What's wrong with inflammation of the foreskin?

Foreskin inflammation may be caused by bacterial infection, fungal infection, poor hygiene, allergic reaction, or foreskin elongation, and can be relieved by local cleansing, anti-infective treatment, anti-allergic treatment, foreskin care, or surgical correction.

1. Bacterial infection:

Foreskin inflammation is often caused by bacterial infection, such as Staphylococcus aureus or Streptococcus. Bacteria can easily multiply in a humid environment, especially those with excessive foreskin who are more likely to accumulate secretions. It manifests as redness, swelling, pain or purulent discharge. Treatment requires the use of antibiotic ointments, such as erythromycin ointment or mupirocin ointment, as directed by the doctor, and at the same time strengthening local cleaning.

2. Fungal infection:

Candida albicans infection is a common cause of periposthitis and is more common in patients with diabetes or those with low immunity. Symptoms include itching, white, filmy discharge, and flaky skin. Treatment involves using antifungal medications such as clotrimazole cream or miconazole nitrate, keeping the affected area dry, and avoiding wearing tight underwear.

3. Poor hygiene:

Insufficient cleaning can lead to accumulation of smegma, which can irritate the mucous membranes and cause inflammation. The foreskin needs to be turned over and washed with warm water every day, and avoid using irritating lotions. Children need parents to help clean, and adults should pay attention to hygiene before and after sex. Repeated attacks need to be investigated for other triggers.

4. Allergic reaction:

Allergic posthitis may be triggered by contact with condoms, detergents, or topical medications. It manifests as sudden redness, swelling, papules, or severe itching. Suspected allergens need to be stopped immediately, rinse with water and then apply weak hormone ointment such as hydrocortisone, and in severe cases, take oral antihistamines.

5. Foreskin is too long:

Phimosis or excessive foreskin can easily harbor pathogens and lead to repeated infections. Physiological phimosis in children mostly heals with age, but circumcision should be considered for adults with refractory phimosis. The wound needs to be kept clean after surgery to avoid lacerations caused by erection. It usually heals in about 2 weeks.

You need to choose breathable cotton underwear every day to avoid sitting in a humid environment for a long time. Reduce spicy and irritating foods in your diet, and take appropriate vitamin supplements to enhance your immunity. Uncircumcised people should wash their bodies at least once a day, and both parties should cleanse before and after sex. If serious symptoms such as ulcers, fever, or swollen lymph nodes occur, you need to seek medical treatment promptly to rule out sexually transmitted diseases. Children with recurrent inflammation should see a doctor to evaluate whether surgical intervention is needed, and adults should undergo regular post-operative review to prevent adhesion. Maintaining a regular schedule and moderate exercise can help reduce the risk of recurrence.