Herpes of the glans penis is a type of genital herpes. Sometimes genital herpes will heal on its own, but it is easy to relapse, so it is still necessary to treat the symptoms in time. Local treatment, immunotherapy, and symptomatic treatment can be adopted, and the sexual partner should also actively cooperate with the treatment. 1. Local therapy: The principle is to dry, contract, and protect the affected area to prevent secondary infection. You can apply 2% gentian violet solution, or 10% bismuth subgallate (dermatol), zinc oxide ointment or paste, lithospermum parkii ointment, 0.5% neomycin ointment, or 0.25%~0.1% IDU ointment, 5% IDU dimethyl sulfoxide solution (for skin herpes), etc. For the face, 10% aluminum acetate or zinc-copper complex can also be used. 2. Systemic treatment: The treatment principles are: first, to make the infected HSV inactive or even to eliminate the virus; second, to regulate immunity and prevent recurrence. Acyclovir can be used intravenously or orally, Livzonvir can be taken orally, interferon can be injected intramuscularly, and interleukin II can be injected intramuscularly. When we treat recurrent genital herpes, we use 3 million units of interferon produced by the Biotechnology Center of the Fourth Medical University for intramuscular injection, once a day, 10 times as a course of treatment, for a total of three courses, and appropriately used in combination with interleukin II, Levitra or Probabilin, 95% of patients do not relapse. 3. Immunotherapy Straus et al. used gD-2 vaccine vaccination, which is recombinant HSV-2 glycoprotein D expressed in CHO cells, to induce antigen-specific neutralizing antibodies equivalent to or exceeding the level produced by GH patients, 100 μg/time, repeated once after 2 months. Compared with the control group, the number of relapses was significantly reduced, and it was also effective in alleviating symptoms and preventing infection. 4. Local therapy Care should be taken to protect the wound surface, keep it clean and dry, and prevent secondary bacterial infection. 5% acyclovir (ACV) ointment or cream, α or β interferon emulsion or gel, 1% gentian violet solution, 3% tetracycline ointment or 25% zinc oxide oil can be used. 5. Symptomatic treatment If secondary bacterial infection occurs, antibiotics should be used as appropriate, and analgesics can be given if the pain is severe. 6. Dealing with sexual partners Since most sexual partners are likely already infected with HSV, they should also be tested and, if necessary, treated. |
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