Many boys always feel that their glans is itchy. For boys with a rough personality, they may think that there is no problem and it is just temporary. However, little do they know that this situation will lead to aggravation of the disease. Glanitis is caused by not paying attention to local hygiene. If you do not pay attention to reproductive hygiene, it may lead to co-infection of both husband and wife. So, how should the itchy glans be treated? 1. Inspection 1. Perform a routine urine test to find out if there is any urethral infection. If necessary, do a smear test to determine whether it is caused by fungi or bacteria. 2. Take urethral secretions to check for chlamydia and mycoplasma infection to determine whether it is non-gonococcal urethritis. 3. Prostate examination is used to understand whether the itching of the glans penis is caused by prostatitis. 2. Diagnosis The diagnosis is based on history, clinical findings, and examination. 3. Differential diagnosis 1. Swelling of the glans penis The penis and glans are congested and edematous. Based on the history of sexual contact before the onset of the disease, especially the history of unclean sexual intercourse, the typical clinical manifestations and course, the development of soft and flat papules, pustules, ulcers, unilateral purulent lymphadenitis after a short latent period, the detection of Haemophilus ducreyi by direct microscopy and culture, and the detection of Haemophilus ducreyi DNA by PCR, a diagnosis can be made. 2. Superficial ulcer of the penis Penile ulcer is a localized defect and erosion of the penile skin surface tissue, and its surface is often covered with pus, necrotic tissue or scab. IV. Treatment Treat the underlying condition causing the itching of the glans penis. Clean the area every day or disinfect with iodine; or use Jie'eryin to clean and apply fluoride cream locally to relieve discomfort. For bacterial infection, clean the area with 1:5000 potassium permanganate solution and apply antibiotic ointment, commonly used is compound ketoconazole ointment. Take antibiotics at the same time. You can choose physical therapy. You can also do circumcision surgery to prevent inflammation. 5. Prevention 1. Pay attention to personal hygiene on a daily basis. If itching symptoms occur, go to the hospital immediately. 2. Actively treat the primary disease. For example: balanitis, prepuce is too long, etc. If the above diseases are found, they should be treated first. 3. Avoid unclean sexual intercourse to prevent infection with Candida albicans, Trichomonas, Chlamydia, Mycoplasma, Gonorrhea or other bacteria. |
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