How to treat a red-colored inflamed spot on the glans penis unresponsive to antifungal, antibiotic, and antihistamine therapy?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

With your descriptions and the image provided (attachment removed to protect the patient's identity), it seems you have developed balanitis.

Balanitis is inflammation of the glans penis. Balanitis involving the foreskin and prepuce is termed balanoposthitis. Predisposing factors include poor hygiene and overwashing, use of over-the-counter medications, and non-retraction of the foreskin. It may be associated with diabetes and candidal fungal infections.

You should go for the following investigations- blood sugar and KOH mount test for candidiasis.

Treatment-

1. Gentle retraction of the foreskin daily and soak in warm water to clean the penis and foreskin.

2. You can apply a combination of Fusidic acid cream and Clotrimazole twice daily for one month. If balanitis does not respond to topical therapy, then you can take a tablet of Fluconazole 150 mg once a week for four weeks. In recurrent cases, 1 % Pimecrolimus cream should be used.

Please revert if the problem persists.

Thanks and take care.