Rosacea balanitis
Introduction
Introduction to Rosary Balanitis The disease is caused by infection with Candida, mainly in the glans. Most of the patients are sexually active young adults. There is a history before the onset, or there are more sexual partners, or the spouse has Candida vaginitis. The same room during the onset of the disease can also cause disease. Clinical common penile glans at the head of flushing, inflammatory papules (or dot matrix small red crickets, a large number of densely arranged), a little scaly or exudation, glans on the sticky secretions, or a white pseudomembrane-like white film. Conscious itch, burning sensation. The patient is under great stress and is very scared. Scraping scales for direct fungal microscopy can find a large number of spores and pseudohyphae. There are many reasons for Candida balanitis. The incidence of male candida balanitis is increasing. The main reason is related to sexual contact. Anyone who has sex with a woman with candida vaginitis is easily infected. External treatment with 1:5000 potassium permanganate wash, then apply Miaoshan Yanlingling in the affected area for 3 to 5 minutes, or use topical non-irritating antifungal tincture, etc., if the effect is not good, can be taken orally Itraconazole 200mg, once a week, and even served twice, after the topical anti-drug to maintain efficacy. basic knowledge Sickness ratio: 0.1% Susceptible people: male Mode of transmission: sexual transmission Complications: prostatitis orchitis epididymitis cystitis nephritis pyelonephritis male infertility
Cause
The cause of rosary balanitis
Unclean sex life (35%):
There are many reasons for Candida balanitis. The incidence of male candida balanitis is increasing. The main reason is related to sexual contact. Anyone who has sex with a woman with candida vaginitis is easily infected.
Indirect infection (25%):
Contact with indirect objects, such as other people's underwear, bath towels, baths, etc., plus such as the foreskin is too long, Candida in the foreskin inner plate, coronary sulcus and glans part of the proliferation, is also the cause of Candida balanitis.
Prevention
Rosary balanitis prevention
1, the symptoms of the foreskin penis head itching to the hospital to see a doctor, do not mess with antibiotics, so as not to aggravate the condition. If one of the spouses suffers from the disease, they should stop sex or wear a condom for sexual intercourse to avoid cross-infection.
2. Wash the foreskin with water every day. Do not use harsh soapy water or potassium permanganate solution. In daily life, you should change your underwear, fix your personal tub and towels, and disinfect them regularly.
3, the foot has a mold infection such as athlete's foot, etc., do not scratch your feet, do not wash your hands and catch the genitals. To actively treat foot mold infections, and pay attention to the underwear should not be washed with socks.
4, active treatment of systemic diseases, such as adrenal hyperfunction, diabetes and so on. To increase the body's resistance. For patients with too long prepuce, circumcision should be performed as soon as possible after the mold infection is cured.
5. Patients who have not disappeared after a long period of treatment should be checked for trichomoniasis infection. If trichomoniasis is combined at the same time, it should be treated with anti-trichomoniasis drugs.
Complication
Rosary balanitis complications Complications Prostatitis Orchitis Epididymitis Cystitis Nephritis Pyelonephritis Male infertility
1, harm to the reproductive system health: foreskin balanitis easily lead to prostatitis, orchitis, epididymitis, vas deferens and other organs of inflammation. If it is not treated in time, it will cause great harm to reproductive health.
2, causing urinary system diseases: foreskin balanitis is also likely to cause ascending infection of the urinary system, more common in cystitis, nephritis, pyelonephritis, etc., the acute treatment of the acute phase can be life-threatening.
3, leading to sexual dysfunction: the foreskin glans inflammatory period, the turtle head sensory nerves are damaged by inflammation, making men easy to premature ejaculation in sexual life, which in turn leads to impotence.
4, causing infertility: because the hidden inflammatory secretions in the foreskin enter the vagina together with semen during sexual intercourse, reducing the quality of semen, and destroying sperm cells, leading to infertility.
5, leading to dry occlusive balanitis: a serious pathological injury of foreskin balanitis, not only destroys the normal physiological structure and aesthetics of the foreskin glans, the sexual life of couples is also seriously affected.
Symptom
Rosary balanitis symptoms common symptoms glans itching genital skin flushing red papules burning pain glans flushing
Clinical common penile glans at the head of flushing, inflammatory papules (or dot matrix small red crickets, a large number of densely arranged), a little scaly or exudation, glans on the sticky secretions, or a white pseudomembrane-like white film. Conscious itch, burning sensation. The patient is under great stress and is very scared. Scraping scales for direct fungal microscopy can find a large number of spores and pseudohyphae.
Examine
Rosary balanitis check
1. Direct microscopic examination : scrape the surface scales of the glans, coronal sulcus or foreskin at the penis as the specimen to be examined . The specimens to be inspected were made with 10% potassium hydroxide or physiological saline, and clusters of egg-shaped spores and pseudohyphae were observed under the microscope. If more pseudohyphae were found, it indicated that Candida was in the pathogenic stage.
2. Staining examination : Gram staining, Congo red staining or PAS staining can be used for microscopic examination. The positive rate is higher than that of direct microscopy. Gram staining, spores and pseudohyphae dyed in blue: Congo red and PAS staining, spores and pseudohyphae dyed red.
3. Isolation and culture : Candida culture can be performed in patients with negative smear test. The test specimens were inoculated on Sabouraud medium under sterile conditions (used in vitro). At the time of inoculation, the test tube culture medium was cut obliquely, and each tube was inoculated with 2-3 spots, and each sample was inoculated with 2 tubes. The medium was incubated in a 37 ° C incubator for 24-48 hours, and a large number of milky white colonies were observed. A small number of colony smears were picked with the inoculation needle, and microscopic examination or microscopic examination was performed. A large number of spores were observed. Diagnosed as a Candida infection.
4. Candida antibody test : Candida albicans antibodies can be detected by immunodiffusion or latex coagulation.
Diagnosis
Diagnosis and differentiation of rosary balanitis
Commonly, the foreskin and glans are mildly flushed and dry, and the inner skin of the foreskin and the glans of the glans are accompanied by white cheese-like patches. When the scrotum is involved, the scaly erythematous rash appears on the contact surface with the penis, and the itching is obvious. When the urethra is involved, frequent urination and urgency may occur. A small number of patients can show acute edema-type foreskin balanitis, foreskin edema is obvious with itching, small ulcers can occur, and sometimes accompanied by diabetes. Very few men have sexual intercourse with a woman with candida vaginitis. Within a few hours, penile itching, burning sensation, foreskin and glans flushing occur.
