acute foreskin
Introduction
Introduction to acute dermatitis Acute dermatitis is the most common glans foreskin disease. Almost all patients have phimosis or prepuce that is too long. Between the glans and the long foreskin, the shed epithelial cells, glandular secretions, and smegmatis form a warm, moist bacterial culture medium that can cause inflammation once the bacteria enter. basic knowledge The proportion of illness: 0.012% Susceptible people: more common in young men Mode of infection: contact infection Complications: sexual dysfunction male infertility
Cause
Acute dermatitis etiology
Acute dermatitis can be caused by various pathogen infections, smegma stimulation of the foreskin and other factors. Because the secretion of sebaceous glands in young male foreskin is often more vigorous, if you do not pay attention to regular cleaning, the liquid secreted by the foreskin sebaceous glands will accumulate under the foreskin, forming a smegma like bean curd. Sectopic scale is a good medium for bacteria. If it is not removed in time, it will cause bacterial infection.
Prevention
Acute dermatitis prevention
Foreskin is completely preventable, usually pay attention to develop good hygiene habits, for the foreskin is too long, phimosis (the foreskin can not be flipped) circumcision, etc., have a good preventive effect.
First, pay attention to local hygiene, clean the foreskin daily, if the foreskin is too long to be treated in time, if necessary, for circumcision, it is necessary to clean the smegma in time.
Second, a couple suffering from sexual organ diseases should suspend sexual life, timely treatment, such as trichomoniasis or Candida albicans infection should be treated at the same time.
Third, often clean the foreskin and penis head, keep the foreskin cavity clean and dry. Avoid unclean sexual intercourse and cleanse yourself.
Fourth, if the formation of ulcers or erosions should be changed in time, change the drug twice a day to avoid discomfort.
5. Avoid acute use of corticosteroids for acute dermatitis to avoid more serious infections.
Complication
Acute dermatitis complications Complications, sexual dysfunction, male infertility
There are several types of hazards:
1, can lead to sexual dysfunction: the foreskin glans turbidity period of the head of the sensory nerve is sensitive, coupled with inflammation of the injury, making it easy to premature ejaculation in sexual life, long-term can lead to impotence.
2, can lead to male infertility: due to prolonged stimulation of proinflammatory factors on the regulation of reproductive system sperm and sexual response, as well as hidden inflammatory secretions in the foreskin into the vagina during semen and semen, reducing the quality of semen, and Destruction of the egg cells leads to male infertility.
3, harm to the reproductive system health: foreskin balanitis easily lead to prostatitis, orchitis, epididymitis has been vas deferens and other organs of inflammation. If it is not treated in time, it will cause great harm to reproductive health.
4, leading to urinary system diseases: foreskin balanitis is also easy to cause ascending infection of the urinary system, generally more common in cystitis, nephritis, pyelonephritis, etc., especially chronic balanitis long-term treatment is most likely to cause urinary system diseases, improper treatment of acute disease Can cripple life.
5, leading to dry occlusive balanitis: dry foreskin balanitis is a serious pathological damage of foreskin balanitis, destroying the physiological structure of the foreskin glans, also affects sexual life and aesthetics, is also common in premature ejaculation factor.
Symptom
Acute foreskin symptoms common symptoms foreskin itch foreskin pain glans itching
1. Local flushing at the beginning, the skin of the penis is red and swollen, and the glans has a feeling of burning and itching.
2, open the foreskin, visible inside the foreskin and glans congestion and erosion, there is exudate, and even bleeding.
3, after the secondary infection can be seen small ulcers, stinking milky white purulent secretions. May be associated with swelling and tenderness of the inguinal lymph nodes.
Examine
Acute dermatitis examination
First, the disease can be directly examined by microscopy, scraping the surface scales of the glans glans, coronary sulcus or foreskin as the specimen to be examined. The specimen to be inspected is made with a certain concentration of potassium hydroxide or physiological saline, and the cluster of egg-shaped spores and pseudohyphae can be seen under the microscope. If more pseudohyphae are found, it indicates that the candida is in the pathogenic stage.
Second, the use of staining to check the disease, can also be 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 stained, spores and pseudohyphae stained red.
3. Candidiasis culture can be carried out by separation and culture observation, and patients with negative smear test for balanitis. The test specimens are inoculated on the Sabouraud medium under aseptic conditions, and in general, the test tube method is used. At the time of inoculation, the test tube culture medium was cut obliquely, and each tube was inoculated 2 to 3, and each sample was inoculated with 2 tubes.
Diagnosis
Diagnosis and identification of acute dermatitis
Diagnose based on symptoms and various laboratory tests.
Differential diagnosis:
Balanitis: The symptoms are characterized by red skin, edema and erosion, and even bleeding. If accompanied by bacterial infection, there will be unclear erythema in the foreskin, milky white exudate, and pus smell, and can form ulcers. It is very important to use Miaoshan Yanyanling to treat this situation. Keeping the external genital clean is a good way to prevent this disease.
