Why do I still have balanitis irritation despite treatment?

Question

Hi doctor,

I have been diagnosed with balanitis. Can you help with the irritation to go away? I have had it for five months. Currently, I am using steroid cream. I have been given antibiotics and steroid creams like Hydrocortisone, Clotrimazole and Betamethasone, but still the irritation is present. I had blood test and urine test.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

As you said you have irritation in the penile area. I would like to add few more questions.

Is there any tightness of foreskin?
Does it become difficult to retract the foreskin?
Did foreskin become whitish?
Are you diabetic?

Fungal balanitis is the most common type of balanitis which patients get. And if you closely look at the photos (attachment removed to protect patient identity) it is looking like fungal only. You are using steroid creams which are totally wrong which is why you are not getting the result. I would like to suggest you the treatment given below.

Consult your doctor, discuss with him/her and take the medicine with consent.
Check blood sugar because balanitis is common in diabetes and have to treat diabetes too to resolve this.
Apply Clotrimazole cream (Candid cream) two times a day over the penile area.
Stop steroid creams or their combination.
Tablet Fluconazole 150 mg twice in a week; should be taken for three weeks.

Follow this course for three weeks and get back.

Thank you.