penis: it darkens or turns red. Then there are characteristic discharge with an unpleasant sour smell. At first they have a milky white hue and a curdled texture, then pus appears and the discharge acquires a tan color.

In the morning, yellowish crusts can be seen on the head of the penis, when you try to remove them, the skin becomes irritated, reddens, and sometimes bleeds. The patient feels constant itching and burning, while combing, small sores appear, causing pain. When trying to expose the glans penis, the patient also experiences discomfort.

If the patient is in no hurry to see a doctor, the disease progresses.

The development of the disease depends on the health and physical condition of the patient. Candida balanitis is especially severe in debilitated elderly patients, as well as people suffering from autoimmune diseases or diabetes.

At the first signs of the disease, you need to contact a therapist who will give a referral to a urologist. To exclude the presence of sexually transmitted infections, you will have to pass the appropriate tests. If gonococci or other pathogens are detected, treatment takes place in the venereological dispensary, if the only pathogens are Candida fungi, the urologist will deal with the disease.

A feature of candida balanitis is frequent relapse.

Some experts believe that it is impossible to completely remove the fungus from the body.

It is important to stop the active reproduction of microorganisms and transfer the disease to the stage of persistent remission.

When provoking factors occur, balanitis exacerbates again. A patient who has already undergone treatment should carefully monitor their well-being and, at the first signs, consult a doctor for re-treatment.

Effective therapy

Treatment of candidal balanitis in men should be comprehensive, combining external and internal agents. Antibiotics are excluded, as they can worsen the condition of the patient. The basis of treatment is antibacterial and antifungal drugs, which are used strictly according to the scheme proposed by the doctor.

In the acute form of the disease, the patient is prescribed Flucanazole, a synthetic antifungal drug that is effective in the initial and chronic form of balanitis. Up to 150 mg of the drug in the form of coated tablets can be taken per day. Flucanazole is taken before meals with a large amount of water. The course of treatment is calculated individually.

medicines are combined with local preparations in the form of ointments and creams. Most often, miconazole or clotrimazole is prescribed. These creams are easily absorbed and contain powerful antifungal components. Before the procedure, the skin in the affected areas is thoroughly washed with warm water or a weak solution of potassium permanganate.

After drying the sore spots with a clean cloth, a thin layer of the treatment cream is applied to them. Processing is carried out 2-3 times a day, a standard course is designed for a week.

If symptoms persist or an allergic reaction is observed, it is worth trying nystatin ointment.

It removes burning and itching, reduces swelling and improves the general condition of the patient. The ointment is used to rub 2 times a day or make mini-compresses with it on the affected areas.

A good effect is obtained by the simultaneous use of universal antibacterial drugs in the form of aqueous solutions.

For washing and douching, Miramistin is suitable.It accelerates the healing of minor skin lesions, helps to avoid secondary infections, and goes well with antifungal medications.

How to supplement treatment?

Drug therapy must be supplemented with a proper diet. With balanitis, fatty, heavy dishes are not recommended. It is necessary to reduce the amount of red meat and simple carbohydrates that provoke inflammatory processes. From the menu you need to remove canned food, smoked meats, semi-finished products with lots of preservatives and fast food.

Bread or brewer's yeast can provoke exacerbations, so beer, yeast bread, muffins, sweets, mushrooms and blue cheese are excluded from the diet.

Nicotine, tobacco tar and combustion products lengthen the healing process and can trigger relapses.

The diet should include vegetables, fruits, lean fish, algae. For washing the urethra and the speedy removal of fungi from the body, it is necessary to observe a drinking regimen. Drink more clean water, homemade berry fruit drinks and dried fruit compote. Products with propolis, low-fat sour-milk drinks, red and black berries, garlic will help speed up recovery.

It is very important to observe the rules of hygiene.

During treatment and recovery, the patient takes a shower 2 times a day, before applying ointments and creams, it is necessary to thoroughly wash the genitals with warm water and soap and rinse with an aqueous solution of potassium permanganate.

Candidiasis balanitis in men is a disease that requires complex timely treatment.

Above, you familiarized yourself with the treatment and photos of candida balanitis in men.

The sooner an accurate diagnosis is made, the sooner recovery will come.

A balanced diet and careful hygiene will help to avoid relapses.

Causes of the disease

Candidiasis balanitis has the following main symptoms: discomfort in the head of the penis, itching, burning, discomfort during intercourse. Isolation of smegma occurs in large quantities, due to which contamination of underwear can occur. In advanced cases, the following symptoms appear in men:

  • purulent discharge from the preputial sac,
  • white plaque on the surface of the penis, upon removal of which there is irritation and redness of the skin,
  • curd flakes in a coronal groove.

In diabetes, candida balanitis has a protracted course and complications more often develop. His treatment is ineffective.

Papules and vesicles may form on the skin. If the disease is not treated for a long time, erosion occurs. In the future, they can transform into ulcers. In men, this process is accompanied by severe pain during movement.

With the advanced course of candidal balanitis, such complications may arise:

  1. spread of candida to the inguinal folds and scrotum,
  2. phimosis - a persistent narrowing of the foreskin in men, because of which it is impossible to expose the penis,
  3. balanoposthitis - inflammation of the foreskin,
  4. lymphangitis - an inflammatory process in the lymphatic vessels of the genitals, inguinal lymphadenitis (enlarged lymph nodes),
  5. urethritis - inflammation of the urethra,
  6. vesiculitis - inflammation of the seminal vesicles,
  7. orchoepididymitis,
  8. impotence and infertility,
  9. head cracks,
  10. warty growths,
  11. vegetative ulcers
  12. granulomatous candidiasis,
  13. penile cancer (chronic balanitis is referred to as precancerous condition).

Rare complications of the disease in men include chronic prostatitis and cystitis. With candidal cystitis, the urine becomes cloudy, with white flakes, there may be frequent painful urges to urinate. Treatment of these complications is carried out by a urologist.

The acute form has the following symptoms:

  • fever
  • pain and burning when urinating,
  • headache,
  • excessive sweating
  • general weakness, lethargy.

There is an erased form of the disease in which redness and itching are not pronounced, rash and general symptoms do not occur. Such a course often turns into a chronic form of candidal balanitis.

In the presence of symptoms, the diagnosis of balanitis is usually beyond doubt. Studies are conducted only to determine the causative agent of the disease, to determine the methodology for the subsequent treatment of balanitis.

For this purpose, a bacteriological examination of the urethra and smear is prescribed.

If the usual therapy for balanitis does not help for a long time, then a detailed diagnosis is used, which includes PCR studies for the presence of sexually transmitted infections, blood tests for sugar are performed.

Candida balanitis is a balanitis caused by candida (infection with Candida fungi).

The cause of infection may be:

  • unprotected sex with a sick partner,
  • taking antibacterial medications for chronic diseases,
  • diabetes,
  • mechanical trauma to the glans penis,
  • autoimmune diseases
  • psoriasis, dermatitis, skin seborrhea,
  • phimosis.

Candidiasis form of the disease is common enough.

The patient goes to the doctor with an acute form of balanitis, timely treatment helps to avoid the chronic stage.

The disease affects men of any age. Adults, sexually active people are more likely to become infected during sexual intercourse; the cause of candidiasis balanitis in children is congenital phimosis or inadequate hygiene of the genitals. For elderly patients, Candida is overtaken after medical treatment or as a result of severe chronic ailments.

A variant of candida balanitis occurs in women.

The disease has similar causes and symptoms, its official name is candida vulvovaginitis.

The fungus is quickly transmitted from one partner to another.

To prevent secondary infection, the couple should undergo treatment at the same time, only protected sex (using condoms) is allowed during therapy.

The first symptom of candida balanitis is a change in the color of the glans penis: it darkens or turns red. Then there are characteristic discharge with an unpleasant sour smell. At first they have a milky white hue and a curdled texture, then pus appears and the discharge acquires a tan color.

In the morning, yellowish crusts can be seen on the head of the penis, when you try to remove them, the skin becomes irritated, reddens, and sometimes bleeds. The patient feels constant itching and burning, while combing, small sores appear, causing pain. When trying to expose the glans penis, the patient also experiences discomfort.

If the patient is in no hurry to see a doctor, the disease progresses.

The development of the disease depends on the health and physical condition of the patient. Candida balanitis is especially severe in debilitated elderly patients, as well as people suffering from autoimmune diseases or diabetes.

At the first signs of the disease, you need to contact a therapist who will give a referral to a urologist. To exclude the presence of sexually transmitted infections, you will have to pass the appropriate tests. If gonococci or other pathogens are detected, treatment takes place in the venereological dispensary, if the only pathogens are Candida fungi, the urologist will deal with the disease.

A feature of candida balanitis is frequent relapse.

Some experts believe that it is impossible to completely remove the fungus from the body. It is important to stop the active reproduction of microorganisms and transfer the disease to the stage of persistent remission.

When provoking factors occur, balanitis exacerbates again. A patient who has already undergone treatment should carefully monitor their well-being and, at the first signs, consult a doctor for re-treatment.

In the case of "male thrush," the location of pathogenic fungi is the head of the penis. Due to the peculiarities of the structure of male genitalia, the process of the disease is quite complicated, sometimes almost asymptomatic or veiled (not like in women). When self-medicating or not properly selected dosage of drugs, the acute disease becomes chronic (with complications).

Provoking factors for the occurrence of candidal balanitis are:

  • disorders of the endocrine system (diabetes mellitus, decreased hormone production),
  • weakening of immunity,
  • menopause,
  • the presence of allergic manifestations,
  • lack of vitamins in the body,
  • non-observance of personal hygiene rules in intimate proximity or contact with a carrier of infection,
  • the presence of chronic diseases of the genitourinary system or gastrointestinal tract,
  • trauma or microtrauma of the penis,
  • treatment with antibiotics and hormones,
  • oncological diseases and their treatment by chemical and radiation methods.

By spreading spores, Candida fungi (under favorable conditions of the external and internal environment) multiply intensively, penetrating deeper into the tissue and forming vast, new foci of infection.

Most importantly, lead a healthy lifestyle! And:

  • keep personal hygiene
  • have one sexual partner, monitor your health and the health of the partner,
  • when signs of the disease appear, do not self-medicate, immediately contact a specialist,
  • follow a milk and vegetable diet, eat more vegetables and fruits,
  • give up bad habits,
  • control your emotional state, beware of stress,
  • Go in for physical education and sports in the fresh air.

If you suspect that you are suffering from candidal balanoposthitis, contact your urologist to establish the correct diagnosis. The doctor can determine the presence of the disease and understand the causes of its occurrence. In most cases, for this he only needs a penis examination and a survey.

If severe symptoms are present, further examination may be necessary, which may include:

  • Taking a smear from the glans penis to detect infection and determine its type.
  • Urine and blood tests to determine glucose levels, as diabetes mellitus contributes to the development of candidiasis infection.
  • Screening for sexually transmitted diseases.

Often, the inflammatory process begins due to the fact that the man does not follow simple rules of personal hygiene. As a result, a favorable environment is formed for the propagation of pathogenic bacteria. But there are other causes of the disease:

  • Chronic autoimmune diseases
  • Unstable hormonal background, disturbances in the work of endocrine organs,
  • Pathology of metabolic processes,
  • Sexually transmitted infections, such as gonorrhea, syphilis, trichomoniasis and others,
  • Anatomical abnormalities of the penis, including phimosis, in which the foreskin is narrowed, under which pathogenic microorganisms penetrate due to the impossibility of normal hygiene.

Depending on the cause, different types of balanitis are distinguished. The nature of some, such as, for example, obliterating, is not fully understood.

Why arises

Reasons for the development of candida balanitis:

  1. Non-observance of personal hygiene measures (infection with dirty hands, irregular toilet of the external genital organs of men).
  2. Wearing synthetic underwear that interferes with normal air circulation in the inguinal region.
  3. Infectious lesion (drift from skin areas adjacent and affected by a fungus, transmission by sexual contact).
  4. Immunodeficiency conditions. Mushrooms of the genus Cand> Symptoms of the disease

At the beginning, the symptoms of the disease are not fully felt, only after some time after the “act of love” a man can suspect something was amiss.Symptoms may disappear even for a few days, but return with a vengeance upon repeated attempt at sexual intercourse. At the same time, the following are noted:

  • irritation of the mucous membranes on the skin of the glans penis in the form of bright red wet spots, vesicles and crusts,
  • the skin of the head of the penis is inflamed and erosive,
  • swelling, as a result, an increase in head size,
  • unpleasant sickly sour smell,
  • the formation of microcracks and injuries,
  • cheesy discharge from the penis,
  • soreness when visiting the toilet "little by little",
  • soreness of the lymph nodes in the groin.

To diagnose thrush, a specialist doctor will need to examine both partners. To do this, tests are prescribed (smear and culture) to understand the degree and stage of the disease, as well as to exclude the "bouquet of Venus."

With balanitis, treatment at home is possible, but for this you will have to follow all the doctor’s instructions and follow the established regimen. Previously, the specialist is obliged to identify the exact cause of the disease in order to prescribe effective drugs.

Their intensity depends on the nature of the disease: non-infectious or infectious.

The reason may be infection with bacteria, fungi or viruses, injuries, improperly selected medications, an individual allergic reaction. Balanitis and post can be transmitted from one partner to another.

Fungi of this common species are suppressed by the body of a person with strong immunity. In a normal inactive state, microorganisms do not cause trouble without provoking thrush or other mycotic inflammation on the skin. Under the influence of many adverse factors, they begin to grow, form colonies on the mucous membrane of the genital organs, provoking a serious illness.

The main reason for the onset of candidal balanoposthitis is a sharp decrease in immunity. This may be facilitated by:

  • serious stressful situations at work, in the home circle,
  • chronic or inflammatory disease
  • genital diseases
  • inflammation that changes metabolism or hormones,
  • treatment with strong drugs (steroids, hormones or antibiotics),

The main symptom of the disease, which is bound to cause anxiety, is a burning sensation and inflammation of the head of the penis. There are specific manifestations that distinguish balanitis from other types of disease.

Over time, the severity of symptoms increases. Painful sensations are present almost constantly.

The following factors include the development of the disease without the presence of infection:

  • violation of the integrity of the skin of the head of the penis,
  • accumulation in the area of ​​the smegma head,
  • irritating effect on the head of detergents,
  • sometimes balanitis is provoked by the use of low-quality protective equipment.

But infectious balanitis is divided into types:

  1. Xerotic. It is caused by chlamydia and is associated with urethritis.
  2. Tricomonas type. It is provoked by bacteria. It usually occurs if the foreskin is very long.
  3. Circinar. It is distinguished by the presence of red spots on the head of the penis.
  4. Herpetic. It is manifested by rashes that are similar to herpes.
  5. Anaerobic. Edema and spots appear. Near the base of the head there is a sticky secret with a foul odor.

There are other types, but they relate to balanoposthitis, which has similar symptoms.

The height of balanoposthitis

Fungal microorganisms multiply very quickly. They form whole cluster-shaped colonies. In the process of life, microbes produce mycotoxins. It is these substances that are responsible for the inflammation of the mucous membranes.

The itching sensation in a man gives way to burning, mild pain and general discomfort in the groin. Whitish spots appear on the surface of the head. Plaque can be removed from them. In this case, the gaping red bottom is clearly visible.Sexual intercourse is accompanied by discomfort, ejaculation is painful. After sex, there is a burning sensation in the head area.

In 80% of cases, balanoposthitis is accompanied by urethritis - inflammation of the urethra. A man feels pain and burning when going to the toilet, and there may be impurities in the urine. Normal discharge from the urethral canal changes - they become plentiful, mucous, viscous. Their color is whitish, gray-white, unclear. Another symptom is characteristic of candida balanoposthitis - a distinct sour-milk smell of secretions.

There is also an accumulation of smegma in the sex of the foreskin and around the urethra. It is viscous, sticky, poorly washed off with water. To remove accumulations of secretions you have to use soap.

The complicated course of the disease

In the absence of proper treatment, candida balanoposthitis occurs with complications - cracks and sores appear on the head. In this case, they talk about the erosive form of balanoposthitis. Skin lesions serve as an entrance gate for infections, and the penetration of pathogenic microorganisms provokes the development of purulent-necrotic processes.

The foreskin is capable of strongly swelling and squeezing the base of the head - this is paraphimosis. When fibrous tissue appears between the foreskin and the skin on the head, phimosis develops. The problem worsens the prognosis and complicates the treatment of balanoposthitis, requires surgical help.

Without appropriate therapy, fungal bacteria spread throughout the urogenital tract and provoke a generalized inflammatory lesion.

Running candida balanoposthitis becomes gangrenous. With it, increased necrotization of the tissues of the penis is noted. Ultimately, inflammation covers the entire genital organ.

Chronic candidiasis balanoposthitis in men

Often candidal balanoposthitis occurs in a chronic atrophic form.

Mild symptoms may be present continuously.

From time to time they worsen.

There is a clinical picture resembling that of acute candidal balanoposthitis.

For most of the time, the symptoms are as follows:

  • on the surface of the penis there are small papules
  • no cheesy raids
  • red spots on the penis are possible
  • itching is mild or absent

Chronic pseudomembranous candidiasis balanoposthitis has similar symptoms.

There is scanty white discharge.

Sometimes on the surface of the penis there are constantly pustules or erosions that do not heal.

When is candida balanoposthitis needed PCR and culture?

Diagnosis using symptom assessment and microscopy of biomaterial is used in most cases.

This is enough to establish a diagnosis and prescribe treatment.

PCR and culture are required only in certain situations:

  • with severe candidiasis
  • in case of its chronic form
  • if the patient does not respond to treatment
  • with frequent relapses of fungal inflammation

The microscopic method does not make it possible to establish what type of fungus caused inflammation.

In 80% of cases, this is candida albicans.

However, this fungus rarely causes chronic processes.

It is usually easily destroyed by antifungal agents and rarely recurs.

If problems arise, it is highly likely that there are atypical candida.

To accurately know the type of fungus, PCR is performed.

This is a molecular genetic diagnostic method aimed at finding a specific DNA fragment.

It is characteristic only for a specific type of fungus.

Thus, according to the results of PCR, the doctor can determine the causative agent of the infection.

This makes it easier for him to select a therapeutic regimen.

Because different types of fungi are sensitive to different drugs.

Most atypical candida do not die from fluconazole.

They have reduced resistance to it or are completely resistant.

Sowing is an even more informative method.

Its essence is that the fungus is sown on a nutrient medium.

For several days, the container with the medium is cultivated under optimal conditions for candida (temperature, humidity, nutrient substrates).

Colony growth is then evaluated.

By their various properties, it is possible to establish the exact form of the fungus.

In addition, specialists can test, using a living culture, from which drugs this variety of candida dies.

As a result, the doctor receives a list of antimycotic drugs to which the fungus has high, low resistance or is completely resistant.

For treatment, the doctor prescribes the drug to which sensitivity is maintained at a high level.

With a high probability, such a regimen of therapy leads to success.

How to treat candidal balanoposthitis in men?

To cure candidal balanoposthitis, it is necessary to use antifungal drugs.

In most cases, this disease:

  • acute
  • not complicated
  • easy to treat
  • occurs in immunocompetent men

Fluconazole or itraconazole can be used for systemic treatment of the disease.

Topically apply clotrimazole or miconazole.

Local treatment is possible even without pills.

In most cases, the symptoms go away quite quickly: after a few days.

On average, the course of application of ointments lasts 1 week.

Special approaches to treatment require a situation when:

  • a person has chronic diseases predisposing to candidiasis
  • candida balanoposthitis itself has become chronic or is constantly recurring
  • the disease is severe
  • prescription drugs do not work

Then, before treating candidal balanoposthitis, the doctor prescribes sowing for fungi.

He assesses which antimycotics candida are sensitive to.

Then he conducts a course of therapy.

Treatment is supplemented by the use of topical preparations.

Enzymes are prescribed to improve the penetration of antimycotics into the focus of inflammation.

Patients with recurrent or chronic candidiasis are shown additional examinations to identify predisposing factors:

  • glucose blood test, glycated hemoglobin
  • immunogram
  • blood for HIV

With a decrease in immunity, it is required to restore it.

This is done by an immunologist.

He looks at the immunogram and selects drugs that help restore certain parts of the immune system.

Candidiasis is usually chronic, recurring, or complicated by problems with T-cell immunity.

The key to complete healing

During intensive drug treatment, the symptoms of balanoposthitis are relieved after 2-3 days. A man must undergo a full course of treatment, even if the signs of the disease have completely disappeared. Quality therapy of candida balanoposthitis takes 10-14 days.

If a man stops treatment immediately after the disappearance of symptoms (after 5-7 days), the risk of chronic fungal infection increases.

During therapy, the patient is shown repose. Refrain from sexual intercourse is necessary to prevent the transmission of infection to the partner, the prevention of injuries of the inflamed mucous membranes of the genital organ.

During treatment it is important to follow a diet - to abandon alcohol, sweets, flour products, marinades, pickles, smoked meats, sweet soda. These products create a favorable environment for the propagation of fungi. The menu is better to compose on the basis of whole grain cereals, dairy and protein products (meat, fish, eggs). The abundance of fresh fruits and vegetables will eliminate the deficiency of vitamins and speed up the process of repairing damaged epithelium.

After suffering candidal balanoposthitis, a man should take care of relapse prevention. It is necessary to undergo a full examination: 90% of cases of male candidiasis are associated with more serious systemic diseases.It is imperative to eliminate provocative factors: to selectively choose a sexual partner, use condoms during casual relationships, eat well and treat infectious diseases in a timely manner.

The combination of candidal balanoposthitis with other pathologies

Concomitant diseases can lead to severe or recurrent candidiasis.

On the one hand, they improve the conditions for fungi.

Contribute to their excessive reproduction, which causes difficulties in curing the patient.

On the other hand, candida itself contributes to the development of other diseases.

They disrupt the normal biocenosis of the reproductive system.

Often candidiasis is combined with such pathologies:

  • sexually transmitted diseases
  • nonspecific bacterial balanoposthitis
  • allergic or skin diseases with localization of pathological foci on the head of the penis or foreskin
  • repetitive microtrauma
  • any diseases accompanied by fever and sweating (thyrotoxicosis, prolonged fever - for example, with tuberculosis, hyperhidrosis, autonomic dysfunction of the nervous system according to the sympathicotonic type)

All concomitant diseases should be identified and cured, or compensated.

Otherwise, relapses of candidiasis infection will continue, as in the body there will be favorable conditions for the development of the fungus.

Control tests after treatment of candidal balanoposthitis

After a person undergoes a course of therapy, confirmation of cure is required.

It is carried out on the basis of:

  • examination of the patient - the doctor should examine the head of the penis and foreskin, make sure that there is no inflammatory process
  • laboratory tests - a smear is taken, examined under a microscope

For most patients, microscopic examination is sufficient as a laboratory method of confirming cure.

If fungi are not detected, this means one of two things:

  • They are not here
  • they are, but in such small numbers that they no longer pose a threat to health

In some situations, it is better to confirm the cure using PCR with quantification of fungal DNA.

This is necessary if:

  • atypical candida disease
  • a person has been treated for a long time for chronic or recurrent candidal balanoposthitis
  • the disease was difficult, led to complications

Then the goal of treatment is not to reduce the number of certain types of candida, but to completely destroy them in the genitourinary system.

The PCR test is more sensitive, therefore, in this case, it should confirm the positive results of the therapy.

Symptomatology

Candidiasis balanoposthitis is not only an unpleasant, but also a dangerous disease, so if the first symptoms appear, immediately contact a doctor.

  • redness of the foreskin of the penis. By the way, redness may appear after drinking alcohol. Even if a person does not have any other symptoms of this disease, an examination should be immediately taken. Some men explain redness as an allergy to alcohol and are drawn to visit a doctor. Over time, red spots of various shapes appear on the foreskin,
  • edema and swelling of the foreskin of the penis,
  • damage to the inner sheet of the foreskin,
  • discomfort in the inguinal region. Men begin to complain about the following symptoms: itching, burning and unpleasant odor.

If treatment is not started in a timely manner, then the condition will gradually worsen. Then the following symptoms will appear:

  • the formation of ulcers and erosion on the head of the penis. Over time, abundant discharge begins to come out of these formations (especially after sexual contact),
  • enlarged lymph nodes in the inguinal region,
  • painful urination. In addition, a white substance will be released from the urethra every time you use the toilet,
  • peeling of the skin around erosion,
  • the appearance of zones of necrotic epithelium.

Symptoms of the disease vary depending on its form:

  • acute candidal balanoposthitis. In this case, the patient's body temperature rises sharply. The penis begins to hurt and turns red,
  • chronic candidal balanoposthitis. This form is manifested by continuous itching, discomfort, swelling, slight redness of the penis and constant humidity of the glans penis. In addition, white plaque accumulates in the coronal groove area. Discomfort intensifies after sexual contact and with increased humidity. In addition, the pain becomes stronger during exercise. Sometimes the skin of the penis begins to crack.

Survey

Characteristic symptoms make it possible to make a diagnosis in men already at the first examination. More research is needed to establish the type of microorganism (bacteria or fungus) that caused the inflammation. After determining the pathogen, you can choose the right antimicrobial drug. A smear is taken from the urethra, which is examined by microscopy. It is also necessary to examine the sexual partner.

In cases where prolonged antifungal therapy does not produce an effect and the symptoms persist, PCR is performed to detect sexually transmitted diseases. Since candidiasis balanitis can be a sign of latent diabetes mellitus, it is necessary to conduct a blood test for sugar level, as well as a glucose tolerance test.

Proper nutrition for illness

A warm evening bath will help relieve the burning and itching associated with thrush. 100 ml of alcohol tincture of calendula or eucalyptus is added to the basin with water, the procedure lasts 10-15 minutes. It is best done before bedtime until the unpleasant symptoms disappear completely.

A mandatory point is proper nutrition. Light food with a predominance of fresh vegetables, fruits, lean fish and cereals will help get rid of thrush. Low-fat dairy products that improve the intestinal microflora function very well.

Suitable homemade yogurts without additives and sugar, kefir, fermented baked milk, cottage cheese.

It is better to refuse fatty sour cream and whole milk, as well as smoked meats, canned goods, yeast bread, muffins, sweets and starchy root crops. During the treatment period, it is necessary to exclude alcohol, including beer. Vitamin complexes that drink courses for 1-2 months will help strengthen immunity.

Therapeutic tactics

Taking medications should begin immediately after the first symptoms have appeared. It is recommended to simultaneously use fermented milk products that restore the balance of microflora. Treatment of candida balanitis can be divided into local and general. They are often combined.

With candida balanitis, conservative therapy is carried out with systemic and local antimycotic (antifungal) drugs. These drugs are aimed at blocking the process of reproduction of pathogenic fungi, which leads to recovery. Systemic antimycotic drugs are prescribed in tablets, capsules, less often in injections. Preparations for local action are used in the form of ointments, gels, solutions.

Antifungal drugs:

  • clotrimazole (candibene, candizole, antifungol),
  • ketoconazole (nizoral, livarol, mycozoral),
  • natamycin (pimafucin),
  • econazole (ifenec),
  • miconazole (ginesol, Klion D 100),
  • imidazole (ginesol, mycogal),
  • fenticonazole (lomexin).
  • fluconazole (diflucan, flucostat, diflazone),
  • Intraconazole (rumycosis, Orungal, Irunin).

To select effective medications, a smear from the urethra for bacterioscopy and bacteriosis is taken before starting therapy. With bacterioscopy, the presence of mycelium of the fungus is revealed.Bakposev involves the sowing of biomaterial on nutrient media in order to detect the growth of fungal colonies and to identify their sensitivity to antimycotic drugs.

Methods for treating candida balanitis

Treatment of balanitis, namely, candidiasis type can be both local and oral. Local treatment of candida balanitis involves the use of clotrimazole, and oral administration is based on taking fluconazole.

It is recommended to examine sexual partners for infection rates.

  1. Recommended products include clotrimazole cream, one percent and two percent miconazole cream. Apply the preparations to the skin of the head of the penis twice a day until the symptoms disappear.
  2. As an alternative agent in the treatment of candida balanitis, oral preparations such as fluconazole are used if serious symptoms and cream nystatin are manifested with high resistance or allergy to imidazoles.
  3. With severe inflammation, topical use of imidazole with hydrocortisone is possible. Regarding the partner, even if there are no obvious manifestations of the disease, it is recommended to carry out preventive treatment in any case.
  4. The latest methods without medical treatment include the use of laser radiation with an immunomodulating effect. This treatment method shows a gentle effect on the humoral units and is used in conjunction with the use of lamisil spray as an element of monotherapy.
  5. In general, helium - neon laser radiation is recommended for use in the chronic and recurrent nature of the disease with candidal balanitis.

Taking medications should begin with the onset of the first symptoms. Along with medicines, it is recommended to consume fermented milk products that restore the balance of microflora. First of all, it is necessary to destroy pathogenic microorganisms and only then proceed directly to the treatment of candida balanitis.

In no case do not start the disease, otherwise surgical intervention will be required.

To eliminate the causative agents of the disease, which are Candida fungi, antifungal ointments are used. They are applied to the penis twice a day until the signs of balanitis disappear ...

In men, the treatment is mainly carried out with local drugs. This is miconazole or clotrimazole cream, which are quite effective. In case of an allergic reaction, they are replaced with nystatin ointment.

If the effect is absent or severe inflammation, then imidazole with hydrocortisone is used. Anti-inflammatory therapy and disinfectants are required to remove plaque.

  • baking soda
  • potassium permanganate,
  • boric acid
  • furatsilin.

The administration of fluconazole tablets is also provided.

If these measures were unsuccessful, then they resort to a laser and Lamisil spray. This treatment is indicated if balanitis is chronic and often recurs. When the bacterial flora is affected, antibacterial drugs are added.

Watch the video: Infection of the Penis & Foreskin Balanitis (February 2020).

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