What should I do if my foreskin is always inflamed?

Total foreskin inflammation can be improved by keeping the area clean, topical drugs, oral drugs, physical therapy, surgical treatment, etc. Foreskin inflammation is usually related to poor hygiene, bacterial infection, fungal infection, excessive foreskin, low immunity and other factors.

1. Keep the area clean

Wash the foreskin and glans with warm water every day and avoid using irritating lotions. Keeping it dry after cleaning can reduce the growth of bacteria. Those with excessive foreskin need to turn over the foreskin to thoroughly clean the coronal sulcus to prevent accumulation of dirt. It is recommended to wear loose and breathable cotton underwear to avoid local moisture and heat.

2. External use drugs

For bacterial posthitis, erythromycin ointment or mupirocin ointment can be used as directed by your doctor to fight infection. For fungal infections, apply clotrimazole cream or bifonazole cream. When redness and swelling occur, hydrocortisone cream can be used short-term to relieve inflammation. The affected area needs to be cleaned before use to avoid mixing of medicine and secretions that may affect the efficacy.

3. Oral drugs

Severe infections require oral cefaclor dispersible tablets or azithromycin tablets to control bacterial infection. Fungal posthitis can be treated with fluconazole capsules. Those who have recurrent attacks can use prednisone tablets for a short period of time to reduce edema. It is necessary to pay attention to the history of drug allergy and it is forbidden to adjust the dosage of the drug on your own.

4. Physical therapy

For chronic inflammation, infrared irradiation can be used to promote local blood circulation. When ulcers occur, wet compresses with normal saline can be used to speed up wound healing. Low-energy laser therapy can reduce tissue edema, but it must be performed in a professional institution. Sexual intercourse should be suspended during treatment to avoid friction aggravating the injury.

5. Surgical treatment

Circumcision is recommended in patients with redundant foreskin or recurrent inflammation of the phimosis. While traditional surgery removes excess foreskin, recovery from stapler surgery is faster. The incision needs to be disinfected regularly after surgery to prevent urine contamination. People with scarring constitution need to evaluate the risks of surgery, and they may need to cooperate with anti-scar treatment after surgery.

Frequent irritation of the foreskin should be avoided in daily life, and spicy food and alcohol should be avoided. Regular work and rest can help improve immunity and reduce the probability of recurrence. If systemic symptoms such as fever, swollen lymph nodes, or local suppuration and ulceration occur, you must seek medical attention immediately. If symptoms persist after treatment, underlying diseases such as diabetes should be investigated. When partners have genital infections, they should be treated together to prevent cross-infection. During the postoperative recovery period, you need to follow the doctor's instructions for regular review and observe the wound healing.