Balanitis in children
The disease occurs not only in adults, but also in children, accompanied by an inflammatory process.
If the boy is sick, he needs to be treated immediately, otherwise he will have to solve the problem surgically.
We will discuss the symptoms and treatment of balanitis in a child in an article.
Concept and characteristic
Balanitis is called penis inflammation. The disease affects the foreskin.
Appears in both circumcised and uncircumcised boys.
Pathology is characterized by itching of the glans penis, redness. Boy experiencing pain when urinating, with the course of the disease, the pain intensifies.
The inflamed area can increase, the patient’s condition worsens significantly.
In severe cases, the disease is treated with surgery.
The main causes of the disease are:
- Hygiene Failure. If the boy irregularly takes a shower, an infection occurs in the genitals.
- Soap application containing dyes and flavors. It injures the delicate skin of the child, leading to inflammation of the glans penis.
- Wrong diaper selection. Squeezing diapers may rub, cause skin irritation. The genitals turn red and inflamed.
- Hypothermia. If the boy did not dress warmly in the cold and catch a cold, balanitis is highly likely.
- Increased content urine sugar. Becomes the cause of the disease.
- Mothers attempt open the head of a member of the child while bathing. This is due to ignorance. The woman wonders why the head of the penis does not open, is it a violation, is trying to help the flesh open. This cannot be done. The head opens naturally when the boy gets older.
The above causes lead to the onset of the disease. Most of them can be prevented.if you are more careful about the health and development of the child.
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Forms and stages of the course
Specialists distinguish the following forms of balanitis:
- plain. It is characterized by redness, pain, the appearance of secretions,
- erosive. Bright red erosion is observed,
- ulcerative. Necrotic ulcers are observed not only on the head, but on the entire surface of the organ,
- candida. In addition to pain, redness, peeling, dry mucous membrane are noticeable on the head. White plaque is observed. The head swells a little, cracking, which contributes to its retraction,
- gangrenous. The entire surface of the organ is in ulcers. The appearance of blood is possible. Severe pain occurs when walking, urinating. A very serious form of the disease,
- obliterating. The urethra narrows. A person experiences frequent urination. Atrophy of the skin of the foreskin is observed.
There are two stages of the disease:
- primary. It is associated with the onset and development of infection. On the foreskin, harmful microorganisms accumulate, which lead to the disease,
- secondary. It occurs due to inflammatory processes in the urinary canal. A more serious stage of the disease, which requires a long treatment.
The clinical picture and symptoms
Disease characterized by symptoms:
- Itching, discomfort of the foreskin.
- Redness and swelling of the head. It is slightly increasing in size. It really hurts to hurt her.
- Pain when walking, urinating. Movements are accompanied by unpleasant sensations, severe pain.
- Fever. Dizziness is possible, weakness occurs.
- Allocations. With the course of the disease, there are many of them. They soak underwear.
- Sores, erosion on the penis. Increase in size with the course of the disease.
- Moodiness. The boy becomes restless, cries, sleep is disturbed.
Symptoms of balanitis in a child - a photo:
Is carried out in the hospital by a urologist. To diagnose a child’s disease, they inspect, then apply:
- bacteriological examination of a smear from the urethra,
- blood analysis,
- Analysis of urine.
These methods allow you to quickly make a diagnosis. Determined by cause of occurrence diseases.
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The first sign of the development of childhood balanitis is considered to be the characteristic behavior of the baby. The child is naughty, there may be an increase in temperature, he does not allow to touch his penis. The characteristic symptoms of this disease are:
- itching and burning are felt in the area of the glans penis,
- the head of the baby's genital organ begins to redden and swell,
- pus is secreted from the urethra,
- ulceration occurs on the head of the genital organ,
- urination is painful with discomfort,
- when walking, pain is felt,
- there are discharge from the urethra, which have an unpleasant odor,
- enlarged lymph nodes in the groin,
- the child is not feeling well.
Advanced balanitis is a prerequisite for the development of numerous serious diseases. The consequences of inflammation of the glans penis in a child who does not undergo effective and timely treatment are as follows:
- infectious diseases of the upper urinary tract develop
- Sensitive qualities of the penis are reduced,
- there is gangrene of the penis,
- the foreskin narrows.
With careful attention of parents to the genitals of male children, such a disease, as a rule, does not occur. Competent therapy almost always guarantees a complete cure.
What can you do
When observing inflammation on the genitals of your child, you need to urgently consult a doctor. You can only calm the baby yourself and gently rinse the affected area, it is better not to take any more actions. You can use funds that do not help, since they will not correspond to the nature of balanitis.
The doctor will choose an adequate treatment program, taking into account the form of balanitis and the age of the small patient.
What does the doctor do
Treatment is carried out in accordance with what stage and form balanitis took. Most often, complex therapy is carried out, including local treatment:
- rinsing the glans penis (duration 15-20 minutes),
- therapy with local antibacterial agents (if infection is detected), drugs with antifungal activity in combination with hormonal agents.
In severe forms of the disease, other treatment methods are also used. Antibiotics are prescribed in the form of capsules or tablets, it is possible to administer them intravenously and intramuscularly:
- if necessary, surgery is performed (if phimosis is observed),
- in some cases, physiotherapeutic manipulations (warming up, laser therapy) are prescribed.
Effectively fight pathology ointments and creams:
They eliminate swelling, inflammation, redness, pain. The disease can be eliminated in two weeks. Creams and ointments are applied on a clean, dried genital twice a day.
Help eliminate the disease solutions:
These means are used to treat the genital area twice a day. First you need to take a shower, dry the skin of the penis with a towel.
The medicine is applied to a cotton pad, applied for five minutes to a painful place, then retracted. The penis can be lubricated with a solution to prevent the spread of inflammation.
Experts recommend using Lamisil Spray. It helps speed up the healing process.
Use tool 2-3 times a day, spray the medicine on the affected area with two clicks. Before applying the drug, the genitals are washed and dried.
Preventive measures to prevent balanitis in children are quite simple.
- First of all, it is required to strictly and daily follow the rules of individual hygiene (every day, wash the child's genitals (his head), regularly and timely change their underwear).
- During treatment of existing infections of the genitourinary system.
- Timely consult a surgeon in the presence of phimosis in the baby.
Relieves swelling and redness camomile tea. To do this, mix 15 g of plant flowers and 500 ml of boiling water.
The solution is insisted for twelve hours, filtered. Use infusion for baths. The duration of the procedure is 10 minutes. Spend it twice a day.
Fights disease Hypericum infusion. For this, a tablespoon of the plant is mixed with 100 ml of boiling water. The tool is infused for thirty minutes, then filtered.
A cotton pad is lowered into the finished medicine, they rub the affected areas twice a day. This remedy eliminates itching, redness, swelling. A person is recovering quickly.
The recommendations of pediatricians on the treatment of balanoposthitis in boys can be found on our website.
It is applied in extreme cases, if medications do not bring the desired result, the disease continues to progress. The operation does not last long, but after it begins the recovery period.
The patient is prohibited from intense physical activity for a month, they recommend warmly dressing, wearing loose underwear.
The child can not be bathed with bath foam, shower gel to avoid irritation of the foreskin. Use only soap without dyes and flavors with great care.
During the operation, the specialists are very careful eliminate the inflamed area. They pull, reveal the fabric of the foreskin. The cause of the disease is eliminated. After surgery, a healthy organ microflora is restored. A person is recovering, children can recover in two weeks.
To prevent the occurrence of the disease, you need to follow some rules:
- Hygiene. Shower should be taken regularly. The kid is accustomed to regular procedures. In this case, you must use hygiene products without dyes and fragrances, as they cause irritation.
- Wearing underwear from natural fabrics of loose fit. Clothing should not rub and cause itching.
- Warm clothes in the cold. Baby dress warmlyto prevent hypothermia.
- Healthy eating. To increase the immunity of the child, to improve the protective properties, you need to eat right. This will reduce the likelihood of a disease.
- Should Avoid bumps. The genitals must not be hit. It is necessary to explain to the boy that he be extremely careful.
This disease accompanied by severe pain, itching and burning. If you do not treat the disease, very serious complications can arise, so parents need to start treating the boy as soon as possible without delaying this process.
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Balanitis in a child: what is it?
Balanitis is a inflammatory disease accompanied by itching, and sometimes pain of the foreskin and glans penis. The disease is associated with the action of pathogenic microorganisms, less often as a result of mechanical damage.
Several types of disease are known:
- irrational or simple, the most common.
- candidiasis is manifested by redness of the skin and the appearance of a rash.
- obliterating accompanied by atrophy of the skin and their pallor.
- erosive is characterized by the presence of ulcers and erosive lesions.
- chronic develops if untreated.
Any of the above forms may be accompanied by an exacerbationin which the general condition of the boy worsens, he becomes restless and irritable. As you can see, if you find balanitis in a boy, then you must immediately take up the treatment of this disease, since it complicates the life of the child.
It is possible to cure balanitis in the first stage, if there is no threat of complication, at home. However, drugs and treatment should be prescribed by a doctor. An important factor in successful treatment is the diet for balanitis.
Home treatment involves eating the following foods:
- skim dairy products,
- various cereals from cereals,
- fruits and berries,
- bran bread.
After passing the prescribed treatment, you need to undergo a second examinationto verify the treatment results.
Overview of some drugs
Decamine ointment It belongs to universal remedies for external use and is effective in the treatment of balanitis of fungal and bacterial origin. Apply to the head of the penis 3 times a day, the course of treatment is 2-3 days.
If necessary, it is allowed to apply up to 10 days. When used in conjunction with antibiotics, the effectiveness of treatment is increased.
The drug can not be used in conjunction with soap and other anionic detergents, so after washing, soap should be thoroughly washed with water. No contraindications were found for this drug, except for individual intolerance.
Xeroform It is often used in powder form, like powder, but ointment is better for treating balanitis in a boy. The drug consists of a mixture of powder and petroleum jelly and has effects:
For treatment, 10% ointment is used. You need to apply in an even layer, rubbing slightly, after which you can tie it with a bandage, but not tight. Before use, rinse the surface of the head. Acceptable use with other drugs. In rare cases of drug intolerance, an allergic reaction is possible, which is manifested by burning and itching.
As a disinfectant bath, you can prepare furatsilin solution with a concentration of 0.02%. To do this, pour water into a basin and dilute 2 tablets of furatsilin. Water should be at room temperature.
How to prepare a solution of furacilin from tablets is shown in the video:
Dioxidine bath It is used for purulent discharge. For its preparation, a 1% solution of dioxidine at room temperature is used. The duration of the procedure is from 10 to 15 minutes. Immerse the entire genital organ in a solution.
Neglect of treatment can lead to very unpleasant consequences:
- With a prolonged inflammatory process atrophoderma developscharacterized by a significant decrease in the sensitivity of the genital organ. The main negative point of this complication is the subsequent problems in sexual activity.
- An unpleasant complication is urethritis, accompanied by pain and significant difficulty in urinating.
- The most dangerous, although rare complication of this disease is gangrenous balanitis.
Types of disease
The disease can occur both in the form of balanitis, in which only the glans penis is affected, and postitis, which covers only the foreskin. The most common inflammatory process is observed in both parts of the penis and proceeds in the form of balanoposthitis.
There are acute forms of the disease, which lasts less than 3 months, and chronic, which lasts for a longer period. In addition, both of these forms are divided into several varieties. So, the acute form of the disease includes:
- erosive balanoposthitis,
- simple balanoposthitis,
The erosive form is characterized by the presence of ulcers and redness on the glans penis. With simple balanoposthitis, a distinctive feature is the thinning of the glans penis and its foreskin. This leads to burning, cutting, and other painful sensations. This form occurs as a result of exposure to the delicate skin of the foreskin of irritants of chemical, bacterial, fungal or mechanical origin.
The most severe form is gangrenous. With it, the patient has ulcers with purulent contents, severe soreness and swelling of the affected tissues, as well as an increase in temperature.
Treatment of acute balanoposthitis in a child
In the early stages of the disease, its treatment is quite simple. You should definitely contact a pediatric urologist or surgeon. Usually hospitalization is not required, and the problem is completely solved at home.
The following treatment measures are mainly applied:
- baths with a solution of potassium permanganate or furatsilina,
- applying gauze lotions with an antiseptic,
- the use of therapeutic powders.
Neither bathtubs nor basins are needed to complete the bath. It is enough to dilute the treatment solution in some small container and lower the diseased organ there. In the first 2-3 days from the onset of the disease, it is advisable to perform such a procedure every 2 hours. A gauze dressing moistened with an antiseptic or antibacterial ointment can be applied at night. But you should know that after water treatment procedures, the head of the penis should be carefully dried with gauze or cotton wool, and only then apply an antiseptic.
The ointment Levomekol has a wide spectrum of antibacterial action, therefore it is often prescribed for balanoposthitis in the form of applications. In more complex cases, it is injected into the prepuce with a syringe. It is useful for babies to apply powder with talc-tannin. Such measures are carried out until the symptoms disappear completely, and then only more thorough hygiene is required. Usually, in the acute form of uncomplicated balanoposthitis in children, treatment takes from 2 to 5 days.
With severe pain, the doctor prescribes a non-steroidal anti-inflammatory drug, such as ibuprofen, for the child.
If there is a suspicion of the presence of infection, a smear is taken from under the foreskin, which is examined for the presence of pathogens and for their sensitivity to various antibacterial drugs. Then, based on the information obtained as a result, a certain drug therapy is prescribed. Usually used drugs such as Nitroxoline, Erythromycin, Biseptol.
If the fungal nature of the disease is detected, then antimycotic ointments are used, for example, clotrimazole, inside, as a rule, the antifungal drug Fluconazole is prescribed. In severe cases, antibacterial and antifungal therapy can be administered orally or intravenously.
Classification of balanitis in children
Balanitis in children can be divided into several subspecies, depending on the type and appearance of the lesions of the foreskin:
- Irrational, in which the child feels itching and burning, swelling and redness of the tissues of the penis,
- candida, a common type in which the foreskin is affected by candidiasis, so the penis is covered with a whitish coating and papules with cheesy contents,
- obliterating, in which scars form on the mucous membrane of the penis, and the urethra narrows,
- erosive, in which erosion is formed on the organ (spots with exfoliating epithelium).
The most common cause of balanitis is a fungal infection. But its development requires certain conditions: physiological and external factors.
The physiological factor means the presence of phimosis - a narrowing of the foreskin of the penis, in which the head of the penis cannot be completely exposed. This phenomenon is very common, but usually it goes away arbitrarily by the age of five.
When the glans penis cannot be completely exposed during hygiene procedures, it is impossible to clear the mucous membrane from secretions. Consequently, the risk of tissue infection increases significantly.
The second reason for the development of balanitis is directly a violation of sexual hygiene. Many children do not realize the importance of a thorough daily toilet if their parents do not cover this topic. However, sometimes the situation is the opposite: when a child approaches the process of personal hygiene with great care, he can injure the skin of the penis with a hard washcloth or towel. In addition, sometimes the quality of running water or the composition of cosmetics (soap, shampoo, shower gel) can cause skin irritation, which, in turn, provokes a decrease in local immunity. Therefore, bacteria that already live on the surface of the skin or fall on the skin from the outside, are able to actively multiply and activate the inflammatory process.
It is also important to highlight a number of factors that greatly increase the likelihood of a child encountering this disease:
- diabetes mellitus, slowing down all the regenerative processes in the body,
- allergies, which may aggravate when using a certain soap,
- the presence of worms and pinworms,
- genital injuries
- sexually transmitted diseases, which in a young child can appear when infected through the blood.
However, as a rule, balanitis in most cases occurs as a result of a violation of personal hygiene.
Features of the disease
Balanitis belongs to the category of inflammatory diseases. Its development is always accompanied by itching, discomfort and soreness in the area of the glans penis. The pathological process is based on the action of alien organisms, much less often it is a consequence of mechanical damage.
Balanitis can occur in a child of any age. In infants, its appearance is due to prolonged wearing of diapers. First, it causes diaper rash, and then - the inflammatory process.
In total, there are several forms of the disease: simple, candidal, obliterating, erosive. Each of them has characteristic symptoms and requires a specific treatment option. For example, with candida balanitis, a small rash appears on the skin, and in the case of erosive multiple ulcers. Obliterating form is accompanied by atrophy of individual sections of the dermis.
Any of the presented forms of the disease can worsen. In this case, the condition of the child deteriorates sharply, he becomes tearful and irritable. Therefore, if you suspect balanitis, whose symptoms will be described below, you should immediately seek medical help. The sooner the doctor prescribes treatment, the faster recovery will come.
Why does the disease occur?
The main reason for the development of balanitis is considered an infection. It penetrates between the glans penis and foreskin. Usually in its role is a fungus of the genus Candidae or other pathogenic flora. The following factors may contribute to their appearance:
- Physiological phimosis. This is a fairly common violation in which the head cannot be completely exposed. The result is an enclosed space inaccessible to quality hygiene procedures. Between the foreskin and the head, a favorable environment is created for the life of pathogenic microbes. With age, physiological phimosis passes on its own. That is why children under 5 years of age are more prone to balanitis.
- Non-observance of basic rules of personal hygiene. Many babies simply do not know and do not know how to properly care for their bodies. In the absence of regular water procedures, inflammation of the glans penis occurs in the child.
Sometimes the development of the pathological process is accompanied by serious health problems. In this case, balanitis is secondary. The risk group includes children with diabetes mellitus, helminthic invasions and sexually transmitted diseases.
The first manifestations of balanitis
Often the development of the disease is preceded by the excellent well-being of the child. He may complain of itching and redness in the area of the glans penis. Parents themselves begin to notice his restless state. Among the main symptoms indicating active reproduction of pathogenic microflora, it should be noted:
- mild swelling of the skin in the infection area,
- a reddish rash
- the appearance of scales on the genitals,
- purulent secretion from the foreskin with an unpleasant odor.
Young children cannot tell clearly about their problem. They begin to be capricious at the next attempt to examine the genitals. In the acute stage, babies consciously restrain urge to urinate, which ends with enuresis at night.
Candidiasis balanitis in a child, in addition to the above symptoms, is accompanied by an increase in temperature. Sometimes in the groin area lymph nodes increase. Children with this disorder look lethargic and constantly sleepy.
For successful treatment, it is necessary to determine the form of the disease. First, the doctor should examine the small patient, analyze the complaints and examine his medical history. After this, studies are appointed to determine the causative agent of the disease. For this purpose, a smear from the urethra is taken.
With a complicated course of the pathological process or its chronization, additional diagnostics are carried out. A small patient is assigned a comprehensive examination:
- Blood test for sugar.
- Testing for STIs (taken only from adolescents).
If it was possible to timely identify balanitis in children, treatment allows you to cope with its manifestations within 3-4 days. During this period, inflammation, as a rule, manages to stop.
How to help a child at home?
Sometimes it is possible to defeat balanitis in children at home. Treatment will be effective only at the initial stage of the disease. However, before this, a consultation with a pediatrician is required.
The basis of home therapy are herbal baths. For this purpose, you can use St. John's wort, chamomile and calendula flowers. After the procedure, the inflamed skin should be gently wiped using a soft towel. Folk healers also recommend using these herbs for making lotions and infusions.
To reduce itching in the genital area, it can be wiped with a slightly salted aqueous solution. To prepare it, you need to mix a teaspoon of salt with 500 ml of warm water, mix well. A cotton swab moistened with a solution must be used to wipe the surface of the genitals.
After a course of therapy at home, you need to see a pediatrician. If its results are unsatisfactory, the doctor will prescribe medications.
Depending on the cause of the disease, a pediatrician may prescribe for its treatment: an antifungal cream, an antibacterial agent or a steroid ointment. Consider each of the options in more detail.
Antifungal drugs are prescribed for candida balanitis. Clotrimazole is recognized as the most effective. Ointment instructions for use recommend use twice a day until the symptoms disappear completely. The course of treatment lasts no more than a week.
In case of ulcerative balanitis caused by pathogenic flora, an antibiotic cream helps. Children are most often prescribed Chloramphenicol. Some doctors prescribe antibiotics in tablets, for example, Erythromycin. The dosage of the drug is selected individually and depends on the age of the small patient.
A mild steroid cream is recommended to reduce the inflammatory process. The choice of a specific remedy remains with the attending physician. Most often resort to the help of "Hydrocortisone." Like Clotrimazole, the ointment is recommended for use twice a day. In this case, the adoption of warming baths should be excluded.
Manifestations of the disease usually go away 3-5 days after the start of the course of therapy. If balanitis does not respond to treatment, symptoms continue to appear, it is advisable to discuss other exposure options with your doctor.
Treatment in children with balanitis
Treatment of balanitis in children occurs in the same way as therapy for a similar disease in adult patients. The goal of treatment is to eliminate the source of inflammation and accelerate tissue regeneration. That is, proper treatment includes both etiological therapy and symptomatic. Thus, it is possible to normalize well-being as quickly as possible and completely get rid of the disease.
It is important to emphasize that treatment should always be prescribed exclusively by the attending physician. Self-medication not only takes time during which the disease is aggravated, but also distorts the clinical picture, and, consequently, the diagnosis.
Chronic balanoposthitis develops when the treatment of an acute disease has not been completed. This form lasts for months, quieting down a bit during the treatment period and again exacerbating after it ends. Often it occurs when parents try to open the foreskin of the baby forcibly. Chronic balanoposthitis can occur in the following forms:
- ulcerative hypertrophic, manifests itself in the form of a long time non-healing ulcers, accompanied by redness and soreness,
- adhesive balanoposthitis, the symptoms of which are manifested by bloody wounds and characteristic discharge.
The general symptoms are somewhat different, not so sharp, but not long-lasting:
- itching in the foreskin,
- slight hyperemia and swelling of the glans penis,
- whitish discharge.
Chronic balanoposthitis is practically untreatable. After several relapses, an operation to circumcise the foreskin is usually suggested. It is carried out after the inflammatory phenomena subside, after its completion all manifestations and relapses of the disease usually disappear. In addition, surgical intervention saves the child from problems such as phimosis and paraphimosis. Circumcision surgery is recommended even for infants.
Treatment of balanitis in a child begins with the use of antibacterial agents, which eliminates the main cause of the disease - pathogenic microorganisms. If the symptoms of the disease are not too pronounced, you can start treatment with the use of drugs locally. For this, a medicine is taken, diluted in a jar, and then used for therapeutic baths. The organ should be lowered directly into the bank and kept not 15-20 minutes a day.
Before the procedure, the penis should be thoroughly washed, and then, without rinsing with water, gently pat the skin with a clean towel or paper towel.
Doing therapeutic baths with balanitis is necessary from the following medicines:
For the best treatment and quick recovery after a bath, a special ointment should be applied to the entire area of the affected skin:
If therapy is ineffective, antibiotics are prescribed for internal use, taking into account the previously conducted research on the detection of infection, and its sensitivity to different groups of antibiotics.
Alternative methods of treatment can not be used separately from the medication. But, in the event that the patient does not have allergic reactions, the doctor can recommend the patient to use herbal remedies as herbal baths or solutions for washing the genitals.
As a rule, chamomile broth, sage mood, brewed oak bark are used for this purpose. It is easy to prepare decoctions yourself, pouring 1-2 tablespoons of dried grass with boiling water. In order for the product to retain the necessary healing properties, it is better to do it every day in the quantity necessary for one day.
Apply the broth in a chilled and strained form.
Alternative methods of treatment
It is useful in the treatment of children's balanoposthitis to resort to traditional medicine. Trays from antiseptic solutions can be alternated with trays of infusions of herbs - chamomile, yarrow, sage, St. John's wort. Infusions are prepared at the rate of 1 tablespoon of grass per glass of boiling water, kept for about 30 minutes, then filtered. They can also be used to perform compresses.
With balanoposthitis in a child, chamomile compresses prepared according to a slightly different recipe are recommended: 3 tablespoons of boiling water are mixed with the same number of pharmacy chamomile flowers. After cooling the resulting slurry, it is applied to a piece of gauze and applied to the affected area.
As an anti-inflammatory agent, you can use fresh aloe leaves, which are applied to the sore spot twice a day after the next bath. Before this, it is necessary to cut the thorns from the sheet, remove the skin from one of the sides and slightly knead.
A good anti-inflammatory and wound healing effect is possessed by calendula, infused with olive oil. To prepare this infusion, 2 teaspoons of dried herb marigold is poured into half a glass of olive oil. Insist the product in a warm place, occasionally shaking, for 3 weeks. For therapeutic purposes, apply to purulent and inflamed areas.
But any methods of personal treatment will not be effective if you do not pay due attention to personal hygiene. The genitals during the illness should be washed with water after each emptying of the bladder. To do this, use mild skin cleansers that do not cause skin irritation and dryness. If the quality of the tap water is poor, the genitals should be washed with boiled water. To maintain a normal level of local immunity, it is important to monitor the temperature of the liquid: it should not be too hot, or, conversely, cold.
After each washing of the perineum, the organs must be thoroughly wiped with a clean towel, gently patting their skin. Rubbing the inflamed skin of the foreskin is strictly prohibited.
The intervention of the surgeon is necessary if the disease is present together with phimosis. In this case, it is important to assess the rate of development of the disease and the age of the patient. Phimosis can disappear on its own when it reaches the age of five. But if inflammation is severe, and conservative treatment is not effective, it is necessary to perform an operation to circumcise the foreskin.
The operation itself is not able to lead to complete healing. But after it, the skin of the foreskin is able to move away, exposing the head of the organ. Therefore, a person gets the opportunity to carry out normal full-fledged hygiene of the perineum, which contributes to a quick recovery and guarantees reliable prevention.
In especially severe cases, when the inflammation progresses so much that not only the skin and mucous tissues are involved in the pathological process, but also the rest of the organ’s tissues, it may require complete amputation. Gangrene is a dangerous disease that can lead to death. Therefore, it is necessary to start treatment in a timely manner.
The need for surgery
How to treat balanitis if it has become chronic and does not respond to drug therapy? In this case, doctors most often decide to have surgery. It involves the excision of the foreskin. This is a fairly radical, but at the same time effective method of combating the inflammatory process.
Many parents had to deal with such a pathology as balanitis in a child. This is a serious disease that cannot be neglected. Otherwise, the disease can become chronic. His therapy is no longer limited to taking medications.
Is it possible to prevent balanitis in a child? The main precaution is the quality and timely genital hygiene. First, parents should follow her, and then they can teach her the basics of the baby. It is necessary to change underwear daily and try to select diapers wisely.
Another preventive measure is to increase immunity. To this end, the child needs to provide good nutrition, walks in the fresh air. Any catarrhal diseases must be treated in a timely manner. And at the slightest suspicion of balanitis, you should immediately seek medical help.
Treatment of balanitis: taking drugs
Activities that are aimed at a therapeutic effect to eliminate balanitis can be divided into treatment with drugs and surgical intervention.
The first manifestations of the disease (burning, painful urination) indicate the need for treatment. The fight against the disease must be carried out with a targeted effect on the cause of the occurrence, which is one or another pathogen. Means should be selected comprehensively to eliminate pathological microorganisms at the site of occurrence and help prevent the further development of the inflammatory process.
Drug treatment of balanitis includes taking drugs of different pharmacological groups.
- antibiotic therapy. It is carried out in case of severe balanitis with the addition of a purulent process of the penis head. When the cause of the disease is fungal, viral infections or allergic reactions, treatment with antibacterial agents becomes meaningless,
- broad-spectrum antibiotics, macrolides, derivatives of quinoline and nitrofurans, sulfonamides, penicillins, cephalosparins - antibacterial agents that affect the development of bacteria by destroying their walls,
- non-steroidal anti-inflammatory drugs are prescribed for balanitis with the goal of anesthetizing and relieving inflammation. Positive effect on cellular metabolism, accelerating it,
- antiseptics for local effects on the urinary tract, which fight against microbes that have arisen on the head of the penis. Affect the structure of tissues and glands to improve protective qualities. With their action, the sensation of itching is reduced and swelling is reduced,
- antifungal agents inhibit the growth and increase in the number of fungi, which are the causative agents of inflammation of the glans penis with balanitis. To confirm the feasibility of their intake, a scraping is carried out with the aim of a diagnostic examination for the presence of fungi.
When balanitis is a consequence of an allergic reaction, antiallergic drugs are prescribed.
Drugs from the metronidazole group are used subject to the presence of chlamydia or other sexually transmitted infections. This trend is observed among adolescents at the first unsuccessful attempts to begin sexual activity.
You can treat balanitis with ointments. These include:
- ointments and creams, which include antifungal drugs,
- liniments where antifungal and hormonal active agents are combined,
- hormonal drugs. To counter the violation of protective mechanisms in the body, inflammatory processes or allergic reactions, ointments based on hormones are used.
A universal ointment is considered, in which there are all three components: an antibiotic, a hormone, an antifungal agent.
When using ointments, it is necessary to adhere to some rules of use:
- Consult with a specialist regarding treatment initially.
- Adhere to the course of treatment without prolonging it yourself.
- It is necessary to verify the individual tolerance of the active substances.
- Observe the possible occurrence of side effects from the use of liniment. The course of treatment is five days.
Given the ineffectiveness of drug therapy for balanitis, specialists begin to surgically solve the problem.
Indications for the operation:
- lack of result after using conservative treatment of balanitis,
- the course of the purulent process, capturing a large surface of the head,
- frequent relapses of balanitis.
When treating phimosis as the root cause of balanitis, the skin folds covering the outer end are removed until the head of the penis is exposed.
The operation when gangrenous processes occur is performed under general anesthesia. Its duration is approximately forty minutes. The affected tissue of the foreskin, which was formed as a result of the uncontrolled development of balanitis, is excised. The cavity of the body undergo rehabilitation. A few days later, circumcision is performed.
The patient is prescribed after recovery without complications after a week.
When ignoring treatment, a child may experience adverse complications of balanitis:
- narrowing and inflammation of the urethra,
- the process of decay on the penis,
- atrophic lesion of the skin around the head of the penis.
Balanoposthitis in boys
Balanoposthitis in boys is an inflammatory process that involves the head of the penis and the inner leaf of the foreskin. Balanoposthitis is diagnosed in approximately 6% of boys and in 11% of adult men not previously circumcised. Inflammatory diseases of the glans penis (balanitis) and foreskin (postitis) are most common in boys under 5 years old and in men who have an active sex life. Treatment of balanoposthitis in boys is a serious problem in pediatrics, pediatric urology and pediatric surgery. Prevention, timely and high-quality therapy of balanoposthitis in a child is the key to his reproductive and sexual health in the future.
Causes of balanoposthitis in boys
The main cause of balanoposthitis in boys is the lack of proper hygienic care for the genitals. This leads to the accumulation under the foreskin of the secret of the prepuce glands - smegma, which serves as a favorable environment for the multiplication of microorganisms that cause inflammation.
The development of balanoposthitis in boys is facilitated by the so-called physiological phimosis, which occurs normally in children under 3-5 years of age and complicates hygienic care due to the inability to completely expose the head while pulling the foreskin. Often, balanoposthitis in boys occurs when parents try to independently open their heads by force - in this case, various pathogens easily fall into the preputial sac from the external environment. Disturbed self-cleaning of the prepuce sac can be promoted by pronounced synechia of the foreskin. The most common causative agents of balanoposthitis in boys are streptococci, E. coli, staphylococci, Proteus, herpes virus, yeast (candida).
However, in some cases, balanoposthitis in boys, on the contrary, may be due to overly diligent hygiene and frequent washing of the glans penis with soap or other irritating agents. Allergic reactions (contact dermatitis) can result from the use of baby creams, underwear with detergent residues, etc. Children's cosmetics and household chemicals can provoke not only balanoposthitis, but also inflammation of the buttocks and perineum in a child (so-called diaper dermatitis )
The development of balanoposthitis in babies can be facilitated by a rare change in diapers or their improper selection (the use of diapers that are too large or too tight). At an older age, balanoposthitis in boys can occur with constant trauma to the foreskin with narrow panties, seams on the underwear, etc. Endocrine diseases (diabetes, obesity), urological diseases (cystitis, pyelonephritis, urolithiasis) can predispose to the appearance of balanopastitis in boys. ), hypothermia, vitamin deficiency.
Treatment of balanoposthitis in boys
In most cases, with acute balanoposthitis in boys, local treatment is enough. Sedentary baths with antiseptics (potassium permanganate, furatsilinom) or decoctions of herbs (chamomile, etc.) are recommended. It is possible to instill antiseptic solutions (chlorhexidine, miramistin, etc.) under the foreskin. After washing the glans penis, gently pull off the foreskin, remove smegma and pathological secretions, put ointment in the prepuce bag (syntomycin liniment, for boys with fungal balanoposthitis - clotrimazole) and return the foreskin to its normal position. If it is impossible to independently expose the head of the penis, the separation of the synechia of the foreskin and the purification of the prepuce bag is performed by a pediatric surgeon or urologist.
To reduce pain and swelling, you can use NSAIDs, in particular ibuprofen. In severe forms of balanoposthitis in boys, systemic administration of sulfonamides, antibiotics, antifungal drugs may be required.
In chronic balanoposthitis in boys and the development of pathological phimosis, circumcision is indicated (circumcisio).
Balanitis in a child: causes, symptoms and treatment
When a couple is born a son, she is forced to face many specific diseases. One of them is balanitis in a child. In most cases, the pathology is fungal in nature. Its main symptom is inflammation of the skin on the head of the penis. Such an unpleasant problem requires a serious approach in therapy and can not do without the use of special drugs. How to treat balanitis in children will be discussed in today's article.
Serious disease in the smallest: the main symptoms of balanitis in a child and methods of treatment
There are many typically male diseases, one of which is balanitis. This is a disease of the glans penis, manifested by inflammation.
Various causes lead to balanitis, one of which is non-compliance with hygiene.
Balanitis in children: causes, symptoms and treatment of balanitis in boys
Balanoposthitis in a child is a disease that almost every male person suffers in childhood. It consists in inflammation of the glans penis and part of the foreskin. It is characteristic that balanoposthitis in children occurs 2-3 times more often than in adult men. The disease is directly related to the narrowing of the foreskin, which interferes with the proper cleaning of the urethra and contributes to the development of local infection.
It is known that in preschool age, many boys suffer from physiological phimosis, which is resolved naturally by a maximum of eleven years. At this age, the foreskin already begins to easily separate from the glans penis. Well, until that time, such physiological phimosis greatly complicates the personal hygiene of boys, and the pollution accumulates in the skin folds, and lead to the development of such problems.
The main pathogenic factor is the infection of smegma, which is the secret of the prepuce glands and accumulates in the prepuce bag. It is a favorable environment for the reproduction of various pathogenic bacteria. The causative agents of this disease can be streptococci, E. coli, staphylococci, fungi. The factors that provoke its development are as follows:
- violation of personal hygiene rules,
- high urine sugar
- the narrowness of the foreskin
- wearing too tight underwear
- improper selection of diapers for infants
- the use of too aggressive detergents for washing underwear,
- too often the use of soap or other means when washing the foreskin.
Stagnation of the contents of the skin cover, the accumulation of smegma urine residues in it - these are the immediate causes of the disease. The high sugar content in the urine of diabetic boys also often causes balanoposthitis. Inflammation of the external genital area in boys is often triggered by rubbing too tight underwear.
Only sometimes the disease occurs as a complication of an infectious disease.