Bogart Wrinkles and dry hair on the glans can be treated through local moisturizing, anti-infective treatment, hormonal ointments, oral drugs, surgical repair, etc. It may be related to factors such as excessive foreskin, fungal infection, balanitis sicca, psoriasis, lichen sclerosus, etc. It usually presents with symptoms such as itching, scaling, erythema, and chapped.
1. Partial moisturizing
For physiological dryness, you can use fragrance-free urea ointment or petroleum jelly to moisturize, and apply it lightly after daily cleansing. Avoid using alkaline soap for cleaning, and keep the water temperature below 37°C. If combined with mild desquamation, 5% oseltamivir phosphate cream can be used for a short period of time. This drug can alleviate the loss of water in the stratum corneum, but it should not be used for more than 14 days.
2. Anti-infection treatment
For fungal infections, use miconazole nitrate cream or ketoconazole cream twice a day for 4 weeks. Bacterial infections can be treated with topical mupirocin ointment, which is effective against Staphylococcus aureus. To maintain perineal ventilation during treatment, it is recommended to choose pure cotton breathable underwear. Parents should pay attention to whether children experience local tingling after taking the medicine.
3. Hormone ointments
For balanitis sicca, 0.05% clobetasol propionate ointment can be used for a short period of time, and the course of treatment should not exceed 2 weeks once a day. For psoriatic skin lesions, it is recommended to use calcipotriol ointment and mometasone furoate cream alternately. After using hormone drugs, it is necessary to monitor adverse reactions such as skin atrophy, and it is prohibited to extend the medication cycle on your own.
4. Oral medications
If you have severe itching, you can take levocetirizine hydrochloride tablets or loratadine tablets as directed by your doctor to treat allergies. Fungal balanitis requires oral administration of itraconazole capsules, which works by inhibiting the synthesis of ergosterol. Patients with lichen sclerosus may need acitretin capsules to regulate keratinogenesis, but it is contraindicated in patients with abnormal liver function.
5. Surgical repair
Circumcision is recommended for patients with redundant foreskin and recurrent infections, and glansoplasty is required for patients with cicatricial sclerosing lichen atrophy. Underlying diseases such as diabetes need to be ruled out before surgery, and compound polymyxin B ointment should be used to prevent infection after surgery. Surgery can improve the local moist environment, but sexual intercourse needs to be avoided for 3 months after surgery.
In daily life, local friction and irritation should be reduced and tight pants should be avoided. Use pH 5.5 weakly acidic shower gel when cleaning, and apply moisturizer promptly within 3 minutes after bathing. It is recommended to use water-based lubricants during sex and check whether you are allergic to latex condoms. If symptoms persist for 2 weeks without improvement or erosion and exudation occur, you must go to a dermatology or urology department for treatment. Diabetic patients need to strengthen blood sugar monitoring, as high blood sugar will aggravate dry skin.
