candidal balanitis
Introduction
Introduction to Candida foreskin balanitis The disease is caused by infection with Candida, mainly in the glans. Most of the patients are sexually active young adults. The spouses have Candida vaginitis and can cause disease in the same room during their onset. basic knowledge The proportion of sickness: 0.1% - 0.25% Susceptible people: young men Mode of transmission: sexual transmission Complications: orchitis epididymitis
Cause
Candidiasis foreskin balanitis
Candida foreskin balanitis is a common genital disease caused by Candida albicans infection.
The main routes of infection are:
1. Sexually transmitted infections
Female genital tract mucosa is hosted with Candida albicans, some of which are morbid, and some are not long-term carriers. When sexual intercourse, this bacteria can be transmitted to the male genitals. If the foreskin is too long and does not pay attention to personal hygiene, it will easily cause fungal penis head dermatitis.
2. Use a contaminated bath to bathe in an unclean bath or bathtub.
3. Excessive use of soapy water to clean the foreskin and penis head.
4. Long-term application of broad-spectrum antibiotics, hormones or immunosuppressive agents.
5. Diabetes is an important cause of infection.
Prevention
Candida foreskin 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
Candidiasis foreskin balanitis complications Complications orchitis epididymitis
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
Candida foreskin balanitis symptoms common symptoms foreskin itch papules itching scrotum itching glans red point turtle headache
1, the penis head and penis skin itching, burning is the most prominent symptom of this disease.
2. The penis head, coronary sulcus and foreskin are red and swollen, and there are scattered red papules.
3. Viscous bean curd-like white dirt can be seen in the penis head, the inner skin of the foreskin, and the coronal groove.
4, after the scrotum is infected, visible scrotal skin flushing, scaly erythema. It is accompanied by itching, pain, and increased pain after washing with soapy water.
5, urinary tract infection, there may be dysuria, frequent urination, urgency, burning and itching in the urethra.
Examine
Examination of Candida foreskin balanitis
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 after microscopic examination, the positive rate is higher than direct microscopy. Gram staining, spores and pseudohyphae dyed in blue: Congo red and PAS staining, spores and pseudohyphae dyed red.
3. Separation and culture: Patients with negative smear test can be cultured with Candida. 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 antibody can be detected by immuno-double expansion method or latex coagulation method.
Diagnosis
Diagnosis and identification of Candida foreskin balanitis
diagnosis
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.
