How to recognize balanoposthitis in a child? Treatment, symptoms
To date, a disease such as balanoposthitis occurs not only in adult men, but also in young boys. As a rule, children's balanoposthitis occurs as a result of neglect of personal hygiene. But, as the main factors in the appearance of this disease, stagnation of the contents of the preputial sac, which closes the head of the penis, appears. In this article, we will tell you about how to treat balanoposthitis in a child.
Treatment of balanoposthitis in a child, despite the frightening parents' symptoms, is not particularly difficult. Two to three days is enough to stop the disease. Doctors recommend conducting therapeutic baths with furatsilinom or using a decoction of chamomile. Furatsilin needs to be parted in warm water according to the calculation of two tablets on a scan of water. As for chamomile, it should be brewed as for ingestion, then strain, and the resulting infusion should be poured into water. Such procedures are preferably carried out every two hours. As for the medical treatment of balanoposthitis in children, most often doctors prescribe such drugs that are aimed at eliminating inflammatory phenomena. Such medications must be taken orally. During the use of medicines, the activity of pathogenic microorganisms decreases and, therefore, the inflammatory process decreases. Speaking about the methods of traditional medicine to combat this disease, one cannot but say about the pharmacy chamomile. It is necessary to finely chop three large tablespoons of chamomile, and then put it in hot water. The mixture must be brought to a uniform state. Then, cool the resulting mass. For direct use, the resulting mixture must be laid out on a cotton swab. And then gently apply with small compresses to the inflamed areas. After several similar procedures, the man will feel noticeable relief, since chamomile is famous for its excellent antiseptic effect. Thus, almost all methods of alternative treatment of balanoposthitis in children are based on herbal medicine.
The main symptoms of balanoposthitis in a child are itching, burning, redness, and minor swelling on the genitals is also possible. In some children, doctors can observe pus under the foreskin. In addition to the above symptoms of balanoposthitis in a child, an increase in temperature can also be attributed. The treatment of balanoposthitis in a child is also given special attention by the famous doctor Komarovsky. In his programs, he actively talks about the features of this disease, as well as about the main strategies for its treatment. The basis for the treatment of this disease in children is based on thorough hygiene of the genitals. The boy needs to be washed three times a day. Before putting on the diaper, you must first cleanse the skin and be sure to treat it with an anti-inflammatory moisturizer. Diapers need to be changed regularly as needed. Many doctors recommend that parents periodically leave the child without a diaper so that the skin breathes more.
Recently, it has become popular among parents to treat balanoposthitis in a child at home. It has long been no secret that home treatment involves the use of folk medicine. A positive therapeutic effect in folk medicine has a decoction of sage leaves. To prepare it, you will need 500 milliliters of boiled water and two teaspoons of crushed sage leaves. Sage leaves need to be brewed, then left for several hours so that it is well infused.The resulting broth must be thoroughly washed in the genitals. Also, with this decoction, small lotions on inflamed areas will not interfere. Another equally effective method in traditional medicine is the use of calendula flowers. To prepare a medicine from this plant, you need half a glass of vegetable or olive oil and, of course, calendula flowers. You need to carefully chop the flowers of the plant and add them to the oil. Then, put the resulting mixture on the windowsill, so that most of the day the mixture spent in the sun. By the way, the mixture needs to be shaken systematically throughout the day. It is necessary that the mixture has stood for more than 10 days, and then it will have to be carefully filtered and used as an ointment. This ointment should treat inflamed areas until complete recovery. It should be noted that this method in the treatment of balanoposthitis in children has very high results. Moreover, this procedure eliminates the appearance of side effects. But, everything needs to be said that parents should not forget about traditional methods of treatment. Because, despite the effectiveness of alternative treatment, traditional drugs and ointments can eliminate the disease much faster.
To date, a disease such as balanoposthitis occurs not only in adult men, but also in young boys. As a rule, children's balanoposthitis occurs as a result of neglect of personal hygiene. But, as the main factors in the appearance of this disease, stagnation of the contents of the preputial sac, which closes the head of the penis, appears. In this article, we will tell you about how to treat balanoposthitis in a child.
The clinical picture and complications of balanoposthitis in a child
Balanoposthitis - a disease that affects exclusively male. Pathology is an inflammatory process that affects the glans penis and foreskin.
The disease gives the patient a lot of inconvenience (itching, burning in the affected area), complicates the process of urination, making it extremely painful.
In the course of balanoposthitis in a child, various complications, for example, the accession of a secondary infection, provoking the development of suppuration.
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Concept and characteristic
Balanoposthitis is inflammatory process, in which the region of the glans penis is involved, as well as part of the foreskin.
The disease is acquired in nature, occurs due to infection, injury to the penis, or as one of the manifestations of an allergic reaction.
In young children, the most common infectious and traumatic forms. Pathology develops gradually when a large amount of pathogenic microflora accumulates between the skin of the foreskin and the head of the penis, the vital activity of which causes inflammation.
The main reason for the development of balanoposthitis is the reproduction of pathogenic microbes in the area between the foreskin and the head.
The causative agents of the disease are bacteria (streptococci, staphylococci and others). The negative factors that provoke the development and reproduction of pathogenic microflora can be different:
- Lack of personal hygiene. It is known that young boys in most cases suffer from physiological phimosis, when the foreskin has a very narrow opening. This leads to the inability to completely expose the glans penis, and, accordingly, to perform proper hygiene procedures. As a result of this, an accumulation of residual urine and secretory fluid occurs in this area. This is a favorable breeding ground for bacteria.
Who is at risk?
As follows from the concept of a disease, only males suffer from pathology. Moreover, it is known that in childhood balanoposthitis occurs almost 3 times more oftenthan mature.
This is due to the fact that many boys experience a phenomenon such as physiological phimosis (when it is impossible to completely expose the glans penis from the foreskin).
As a rule, this phenomenon is on its own. disappears by 11-12 years.
Forms of the disease
Depending on the course of the disease, the severity of the clinical picture, there are 3 main forms of balanoposthitis:
- Sharp the form is characterized by a sudden onset, the rapid development of symptoms. The boy may experience such manifestations as redness of the foreskin, swelling in this area. The baby feels discomfort in the penis, complains of pain, burning. These symptoms are aggravated by urination. The child's health worsens, hyperthermia may occur. Over time, this form develops into purulent.
- Purulent the form is characterized by the development of a stronger inflammatory process, accompanied by suppuration in the affected area. A distinctive feature of this form is the appearance of purulent discharge from under the skin of the foreskin.
- In the absence of the necessary treatment, the acute form may become chronic. The clinical picture in this case is poorly expressed, there may be slight redness and edema of the foreskin. The child also has whitish discharge from under the foreskin, which has a pronounced specific smell.
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Symptoms and signs
Balanoposthitis is a disease characterized by specific clinical picture.
Balanoposthitis in a child - photo:
The presence of pathology is indicated by such signs as:
- pain in the head of the penis. Pain and discomfort become more pronounced when urinating,
- Availability purulent or white discharge curdled consistency. Discharge can be noticed when the foreskin is moved away. They usually have a strong unpleasant odor,
- redness, swelling scalp
- irritations may appear on the skin of the glans penis rashes, microcracks,
- skin in the affected area begins peel off,
- the child becomes more irritable, sleeps worse, refuses to eat, cries for no apparent reason,
- in some cases, slight temperature rise body
- in the groin area increase lymph nodes,
- balanoposthitis often provokes development enuresis, since the boy, fearing pain during urination, seeks to retain urine for as long as possible. Untimely emptying of the bladder leads to the development of enuresis.
Possible complications and consequences
Balanoposthitis is dangerous because the focus of inflammation, covering the glans penis, gradually grows, affecting other areas, in particular, the urethra.
In addition, with a prolonged course of pathology receptor sensitivity decreases glans penis, which in the future may adversely affect the quality of intimate life.
Diagnostics and analyzes
In most cases, to make an accurate diagnosis, a doctor is enough to interrogation and examination of the patient, since the pathology has a very specific clinical picture.
However, if the disease has developed into a purulent or chronic form, a number of additional laboratory tests may be required:
- General blood analysis allows you to evaluate how intense the inflammatory process is.
- General Analysis of urine, allowing to establish or exclude the penetration of infection into the urinary tract.
- Blood sugar test, to exclude diabetes.
- Tank sowing from the inflamed area of the penis allows you to determine the causative agent of the disease.
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Balanoposthitis in children: symptoms and manifestations
Balanoposthitis - inflammation of the foreskin and head of the penis, often found in young children, mainly in infants. Most boys are thought to go through this malaise. It does not cause much harm, but it brings a lot of anxiety in the form of itching, burning, problems with urination, swelling and rash.
The cause of balanoposthitis can be:
- congenital phimosis (tight fusion of the foreskin with the head of the penis),
- congenital diabetes
- insufficient hygiene
- constant use of diapers and their rare change,
- unsuitable detergents and cosmetics
- too tight underwear.
Microorganisms of various nature cause the disease: Candida fungi, staphylococci, streptococci, E. coli. Often, childhood balanitis is preceded by dermatitis. In the initial form, the disease is almost invisible. In the morning, the child may complain of itching and burning, the head of the penis slightly swells and turns red.
Under the foreskin, grayish-white discharge accumulates - smegma. If you do not take action, the swelling increases, making it difficult to urinate. At the beginning of the inflammatory process, yellowish purulent discharge indicates. Drying, they form thin crusts that irritate delicate skin and cause a rash.
Painful sensationsthat accompany urination, can make a child avoid a pot. The result is enuresis, with prolonged symptoms of balanoposthitis, it can become chronic, in some cases, the occurrence of urethritis.
Often, normal edema is prevented by swelling of the head.
Here are the symptoms of balanoposthitis in the photo:
Which doctor should I go to?
Treatment of balanoposthitis in children: if you find the first alarming symptoms, you need to contact a pediatrician. After the examination, he can give a referral to a pediatric urologist or surgeon. The last option is necessary for phimosis. In some cases, you may need to consult an allergist or dermatologist.
To determine the causative agents of fasting, the doctor takes a smear from under the foreskin. A microbiological study is carried out, after which a therapeutic regimen is determined. Is it possible to treat balanoposthitis at home? Self-medication is excluded, improperly selected drugs can harm the child.
Another danger is the transition of post from acute to chronic, significantly less treatable.
Hygiene rules: why are they important?
Treatment of balanoposthitis in a child should begin with hygiene.
One of the causes of acute childhood balanoposthitis is the accumulation of smegma under the foreskin.
Daily washings with warm water and neutral baby soap are required.
For intimate hygiene, you can not use flavored and brightly colored gelswhich can provoke irritation of the skin and mucous membranes.
If the allergic nature of the disease is identified, special detergents are needed, which can be ordered at the pharmacy. It is impossible to sharply push the foreskin, the process can be very painful. Act gradually, freeing the head as much as possible.
Babies need the right size diapersnot compressing the genitals. They are changed immediately after pollution, the dirty diaper turns into a compress, which provokes the multiplication of bacteria.
It is advisable to use diapers only at night and during walks. At least 1 time per day, the baby should be left fully undressed. Such air baths strengthen immunity and prevent inflammation.
Children from infancy should take a shower or bath at least 1 time per day. They need not too tight underwear made of elastic cotton knitwear that changes daily.
How and how to treat balanoposthitis in children? Medicines and their use
How to treat balanoposthitis in a child? What will Dr. Komarovsky advise? A recognized authority in the field of pediatrics, recommends not to panic, having discovered the first symptoms of balanoposthitis in a baby. Timely access to a doctor guarantees a complete and fairly quick cure, and compliance with hygiene rules will help to avoid relapse. It is important to act gradually, without trying to cope with the problem in one day.
For inflammation, it is recommended to apply Levomekol ointment to the head of the penis, combining an antibiotic with immunostimulating components. The application of the ointment is combined with a light massage, slightly pushing the foreskin, but not causing the child pain. A small amount of the drug can be injected into the prepuce bag (using a syringe without a needle).
Also according to Dr. Komarovsky, Miramistin will help in the treatment of balanoposthitis in children.
Miramistin aqueous solution has a good antibacterial effect.
The liquid disinfects the skin, accelerates the healing of minor injuries, relieves burning and itching.
A gauze or bandage is wetted in the preparation and applied to the head of the penis. You can irrigate the affected areas from the syringe, allowing the skin to dry naturally. Processing is carried out 1-2 times a day after thorough washing.
Infectious inflammation can be treated with zinc ointment. It is applied in a thin layer to the damaged areas 1-2 times a day.
With candidiasis balanitis, ointments such as Fluconazole, Clotrimazole or Miconazole can be used. They are aimed specifically at the destruction of fungal infections, with a bacterial form, the drugs are ineffective. It is better to use them after a warm bath or thorough washing of the penis.
The maz is applied in a thin layer on the head and in the fold of the foreskin, you do not need to rub it. In order not to stain the laundry, the head of the penis is covered with a sterile gauze napkin. Processing is carried out 2-3 times a day, the course is prescribed by a doctor.
If the cause of balanoposthitis is an allergic reaction, corticosteroids ointments are prescribed for treatment. The best option is Lokasolen. The drug removes swelling and raw materials, soothes, eliminates the cause of inflammation. Use 1-2 times a day for 5-7 days.
Traditional medicine: will it help?
Are there any remedies for balanoposthitis at home? For treatment, you can use proven and safe home recipes. The best option is decoctions and infusions of medicinal herbs, which are used for sedentary baths, washing, compresses and douching.
An excellent antibacterial and calming effect has a pharmacy chamomile.
A handful of raw materials is poured with boiling water (1 liter) and infused for half an hour under the lid.
After filtering with warm infusion, the genitals of the child are washed.
The procedure is carried out 2 times a day, morning and evening. The course of treatment depends on the condition of the baby, there are no side effects and contraindications for chamomile infusion.
From concentrated infusion, lotions can be made. A cotton swab or a bandage folded in several layers is dipped in liquid and applied to the head of the penis for 3 minutes. Then the swab is wetted again and the procedure is repeated. You can do lotions 1-2 times a day for a week.
With small erosions, swelling and itching, douching with a decoction of yarrow, nettle, and calendula is useful. 1 tbsp. a spoonful of chopped collection is poured into a glass of boiling water, heated for 5-7 minutes and insisted 25-30 minutes. After filtering, the fluid is drawn into a syringe. Moving away the foreskin, the skin is abundantly irrigated with infusion; a small amount can be introduced into the urethra. The procedure is carried out 1 time per day, preferably before bedtime. The course is 7-10 days.
In order not to burn the delicate baby skin, the crystals are first diluted in a small amount of liquid, and then poured into a basin with warm water and thoroughly mixed. The temperature should not be too high. During the procedure, the foreskin can be slightly moved away from the head, warm water makes the process less painful. The bath lasts 7-10 minutes, it is especially useful to do it before bedtime.
Another option for baths involves the use of ready-made alcohol tinctures of eucalyptus or calendula. 100 ml of liquid is poured into a basin with warm water. The procedure lasts about 10 minutes, rinsing the skin after it is not necessary.
After the bath, you can use a baby cream without sharp perfumes. A small amount of the product is applied to the head of the penis and rubbed with light circular movements. In the cream, you can add a small amount of concentrated decoction of chamomile or calendula, which has a wound healing and soothing effect.
In the treatment of balanoposthitis in children there are also pleasant aspects.
Accelerate recovery will help proper nutrition.
The diet includes freshly squeezed fruit and vegetable juices, homemade berry fruit drinks, low-fat sour-milk products.
These tasty and easy-to-cook goodies strengthen the immune system and improve the body's natural resistance to infections.
When you need to suspect balanoposthitis in a boy
In 90% of cases, balanoposthitis in a child proceeds in an acute form. If the head and foreskin become inflamed, complaints arise about:
- difficulty urinating or urging
- itching in the area of the head of the penis,
- soreness when touching the penis.
Normally, smegma accumulates under the foreskin - the secretion of the glands of the prepuce sac. Smegma is necessary to maintain microflora and humidity. However, with insufficient hygiene or excessive production of this secret, the bacterial flora can multiply in it. Then the child has a fever, lack of appetite, and a headache.
What does balanoposthitis look like in a child:
- diaper rash in the affected area,
- penis reddens and swells
- eruptions in the groin,
- pus is separated from prepuce
- cracks occur in the area of the glans penis.
With improper treatment, pinpoint erosion appears on the penis, and commissures form on the foreskin. Symptoms increase within 5 days. Improper therapy leads to chronic inflammation and the transition of balanoposthitis to a sluggish form.
Because of pain, children try to stop urination, which is fraught with nocturnal enuresis - urinary incontinence during sleep.
Causes of balanitis
Balanoposthitis is a combined disease, that is, inflammation of the head of the penis (balanitis) and the preputial sac (post). According to WHO, it is detected in 15% of children aged 6 months to 10 years.
Non-compliance with hygiene and physiological narrowing of the foreskin are the main causes of postitis or balanitis in a child.
But urologists identify many factors that contribute to genital inflammation in children.
Rare diaper replacement
Balanoposthitis in newborns occurs due to an infrequent diaper change, which leads to:
- the multiplication of pathogenic bacteria in urine and feces,
- diaper rash in the inguinal zone,
- allergic reactions
- ingestion of feces in the prepuce bag.
Pediatricians and urologists advise changing diapers every 1.5-2 hours. With increased skin sensitivity, it is better to use diapers made of hypoallergenic materials.
In half the cases, balanoposthitis in children is provoked by wearing synthetic tight underwear, which leads to:
- excessive sweating
- the formation of cracks in the skin of the penis.
Close panties interfere with normal blood circulation in the genitals, which reduces local immunity. This creates the conditions for the propagation of opportunistic fungi and bacteria.
Balanoposthitis often occurs against the background of phimosis and paraphimosis - narrowing of the prepuce sac and pinching of the head of the penis. As a result, hygienic care of the genitals is difficult, due to which smegma accumulates under the skin of the penis.
At the age of 3-5 years, many boys have physiological phimosis, which leads to balanoposthitis in 30% of cases.
Causes of balanoposthitis
Balanoposthitis in children is usually caused by bacteria. The causative agents of the inflammatory process are staphylococcal and streptococcal infections, herpes virus, fungal infection (candida) and other microorganisms. Bacteria multiply in a bag between the head and foreskin. The surrounding tissues and skin become inflamed, so balanoposthitis begins. The allergic nature of the disease is also possible, in which case the allergen becomes the cause of the inflammation. The causes of inflammation are diverse. The following factors can provoke the development of balanoposthitis:
- Inadequate washing. With insufficient hygiene, smegma and urine remains are not washed out from under the skin of the foreskin. In young children, smegma consists for the most part not of secretions of the foreskin, but of dead epithelial cells. If these secretions are not washed out regularly, then an infection develops in the place of their accumulation, which leads to inflammation.
- Diabetes mellitus and hormonal disorders are common causes of balanoposthitis. With high sugar in the urine, a sweet environment is created in which bacteria grow rapidly.
- Phimosis. In all infants, the head of the penis cannot be opened, it is covered with the foreskin (physiological phimosis). Closed parts of the head contribute to the accumulation of bacteria.
- Adhesions (synechia) of the foreskin. This is an anatomical feature of all male infants. When the boy gets older, adhesions disappear on their own and do not require special treatment. However, synechia prevents the complete cleansing of the head, which can lead to balanoposthitis.
- Washing the boy too often with soap can also be a provoking factor. Soaps and other detergents with frequent use can irritate the skin. In such cases, allergic balanoposthitis is possible. The cause of the allergy is often the remaining diaper detergents. A newborn boy comes into contact with such underwear with the genitals. So contact dermatitis can occur, and then balanoposthitis of an allergic nature. With allergies, redness and rashes are also observed on the skin around the genitals.
- A rare change of diapers sometimes leads to inflammation. In older boys, balanoposthitis can provoke prolonged wearing of tight underpants or swimming trunks, especially with rough seams in front.
- Overweight children are prone to balanoposthitis. With obesity, metabolism and immunity are disturbed, in addition, it is more difficult for a full child to observe hygiene.
- Boys suffering from chronic ailments of the genitourinary system often suffer from inflammation of the head and foreskin.
- Vitamin deficiencies and hypothermia also cause inflammatory diseases.
Washing the boy too often with soap
The acute form of the disease is divided into:
- erosive balanoposthitis, in the form of erosive areas of redness,
- simple balanoposthitis,
- gangrenous balanopostst, the most severe, in the form of purulent ulceration, severe swelling and severe pain, is easily transmitted sexually.
Chronic balanitis develops if the acute process in children is not treated. Chronic balanoposthitis happens:
- ulcerative hypertrophic, in the form of sores that do not heal for a long time,
- inductive (rare).
Depending on the cause of balanoposthitis, it can be noted:
- infectious inflammatory (occurs most often, it is bacterial, fungal or viral)
- toxic (when exposed to certain substances or drugs).
Obliterating xerotic balanitis manifests itself in an unexpressed picture of inflammation, when the atrophic process comes first, with the defeat of the head of the penis. Obliterating balanitis characterizes the appearance of foci of hyperkeratosis and whitish spots with the subsequent development of stenosis of the urethra, foreskin, phimosis.
The causes of the disease in children are not exactly clarified, however, there is a clear relationship between such a disease as xerotic balanitis and autoimmune pathologies, and its signs are characteristic of similar tissue changes in lesions associated with a distortion of immunity. Atrophic balanitis is observed in young children and in individuals after 50 years.
Xerotic balanitis is treated only surgically.
Such a variety as anaerobic balanitis is most often caused by gardnerells, which do not need oxygen for normal life. With this balanoposthitis there is a pronounced redness of the foreskin and head of the penis, plaque in the area of the coronal groove with an unpleasant odor. This type of disease is characterized by a high probability of self-healing. In adults, sexually transmitted.
Allergic balanitis is nothing more than a manifestation of an allergic reaction of the body. The reasons why it occurs are local irritation of the genitals of children with detergents or creams.
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Traumatic balanitis can be affected by direct contact of the glans penis with chemical residues (washing powders). Any age group can suffer from traumatic balanitis. Persons with weakened immunity are especially susceptible to traumatic balanitis. Traumatic balanitis is not an infectious disease.
Balanoposthitis in infants
Often balanoposthitis occurs in infants. This is due to the fusion of the head and foreskin. This physiological feature in infants is considered the norm. In infants, the foreskin protects the head. This is observed in 96% of boys at birth. Usually, by the age of one and a half years, the head begins to bare. But for some children, this happens much later: at 6 years old, and sometimes at 10 years old. It is also not considered a pathological condition. Usually smegma is washed with urine. But it happens that the excretion of smegma is disturbed, and then conditions are created for the growth of bacteria and the onset of inflammation. Sometimes parents try to bare the head of the penis in the baby to wash the boy. This is very harmful, so you can injure the genitals and cause an infection. In childhood, balanoposthitis is very common, so parents should know the symptoms and treatment of this disease.
In male infants, balanitis is a frequent phenomenon. Up to 5 years, all boys are exposed to inflammatory diseases of the genital organs.The disease is expressed in redness of the head, foreskin, erosion of the epithelium, small ulcers. Frequent urination with balanoposthitis is also observed.
Together with phimosis, the frenulum of the penis (short in length) can be the cause of the onset of the disease. It is impossible to open the head completely; inflammatory processes and tumors develop. The bridle of small length as the baby grows creates discomfort. Upon reaching adulthood due to a short frenulum, inevitable problems during sexual intercourse and erection. In a baby, such deviations provoke diseases of balanitis. This will require not only medical therapy, but also surgery.
The onset of the disease is contributed by:
How is acute balanoposthitis manifested in children
Acute balanoposthitis in boys begins unexpectedly, without a latent period. In the evening, my health was normal, and in the morning suddenly there are signs of the disease:
- penis pain
- painful difficulty urinating,
- hyperemia (redness) and swelling of the penis,
- fetid discharge
- enlarged lymph nodes in the groin,
- bad state of health.
In the photo of a sick child, you can see the swelling and redness characteristic of acute balanoposthitis. While the disease proceeds in an acute form, it is not difficult to cure it with local means (baths, ointments) for two to three days. Redness and swelling decreases, and the general condition improves. In the early days, the disease is treated easily. But if the treatment was insufficient or absent, and signs of inflammation remain, then balanoposthitis over time becomes chronic.
How is purulent balanoposthitis manifested in children
Purulent balanoposthitis in a child is caused by an infection: streptococci, staphylococci or yeast. Clinical manifestations begin suddenly:
- sharp pain and burning sensation in the urethra,
- pus comes out of the penis in clots.
Purulent balanoposthitis is dangerous complications. Sometimes the infectious process spreads in an ascending way, pyelocystitis and urethritis occur.
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Symptoms of chronic balanoposthitis in boys
If the child does not receive treatment or therapy is insufficient, then the disease takes a chronic course after about 3 weeks. The following symptoms are observed:
- Concerned about itching in the genital area.
- When urinating, pain and burning are disturbing. The pain is moderate, not as intense as in the acute form.
- Swelling and redness are reduced. The head is covered with plaque.
- Body temperature is not elevated.
- Allocations depart constantly.
- Scars and phimosis form.
- Inflammation can go to the urethra and cause urethritis.
Acute balanoposthitis in children is much more common than chronic. Usually, children under 10 years old are more likely to have an acute form, and in adolescent boys a chronic form of the disease occurs. In a chronic course, balanoposthitis can last for months, periods of relief alternate with exacerbations.
Features of balanoposthitis in newborns
The baby cannot speak, and therefore it can sometimes be difficult for parents to understand what is bothering him. But it is precisely in newborns that balanoposthitis occurs very often due to their physiological characteristics. Parents should pay attention to the following manifestations:
- the child becomes moody, often cries,
- the skin on the head of the penis looks reddened, sometimes acquires a bluish color,
- swelling of the head is noticeable,
- rashes and sores on the genitals
- diaper rash is noticeable in skin folds (powders and creams do not help),
- the baby often urinates.
Symptoms of inflammation of the foreskin in a child
Inflammation of the foreskin in a child, as a rule, manifests itself suddenly to parents, which is associated with difficulties in diagnosis. Especially if the child is very small and cannot independently say where and how it hurts. Parents should be careful and constantly examine the baby in order to see signs of an onset disease.
The main symptoms are the same as with skin inflammation, but they have special manifestations:
- redness in the area of the affected area,
- fever and pain in the center of inflammation,
- pain when urinating and crying when trying to go to the toilet,
- discharge of pus in the most complex and advanced cases, which develops into skin irritation,
- cracking and stronger stretching of the skin in this area,
- tears and formation of micro-scars,
- bonding of tissue and deformation of the organ, leading to the difficulties of its work,
- sleep disturbance and fever,
These are the main manifestations of the disease, which signal that the child has health problems.
Possible complications of balanoposthitis
Launched balanoposthitis in boys turns into a chronic form, which can have serious consequences:
- Phimosis can develop - a narrowing of the foreskin. And then paraphimosis occurs. With this disease, the head is compressed by the foreskin ring. Cyanosis and swelling appear. This condition requires immediate medical attention.
- Infection can go to other genitourinary organs and kidneys. Especially often this occurs with a fungal infection.
- Gangrenous form of the disease may develop, which in the future can lead to gangrene of the penis.
- If you start the disease, then an ulcerative form of balanoposthitis may occur.
- Untreated balanoposthitis can provoke the development of genital cancer.
- Inflamed inflammation leads to curvature and deformation of the head of the penis.
Why does balanitis occur?
At birth, the foreskin and head of the penis are tightly spliced together. Medicine calls this condition of newborn boys - physiological phimosis. It is impossible to open the head until a year and a half. After a year and a half, boys begin to form cavities that are filled with epithelium. The desquamated epithelium is called smegma.
During the development of the child, the cavities begin to gradually open, forming the so-called pockets, and self-clean. The normal state of physiological phimosis occurs in a child up to five, and happens up to 11 years. Some doctors diagnose balanoposthitis in boys as young as 5 years old if the glans penis still does not open. But, as Dr. Komarovsky advises, it makes sense to wait until the age of fourteen and only at that age start to sound the alarm if no changes have occurred.
The causes of balanitis in children are:
- non-compliance with hygiene rules,
- high urine sugar
- wrong diaper size
- tight underwear
- aggressive washing agents,
- frequent use of soap
- endocrine system diseases.
Diagnosis of balanoposthitis in children
With severe symptoms of the disease, the pediatrician can make a diagnosis already during an external examination. If necessary, the doctor can refer the child to specialists - a urologist or surgeon. Additional analyzes may be required:
- urine analysis for tank sowing,
- analysis of urine for white blood cells,
- foreskin swab
- Genitourinary ultrasound,
- blood test for sugar (if the cause of the disease is diabetes),
- enzyme immunoassay for antibodies to infections.
Urine analysis for tank sowing
These examinations are safe and painless for children.They help pinpoint the cause of the disease and prescribe treatment.
When to see a doctor
In most cases, the disease can be localized in the early stages. If balanoposthitis is started and the symptoms cannot be missed, then you need to see a doctor. It is difficult to discern the symptoms of pathology only in children with weak immunity or undergoing chemotherapy.
With untimely treatment, the following complications may occur:
- The narrowing of the foreskin tissue ring, irreversible. This problem can only be solved surgically. This complication occurs in children older than 5 years.
- Loss of elasticity in these areas of the skin, which leads to an incorrect position of the organ. The problem is treated by a urologist or surgeon.
- Transfer of the process to the chronic stage. In the most difficult cases, it can become an impetus for the development of neoplasms.
Even if the child’s health did not suffer much in childhood, these complications can cause intimate problems in adulthood. But most often, frolic balanoposthitis in a child can be easily cured with the help of emergency treatment measures.
Methods of treating balanoposthitis in children
Treatment of balanoposthitis in children is carried out with medications - local (ointments, baths) and antibiotics. Most often, the disease responds well to local treatment. Ointments and baths cope well with inflammation.
Antibiotics have to be used only when the disease is caused by staphylococci or streptococci. With the fungal nature of the disease, penicillin antibiotics are contraindicated. The use of cephalosporin antibiotics will be required. There are surgical methods of treatment, but they have to resort to very rarely.
Local treatment methods
- Baths. For baths, disinfectant and anti-inflammatory solutions are used: Chamomile broth or a solution of Furacilin, Chlorhexidine, Potassium permanganate. Instead of Chamomile, you can use Sage or Plantain. To prepare the Chamomile broth, you need to take 2 tablespoons of the collection and pour them with a glass of boiling water, then put the broth in a water bath and warm for 15 minutes. Cool the broth before use. To prepare a solution of Furacilin, you need to take 2 tablets per glass of warm water. It is necessary to lower the head of the penis into the prepared solution for 10 minutes, after opening it as much as possible. It is necessary to wash the inflamed place 5-6 times a day.
- Ointments. If the baths do not help, then ointments are prescribed. In the treatment of balanoposthitis in children, the following ointments are used - Levomekol, Miramistin, Lokacorten, Baneocin. Before applying the ointment, wash the baby's genitals. You can make a bath with one of the disinfectant solutions. Then, under the foreskin, put an ointment. If it is impossible to open the head, then ointment should be applied to the bandage and a bandage should be applied. What kind of ointment to use - the doctor will tell you on the basis of symptoms and diagnostic results.
Baths from the decoction of daisies
The use of internal medicines
If the use of baths and ointments does not lead to an improvement, or the disease is complex, medications are used. Antibacterial and antifungal therapy may be required:
- Balanoposthitis is treated with cephalosporin group antibiotics. Apply cephalosin, cefixin, ceftriaxone. These drugs can act on a wide range of bacteria. If the disease is caused by a fungal infection, the antifungal agent Fluconazole is prescribed. Antimicrobial drug Furagin is also used.
- For pain, non-steroidal anti-inflammatory drugs are prescribed - Ibuprofen.
- With balanoposthitis of an allergic origin, antihistamines are used.
- As symptomatic therapy, antipyretic drugs, vitamins and drugs are used to strengthen immunity.
- If balanoposthitis is caused by endocrine diseases and obesity, then treatment of the underlying disease and diet are necessary.
Sometimes with balanoposthitis, a simple operation is required - circumcision of the foreskin. This surgical intervention completely eliminates the complications and relapses of the disease. However, surgery is performed in very rare cases. Usually there are enough conservative methods of treatment. Surgery is required only when balanoposthitis is complicated by narrowing of the foreskin - phimosis. And also surgical intervention may be required for a protracted chronic form of the disease, when drug therapy does not help. Usually, operations are easy and without consequences. For such an intervention, you do not need to go to hospital, it is performed on an outpatient basis. The operation is not carried out with severe inflammation, when the disease proceeds in an acute form. Circumcision prevents the risk of complications.
Prevention of balanoposthitis
To prevent the development of balanoposthitis in children, the following rules must be observed:
- Preschool boys need daily washing with boiled clean water without soap.
- Older boys need to be accustomed to daily genital hygiene, while it is necessary to expose the head and wash smegma.
- Underwear should be changed daily.
- Newborn babies need to change their diapers as they become soiled. It is also important to choose the right size of diapers.
- Hypoallergenic products should be used to care for babies.
- The boy should use only his personal towel, never take other people's personal hygiene items.
- It is necessary to exclude wearing too tight underwear. For children it is better to wear linen made from natural fabrics, without seams in front.
- If a child is suffering from diabetes or obesity, then a diet and constant medical supervision are necessary. Overweight and obesity are common causes of inflammation. This also applies to children with diseases of the genitourinary system.
Good therapeutic effects have special baths for bathing a child.
In order to prepare such a bath, potassium permanganate, which has pronounced antiseptic effect (it is important to remember that the amount of ingredient should not be large, since potassium permanganate has a drying effect), or herbal decoctions.
It is good to use decoctions of chamomile, sage. These herbs have anti-inflammatory, calming effect, accelerate the process of skin regeneration.
You can use folk remedies only in combination with the treatment prescribed by the doctor.
Causes of the disease
The main cause of this disease is the lack of proper care. Lack of hygiene also provokes acute purulent balanoposthitis, when its symptoms are especially violent.
Hygienic care for the baby's genitals is complicated by phimosis, which often appears before the age of five. Parents need to remember a simple truth: it is impossible to forcefully pull the foreskin, in any case, because this can lead to cracks. In addition, in this case, a large number of bacteria gets into the prepuce bag from the environment.
The development of this disease contributes to an insufficient change in disposable diapers, or an incorrect choice of the right size. The disease can also occur due to permanent damage and irritation of the flesh with tight underwear.
Other causes and contributing causes of the disease:
- the presence of adhesions (synechia) between the inner leaf of the flesh and the head,
- decreased immune defense,
- the use of washing powders when washing children's underwear,
- frequent urination, as well as a change in metabolism, due to which uric acid salts are deposited between the head and the inner leaf of the foreskin,
- fungal infection (it can also be the cause of purulent balanoposthitis in a child),
- defeat by other bacteria
- immunodeficiency state,
- vitamin deficiency
- some digestive pathologies.
Treatment and hygiene
With the onset of symptoms of the inflammatory process of the penis in boys, it is necessary to begin the correct treatment. For this:
- Organize frequent baths with a warm weak solution of potassium permanganate, which can be replaced with furatsilin, sanguine or broth of chamomile. Any of these substances can have an antiseptic effect and remove residual organic substances and secretions from the space of the preputial sac. Potassium permanganate has a drying effect, so you need to use it in treatment only when there are no other means.
- Lubricate areas of affected skin with aseptic ointment, for example, Streptomycin or Levomekol.
- If after such treatment for 4 hours the boy does not experience improvement or decrease in the intensity of symptoms, you should consult a doctor who will select antibiotics for subsequent therapy.
- If positive dynamics appear after home treatment, the procedure should be continued (baths with antiseptics) and ointment treatment for several days until the symptoms of the inflammatory process completely disappear.
Sometimes with balanoposthitis, acute urinary retention may occur, which is caused by the overlapping of the urethra with a strongly swollen foreskin. This condition requires urgent medical attention for emergency care.
Urinary retention should not be confused with the simple refusal of a child to urinate due to pain. During urination, drops of urine containing irritating substances enter the inflamed skin of the foreskin, increasing pain.
The kid simply refuses to go to the toilet even when he is urged. In this case, warm baths with decoction of oak bark or medicinal chamomile can help, which will reduce pain and improve the condition of the child.
An important factor in the successful treatment of the child and the elimination of the inflammatory process is proper care of the genitals and the conduct of hygiene procedures.
The following rules must be strictly observed:
- Do not forcibly open the head of the penis, stretching and pushing the foreskin.
- There is no need to daily treat the penis with disinfectant formulations.
- It is important to change the diapers in time for the baby, washing it with clean warm water after each bowel movement.
- Once every 1-2 weeks, you can carry out with the aim of prevention, warm hygienic baths using decoctions of celandine, a string or chamomile.
- During therapy, it is necessary to ensure that the baby consumes a lot of fluid, this contributes to the active washing of the channel and the elimination of inflammation.
- In the treatment of primary balanoposthitis, the process should be taken with full responsibility, since only in this case can the disease become chronic.
- If relapse occurs, you should immediately consult a doctor without trying to treat the disease yourself.
Treatment with folk remedies: video
For those who try not to use synthetic products, we offer several recipes for baths, applications and lotions with medicinal plants. Many of them are always contained in a home medicine cabinet, especially when a small child is in the house.
You will determine the symptoms of balanoposthitis in a child yourself, but the doctor should prescribe the treatment based on the results of the examination. Do not self-medicate, it can aggravate the process and delay recovery. At the first suspicion, consult a specialist!
Have you encountered such a disease with your son? How did it end? Feel free to share with us in the comments.
Classification and Diagnostics
Depending on the symptoms, the disease can be acute, chronic, or specific. The acute process is more characteristic of children; in adults, chronic balanoposthitis with periodic exacerbations is more common.
Acute balanoposthitis can be simple, purulent, allergic, erosive and necrotic. Treatment is prescribed depending on the type. The chronic inflammatory process of the glans penis in a boy is characterized by the duration of the course. The process may periodically subside, but scars and long-term non-healing cracks remain.
The type of specific balanoposthitis can be caused by some pathogenic microorganisms:
- tubercle bacillus,
- chlamydia and gonococcus,
- herpes virus
- causative agents of syphilis.
Such balanoposthitis is not common. The risk group includes children whose mothers are sick with these diseases. In infants, the disease can develop as a result of intrauterine infection or during childbirth.
To diagnose a simple balanoposthitis, explanations of the parents or complaints of the child are enough. The doctor examines the glans penis. If the course of the disease becomes persistent, blood and urine tests are prescribed, and the sugar level is determined. Sow the discharge from the inflamed tissue to the microflora and susceptibility to antibiotics.
The most common drugs for the treatment of balanoposthitis at home are topical preparations, ointments, gels (for example, Levomekol, Miramistin, Baneocin) Use them as directed by your doctor.
Before the procedure, it is necessary to thoroughly clean the genitals of the child.
The ointment is applied under the skin of the foreskin, and if this is not possible, use in the form of compresses or dressings (apply a small amount of ointment to a sterile bandage, make a bandage). The course of treatment is about 3-6 days, the procedure is carried out 2-3 times a day.
In some cases, for example, if the causative agent of the disease is fungi, or the pathology has a complicated course, the doctor prescribes antibiotics (Cefazolin, cefixime).
The course of treatment is determined individually for each patient, however, as a rule, the dosage and duration of antibiotic administration for balanoposthitis is small, thus, the risk of developing negative consequences minimized.
It is not difficult to prevent the development of balanoposthitis; it is necessary to observe several simple rules for caring for a child.
- The basic rule of prevention is regular and proper hygiene procedures. A small child needs to be washed after each diaper change (after each urination). To do this, use special detergents designed for children.
- Important choose the right underwear and diapers for boy. The underwear should not be tight, the diaper should be appropriate for the age and weight of the baby.
- If there is no such need, no need to move the skin of the foreskin, this can lead to wounds and microcracks.
Balanoposthitis in a boy - a disease that delivers to a small patient a lot of discomfort. Pathology has a characteristic clinical picture, which greatly facilitates the diagnosis.
If you turn to a specialist in time, the disease is successfully treated, without causing the patient any problems in the future.
If treatment is not available, various kinds of complications may occur. Negative on the quality of life, including intimate.
You can learn about the causes, symptoms and treatment of balanoposthitis from the video:
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Video about the treatment of the disease from Dr. Komarovsky
- Bathing a newborn happens every night, underwear also changes often,
- After each bowel movement and when changing the diaper, the boy must be thoroughly washed,
- The diaper should fit perfectly, otherwise it will rub,
- Diaper change occurs immediately after emptying, and in the absence of it after 4-5 hours,
- It is recommended to remove pampers periodically, let the baby stay naked for a quarter of an hour - so the skin “breathes”, which saves from diaper rash,
- You can not force the boy to open the head of the penis.
How to recognize balanoposthitis in a child? Treatment, symptoms. Tips by Dr. Komarovsky
Balanoposthitis is a disease that is often diagnosed in children.
The ailment associated with inflammation of the foreskin is diagnosed in newborn infants and older children.
It is not difficult to treat it; parents are required to carefully observe the doctor’s instructions and follow the rules of hygiene.
In this article, all about the symptoms and treatment of balanoposthitis in a child.
Lack of hygiene
Inflammation occurs if a lack of hygiene is combined with:
- wearing tight underwear
- abrasions on the penis,
- diaper rash
- allergic rash
- immunodeficiency conditions.
Many children neglect hygiene. But non-compliance with sanitary rules rarely becomes the only cause of balanoposthitis.
Types of balanoposthitis: 1 - simple, 2 - purulent
In the acute type of illness in a child, damage to the foreskin and head of the penis is characterized by pain and discomfort. This affects the mood of the baby, so he is often naughty. The baby is often anxious, refuses to eat. Fear of urination is an integral part of the disease in children, which is also associated with soreness.
The appearance of severe edema is another symptom. The foreskin becomes red or bluish, the area of the head thickens. In the acute phase, an increase in body temperature up to 39 ° C is not uncommon.
Acute balanoposthitis happens:
A simple type is attributed to the typical course of the inflammatory process. Manifestations of the pathology are moderate, the body may not respond to inflammation. At this stage, body temperature is normal.
With a purulent type, suppuration occurs, therefore, local signs are clearly expressed. In the space between the foreskin and the head of the penis, pus glows. The condition of the child worsens, body temperature rises.
The erosive type refers to complicated inflammation, in which the process of the development of the disease is represented by the formation of small erosions on the surface of the foreskin and head of the penis. If the disease develops, then the tissues begin to die. Similar manifestations are characteristic of the necrotic type of balanoposthitis.
It is important for parents to remember - in children, an acute form of balanoposthitis most often occurs.
Candida - conditionally pathogenic yeast-like fungi that are present in the mucosa of the genitals, intestines, and oral cavity. But their active reproduction occurs when immunity in a child falls, which provokes:
- unbalanced nutrition
- allergic reactions
- taking antibiotics
- lack of hygiene.
Yeast provokes a fungal form of balanoposthitis in a child.
Responsible Komarovsky E.O.
Your dramatic description fits into a medical diagnosis. "acute balanoposthitis"- translated into Russian - inflammation of the foreskin and glans penis. Indicated inflammation it is traumatic (the reasons are obvious), infectious (viral, bacterial) and allergic. Based on the lack of pain, the process in your boy is likely to be allergic. Hence the logical conclusion: treatment should be carried out in two directions:
1) impact on the cause - i.e. elimination of the source of allergies,
2) facilitation of the investigation - i.e. impact directly on the causative place.
In relation to the source of allergies, three options are possible:
1) contact allergy - the reasons are obvious: what directly contacts the foreskin is an unsuccessful diaper, something wrong (non-standard, not the same as before) washed linen, panties, etc.
2) allergens are in the urine - something was eaten up, something was treated, some vitamins were swallowed, 3) a mixed version of the allergy - an irritating (allergenic) substance is formed when the urine comes in contact with something - chemistry in clothes, diapers in bedding, etc.
What to do: a form of clothing - a "naked member" - on the head at least a hat, but open the body to all the winds. Analyze what they did to the cub just before the problems arose: new diapers, new powder, new food, new vitamins. Categorically exclude everything potentially dubious and new.
Impacts on the causal place: read on the website in the joint archive - about caring for the foreskin and at the same time (for general development) about phimosis. It does not hurt to intensify the drinking of liquid - in order to more actively flush the canal. When carrying out hygiene measures, do not use soap for a couple of days: chlorine is not the best reducing agent for damaged skin and mucous membranes. He writes often, most likely due to the fact that the external opening of the urethra is inflamed. I cannot 100% exclude the possibility of infection, but the need for urgent action and serious medicines (antibiotics, antiallergic drugs) does not follow from your description. I think that until Monday, while your doctors rest, nothing will happen to the baby.
The chronic form of balanoposthitis is represented by a prolonged course of inflammation. The development of the disease has its differences from the acute form. In chronic inflammation, balanoposthitis is characterized by alternating phases of exacerbation and remission, that is, subsidence.
Differences are associated with signs of pathology. The baby often has a burning sensation and itching, and not painful sensations. This also applies to redness, which forms more often than swelling. In addition, the child has small cracks on the surface of the head and foreskin. Such cracks heal for a long time.
From the penis, mucous, curdled and other compounds are constantly allocated. Sometimes a pathological type of phimosis is formed, in which the foreskin becomes thick and dense, after which scars appear. They constrict the foreskin.
Vitamin deficiency and decreased immunity
Inadequate intake of bioactive substances is accompanied by a decrease in general immunity. Hypovitaminosis provokes:
- unbalanced nutrition
- junk food abuse
- pathology of the digestive tract.
According to statistics, balanoposthitis is 4 times more likely to be detected in children with immunodeficiency states.
For more information on how to treat inflammation of the foreskin in a child, see the video below:
Children's balanoposthitis is not a dangerous disease that requires timely treatment. Proper nutrition of the child and careful adherence to basic hygiene rules will help prevent relapses.
The ailment associated with inflammation of the foreskin is diagnosed in newborn infants and older children.
Balanoposthitis in children: two diseases that accompany each other
Young parents, in the family of which the boy was born, should be prepared for the fact that both they and their child may encounter male diseases from early childhood.
Such is balanoposthitis in a child, which Dr. Komarovsky spoke about, explaining why the disease appears, by what signs it can be recognized, and how it can be cured.
What is this disease?
First of all, you need to reassure the boy's parents - balanoposthitis is treated.The main thing is to pay attention to it in a timely manner, to begin treatment.
Balanoposthitis - to some extent, the diagnosis is prefabricated.
In pediatrics, two separate diagnoses are distinguished - balanitis, which refers to the inflammatory process that occurs in the glans penis, and fasting - an inflammatory disease that develops in the tissues of the foreskin. Separately, these two ailments are extremely rare - they mostly accompany each other, and that is why these diagnoses are combined into one - balanoposthitis.
This is a fairly serious disease that affects two areas that are important in the urogenital area of the boy, and, as a rule, it overtakes children under the age of 5 years. The disease must be urgently treated, as the disease can cause serious consequences regarding the reproductive ability of the child in the future.
There are acute balanoposthitis, the duration of which is less than 3 months, and the chronic form of the disease, which lasts 3 or more months.
Overcome this disease can and an adult man, but it happens about 2-3 times less often than the disease in children. In general, almost every man at least once in his life faced this problem, regardless of whether it happened in childhood or in adulthood.
Symptoms of ailment
Balanoposthitis has a number of signs that indicate the development of the disease in children. The main one is pain.
The first symptoms of inflammation of the foreskin and glans penis often make themselves felt against the background of an undegraded general condition of the baby.
Symptoms of the disease are as follows:
- Burning in the genital area, itching,
- Frequent urination, which is painful,
- The presence of redness, swelling of the foreskin, glans penis,
- The appearance of pain when touching the affected areas,
- Enlarged inguinal lymph nodes
- With the course of the disease, the baby's body temperature can increase.
With balanoposthitis, children who still do not know how to speak, and therefore do not have the opportunity to talk about unpleasant symptoms that bother them, may encounter. But attentive parents will be able to suspect something was wrong by their capriciousness, anxiety, and crying. These side symptoms, coupled with those manifestations that parents can see with their own eyes, and indicate balanoposthitis.
If a small patient does not receive timely treatment, inflammation continues to develop, entails all new problems - the appearance of ulcers on the tissues affected by balanoposthitis, pus, which is a discharge that has a whitish or yellowish tint and an unpleasant odor.
In some cases, bouts of illness can attack the baby often, while their certain frequency may be observed. This indicates chronic balanoposthitis. At the same time, hyperemia (redness), swelling are not always pronounced, and the duration of the symptoms is quite long - in some cases it does not recede for months.
Causes of the disease
First you need to understand why children under the age of 5 years are most susceptible to balanoposthitis. The fact is that the head in boys does not open independently before reaching this age, which makes it difficult to perform hygiene procedures. Contaminations clog under the foreskin, thus forming an environment that is ideal for the reproduction and activity of various pathogenic microorganisms.
In this regard, the main cause of the ailment, doctors, in particular, Dr. Komarovsky, call inadequate hygiene, which is far from always the result of dishonesty of parents, and is explained only by the lack of experience in caring for a boy of this age, taking into account his physiological characteristics.
As a result, the following types of balanoposthitis pathogens can fall under the foreskin:
- E. coli
They mix with the remnants of urine, smegma, and genital secretion that accumulate under the foreskin. So there is inflammation in this area.
Doctors distinguish the following factors that can provoke the disease:
- The use of diapers that are incorrectly selected according to size, as well as the insufficient frequency of their change,
- Baby wearing tight underwear. This applies to boys who no longer need to wear diapers,
- The lack of hygiene procedures, care for the baby's genitals,
- Decreased immunity, due to which pathogenic microorganisms easily attack the baby’s body,
- Allergy. In some cases, the ailment is the result of an allergic reaction of the skin to the components of hygiene products, as well as powders for washing clothes,
- Phimosis. This is a disease in which the foreskin does not expose the head of the penis at all, which is why dirt accumulates, causing inflammation.
The first thing that involves the fight against illness is hygiene. In uncomplicated cases, treatment is reduced only to washing the genitals of children with a solution of potassium permanganate or an unconcentrated solution of furacilin.
The treatment strategy is determined by the doctor depending on the causative agent of the disease. In some cases, there is a need for the use of antibiotics inside, but what kind of medication will it be, the doctor must decide. This appointment is made after a study of a smear from the foreskin, which allows you to determine the pathogen and its sensitivity to certain medicines.
External preparations - ointments are also used.
- Levomekol. The medicine is available in the form of an ointment with antibacterial, disinfecting, immunomodulatory effects. The main components of the ointment are chloramphenicol and methyluracil. Also, the composition of the product includes polyethylene oxide. "Levomekol" must be applied to a previously washed organ in an abundant layer. It is recommended to do this at night, leaving the product until morning. If children have hypersensitivity to the ingredients of the drug, the drug is not prescribed,
- "Clotrimazole." This tool is antifungal, and treatment of balanoposthitis with its help is carried out if the fungus is the causative agent of the disease. The active substance of the drug is clotrimazole, and methyl paraben, nipagin, polyethylene oxide, propylene glycol are auxiliary ingredients. The drug is applied in an abundant layer to the affected areas on the previously washed penis of the child several times / day. The only contraindication to the use of Clotrimazole for the treatment of children is the hypersensitivity of a small patient to the components of the ointment,
- Miramistin. This medication can be used in the form of an ointment or solution. For the treatment of children, in particular, a solution for washing the affected organ is used. The tool is antiseptic, it is used externally for washing the baby's genitals. The main component of the drug is benzyldimethyl-myristoylamino-propylammonium chloride monohydrate. Thrice or four times / day, it is necessary to wash the affected organ with a diluted small amount of Miramistin water. First, you must necessarily rinse the penis of the child. A contraindication to the use of the medication is hypersensitivity to its components.
All these tools help to quickly remove inflammation, eliminate its pathogens.
So that your child does not overtake balanoposthitis, you need to follow these recommendations:
- Follow the baby’s hygiene, thoroughly clean his penis,
- Try to use products that do not contain allergens, aggressive chemicals, to ensure hygiene and washing clothes, baby items
- Remember that the underwear of the baby should be made of natural fabrics, and in front of it there should be no seams,
- Provide timely treatment for infectious diseases, as well as all other diseases.
Balanoposthitis is a disease that can be completely cured if you consult a doctor in a timely manner.
This is the opinion not only of Dr. Komarovsky, but of all doctors. But it is better to prevent the disease, for which it is necessary to carry out preventive measures, and the main one is following hygiene standards.
The first thing that involves the fight against illness is hygiene. In uncomplicated cases, treatment is reduced only to washing the genitals of children with a solution of potassium permanganate or an unconcentrated solution of furacilin.
What is balanoposthitis?
Balanoposthitis combines 2 diseases:
- balanitis. The inflammatory process that affects the glans penis in men
- post. This is an inflammation of the foreskin that closes the head of the penis, performing a protective function.
The disease, without therapy, is complicated by the formation of pus and the transition to a chronic form. Depending on the type of pathogen of inflammation, the pathology can be contagious. In a healthy organ, the foreskin is closely adjacent to the head of the penis. This structure allows you to protect the sensitive skin of the head from rubbing and infection.
To facilitate the gliding of the flesh along the head, a lubricating secretion is secreted by the glands, into which the exfoliated, dead epidermal cells and urine remain. Without hygiene, microorganisms will enter.
The environment between the head of the penis and the foreskin is favorable for the development and reproduction of the infection, so the inflammatory process forms and progresses quickly, affecting the head and foreskin. Damage to nearby tissues is possible.
Causes of the disease
The main reason for the development of the disease is the ingress of a virus, bacteria or fungus into the area between the head and foreskin.
Provoking factors causing the development of balanoposthitis:
- poor hygiene of the genital organ,
- Incorrect size of underwear and diapers (smaller size). Penis is rubbed, including the heads with the foreskin,
- long pastime infants in the "diaper". The penis stays in a hot and humid environment for a long time,
- aggressive detergents causing irritation of the foreskin and penis,
- the presence of microtrauma and abrasions in this area. May occur due to increased exposure of the head in children under 5 years of age, with combing or rough sexual contact,
- an allergic reaction to the penis caused by synthetic fabric underwear, detergents or laundry detergent,
- the presence of infectious skin pathologies,
- sexually transmitted diseases
- frequent washing. As a result, the protective secretion is washed off. The reproductive organ remains unprotected against infection:
- improper washing of infants with the remnants of feces and pathogenic bacteria from the anus, on the head of the penis,
- improper development of the foreskin,
- frequent hypothermia or overheating,
- diseases of the urinary system of an infectious nature.
Subject to hygiene measures and timely elimination of infection, balanoposthitis does not develop.
A similar type of balanoposthitis is associated with the pathological activity of infiltrated bacteria. Inflammation is provoked by the following microorganisms:
- tubercle bacillus
- herpes virus
- chlamydial infection
- causative agents of syphilis,
- causative agents of gonorrhea.
The appearance of a specific type is often associated with adult errors. The disease is not only transmitted from parents to the child through heredity, but can also penetrate the children's body through general hygiene items.
How to carry out hygienic treatment of the penis?
- 1If the boy has no problems with exposing the head of the penis, signs of phimosis, there were no episodes of paraphimosis, then it is necessary to train him to remove the foreskin at each bath and wash it with a solution of warm water. Bathing should be daily.
- 2No need to use aggressive detergents, shower gels, soaps, as they can dry, irritate the scalp and prepuce, increasing the likelihood of infection and the development of inflammation. For hygienic treatment, you can use atopic products (Emolium, Mustela, Avene series), no more than 1-2 times a week.
- 3If the child has problems opening the head of the penis, then do not try to take the foreskin with effort. It must be understood that in nine out of ten boys, phimosis is caused by physiological causes and resolves over time.
- 4 Excessive diligence can lead to microcracks of the skin, its inflammation and scarring, and the development of pathological phimosis.
- 5 In this case, the child must be trained to take the foreskin to a distance at which there are no unpleasant / painful sensations, gradually increasing the distance of removal of the skin flap with each bathing, urination.
- 6After bathing, the foreskin and the head of the penis are dried with a towel (the skin is patted with a dry towel), the foreskin is returned to its original place.
An unbalanced diet entails hypovitaminosis, a decrease in the protective properties of the body. If the child’s diet does not have enough vitamins, amino acids or trace elements, this negatively affects the metabolism, the immune system.
Excess salted, spicy and smoked on the menu changes the composition of urine. Urine irritates the mucous membrane of the urethra and the head of the penis, local inflammation begins.
Features of acute and chronic balanoposthitis
Depending on the intensity of inflammation, 2 types of balanoposthitis are distinguished:
- Acute. It is characterized by a sudden onset with severe swelling and inflammation of the prepuce and the head of the penis.
- Chronic. It occurs with a late or inadequate treatment of acute inflammation in the genitals. During remission, the symptoms are mild.
Acute balanoposthitis in boys occurs in three forms:
- Catarrhal. In the lesions there is a slight redness and swelling.
- Erosive. On the head of the penis, point erosions are formed, which sometimes bleed.
- Purulent. It is provoked mainly by pyogenic bacteria and is accompanied by the separation of pus from the preputial sac.
Purulent balanoposthitis is especially dangerous: it leads to the melting of the soft tissues of the penis, abscesses and fistulas.
The acute form of the disease lasts no more than 5-7 days. If left untreated, the body will cope with the inflammation itself, but balanoposthitis will go into a sluggish form. Periods of remission (relative health) will be followed by exacerbations. It proceeds in one of two forms:
- Adhesive. Adhesive, or adhesive balanoposthitis is detected mainly in infants. Due to severe swelling of the prepuce, the head of the penis is practically not exposed, and urination causes pain.
- Ulcerative hypertrophic. Due to prolonged inflammation, the skin ulcerates, adhesions from the connective tissue form in it. Therefore, the foreskin and head of the penis thicken.
An infant cannot tell parents about painful urination, burning in the genitals. The balanoposthitis is indicated by swelling of the penis, white discharge, a specific smell in the groin area.
Other varieties of balanitis
In urology, there are several classifications of balanoposthitis. Depending on the nature of the changes in the affected area, the following forms of the disease are distinguished:
- follicular - inflammatory vesicles appear on the head of the penis and preputial sac,
- xerotic - the foreskin is compacted due to the formation of adhesions from the connective tissue,
- gangrenous - the skin in the lesions rots.
Due to inflammation, several types of balanoposthitis are distinguished in young children:
- infectious - candidiasis (fungal), herpetic, chlamydial, streptococcal, trichomonas, etc.
The greatest danger to the child is gangrenous balanoposthitis, since it is fraught with blood poisoning.
How to cure balanoposthitis in a child
In 7 out of 10 cases, they are limited to local treatment with anti-inflammatory drugs. But if the inflammation of the penis in a child is caused by a pathogenic flora, systemic drugs are prescribed - antibiotics, antifungal or antiviral agents. With balanoposthitis complicated by phimosis, an operation is performed.
Uncomplicated, simple balanoposthitis in the early stages after consultation with a specialist is treated at home, inpatient treatment is not required. To relieve the symptoms of the disease, perform the following steps:
- baths with a decoction of chamomile, a weak solution of potassium permanganate or with furacilin,
- applying gauze napkins with an antiseptic,
- the use of special medical powders.
A small child can be put in a basin with a prepared solution. For older children, a bath for the glans penis can be made using a small container. Procedures in the early days are often carried out every 2 hours. Before going to bed, gauze moistened with an antiseptic or antibacterial ointment can be applied. Before using the powder, the liquid from the glans penis needs to be thoroughly wet, then treated with powder with talc-tannin.
If balanoposthitis is allergic, you need to find and eliminate the source of allergies, and carry out local treatment with the same means.
An allergen may be in the urine, then you need to exclude allergenic products, give more fluid. The reaction may be with washing powder, soap, new diapers, bedding, clothes dye and much more.
To relieve inflammation and prevent scarring of prepuce, use a solution of chamomile - 10 g of the herb is boiled in 1.5 l of water for 10 minutes. Filtered broth washed the genitals up to 4-5 times a day. As an alternative, the herbs of such plants are used:
Infusion can not only wash the penis, but also make 5-minute baths as often as possible. At the same time, make sure that the liquid is at a comfortable temperature.
Antiseptic and anti-inflammatory solutions are prepared a maximum of a day before use. Treatment is continued until the child's condition improves.
To speed up recovery, you need to wash your genitals twice a day and remove smegma in the preputial sac. To do this, you must:
- wash the head of a member with a solution of Miramistin or Furacilin,
- pull back the foreskin
- wash off smegma and purulent discharge with boiled water or broth.
To wash the baby with fungal inflammation of the penis, tar or laundry soap is used.
Diet and Drinking Regime
Infants are not given a diet. A child from 3 years old should eat at least 4 times a day. The basis of the diet are:
- diet meat
- boiled fish
- dairy products,
- fresh fruits.
During the treatment of balanoposthitis, sweets, soda and spicy foods should be excluded. If kidney function is not impaired, up to 1.5 liters of fluid are consumed per day.
Consequences and Complications
If the disease is started, then this will inevitably lead to pathological phimosis. The boy has problems with urination, since the opening of the foreskin is very small. The complication is resolved surgically using local or general anesthesia. After the intervention of the surgeon, the head is opened again, so you can perform hygiene measures.
Complications do not always have a quick fix. Lack of treatment can lead to infection due to bacteria entering the bloodstream. Distribution to different organs of the child leads to their defeat.Not only an organ nearby can be affected, but also the brain.
In other cases, complications are associatedwith cosmetic defects, which is typical for a chronic form. The glans penis is bent or deformed. Such a result is by no means harmless, since psychological problems may arise in the future.
Thus, the complications are represented by the following problems:
- cicatricial deformity of the penis
- problems with urination
- infection of the body
- squeezing the head due to narrowed foreskin,
- the formation of a pathological form of phimosis,
- pus formation or tissue necrosis,
- infection with other organs of the genitourinary system and the development of pyelonephritis or urethritis.
In severe cases, inflamed cells degenerate into cancers. However, this is extremely rare.
What does inflammation look like and what are the symptoms?
Inflammation of the foreskin is purulent, simple, gangrenous and erosive. An acute form of pathology usually begins suddenly. After morning urination, the boy begins to worry about itching and burning in this area.
The fact that the baby has become inflamed in the foreskin, the mother can guess from the anxiety of the child during and after urination. If the foreskin is inflamed, the following symptoms appear:
- he will experience pain when touching the genitals and during urination,
- the child’s sleep is suffering
- the temperature rises
- inguinal lymph nodes increase
- general health suffers
- urine diversion is often observed,
- the skin of the foreskin is inflamed and swollen,
- on the head of the penis erosive areas of bright red color with a wetting border are detected (this indicates that the disease has turned into an erosive form).
Important! Problems with urination occur due to swelling of the foreskin. It just blocks the urinary tract.
In the absence of treatment, inflammation of the head of the penis in the boy quickly takes a gangrenous course. In this case, areas with deep purulent necrotic lesions are formed, which are located against a background of bright red inflamed tissue. Such ulcers are very painful and long unhealed.
In especially advanced cases, it is possible to notice the release of pus and the formation of superficial ulcers. Sometimes enuresis appears due to the fact that during the day the child consciously abstains from urinating due to fear of pain.
Penis erosion: causes, symptoms and treatment
With improper treatment of the acute form or the absence of therapy, the disease becomes chronic. In this case, the following symptoms appear:
- pain and burning during urination are less pronounced,
- if the boy’s foreskin is swollen, then he feels itching in this place,
- upon examination, redness of the head of the organ and slight swelling are detected,
- the doctor will also notice discharge in the foreskin boy,
- since the course of the disease is long with episodes of remission and exacerbation, foci of phimosis are formed (because of this it is not possible to open the head) and cicatricial processes (this leads to a violation of the outflow of smegma and the progression of inflammation),
- when the process spreads to the urinary canal, its stricture (narrowing) and urethritis develops.
Indications for surgical treatment of the child are:
- ineffectiveness of drug therapy,
- scarring of the prepuce bag,
- difficulty urinating
- frequent relapses of balanoposthitis.
With phimosis, tsurkumcisio is performed - an operation to circularly excise prepuce. After circumcision, the possibility of re-accumulation of smegma under the foreskin is eliminated.
The conservative technique has in its arsenal not only drugs and ointments, but also rules for caring for the genitals of the child. An important component of therapy is hygiene. It is necessary to accustom the baby to these rules so that he can independently carry out care. The rules are as follows:
- The genitals are washed with warm water every day, additionally after visiting the toilet,
- Underwear is changed daily (in infants, diapers are changed as needed),
- After taking a bath or other similar procedure, the genitals are thoroughly dried.
The use of medicines is the basis of therapy. Creams and ointments are applied to the head area and foreskin, and if possible, then to the space between them. The following groups of funds are applied:
- Anti-inflammatory: Betamethasone, hydrocortisone and prednisone.
- Antifungal: Lamisil, Lamicon and Clotrimazole.
- Antibacterial: Oflokain, Levomekol, Sintomycin and Miramistin.
- Combined: Trimistin, Triderm and Hyoxysone.
- To protect and restore the skin: Panthenol, Sudocrem, Bepanten, Zinc ointment, Pantestin.
Baths are another effective treatment for local treatment. The temperature of the baths is 36–37 ° C. Also apply lotions, which are applied to the affected area 2-3 times a day. The following drugs are used for therapy:
- Solution furatsilina.
- Weak solution of potassium permanganate (potassium permanganate). The color of the solution is pale pink.
- Lotions with antiseptic compounds: Chlorhexidine, Betadine, Dekasan and Dioxidin.
Not without tablet forms of drugs. At high body temperature and the presence of pain, Paracetamol, Ibuprofen or their analogues are prescribed. The presence of fungal infection requires the appointment of fluconazole. If balanoposthitis has reached a severe form with the release of pus, then drugs such as:
Types of disease
By the nature of the course, balanoposthitis can be chronic (lingering, recurring) and acute. Depending on the consequences, complicated and uncomplicated inflammation of the leaves of the foreskin and head is secreted.
According to local manifestations in the field of the pathological process, the following types of balanoposthitis are distinguished:
- catarrhal or simple,
- erosive and ulcerative,
Catarrhal balanoposthitis is accompanied by hyperemia, slight swelling of the tissues, and abundant serous discharge. This type of inflammation is well eliminated by conservative medical measures.
With purulent inflammation, pus accumulates in the preputial sac, and separate pustules appear on the skin. The tissue of the foreskin looks spongy, becomes red and swollen, and urination is difficult.
In place of abscesses after opening, erosion and small sores with clear boundaries remain. The child has a fever, urination becomes extremely painful.
After this type of balanoposthitis, scars remain that can cause phimosis and paraphimosis.
Gangrenous balanoposthitis in children is extremely rare.
This is the most severe form of the disease. One of its causes is meningococcal infection. With gangrenous balanoposthitis, sections of necrosis form on the glans penis and foreskin. Symptoms of inflammation are pronounced, and after recovery, gross deformation of the penis remains.
With herpetic inflammation, vesicles appear on the skin covering the head. They are located in a group filled with transparent content. The liquid becomes turbid over time, the vesicles open, leaving painful erosion. This process is accompanied by fever and difficulty urinating.
With candidal balanoposthitis, erosion and sores with undermined scalloped edges are formed. In the area of inflammation - a white curd coating. Such a lesion of the penis occurs with reduced immunity, prolonged treatment with systemic antibacterial agents, local use of glucocorticoids.
Medicines in the photo
Augmentin is prescribed in the presence of a purulent process
Ibuprofen is used for pain and fever.
Miramistin is an effective antibacterial agent
Chlorhexidine is a water-based antiseptic that is used for lotions
The essence of pathology
The surfaces of the head and foreskin are in close contact. Special glands secrete a secret into this gap around the clock. Also, surface epithelial cells are scabbed there.
Heat, moisture, nutrients and an almost oxygen-free environment become favorable soil for the growth of microorganisms. Inflammation develops, one of the manifestations of which is hypersecretion of the glands. There is a "vicious circle": microbes contribute to exudation, which is a breeding ground for them.
The protein contained in the exudate coagulates, causing adhesion of the leaves of the mucous membrane. Between these commissures pockets are formed in which the mass reproduction of bacteria occurs. Inflammation becomes purulent.
If the adhesions are violently separated, sharply painful wound defects occur on the surface of the mucosa, which subsequently also become infected. As a result, if the process is started, then the consequences can be serious, up to a violation of sexual function in the future.
How is the diagnosis
If the boy has symptoms similar to balanoposthitis, parents need to go to a medical institution to a pediatric surgeon, a urologist. When diagnosing, special diagnostic measures are not required. The pediatrician receives the information he needs when analyzing complaints and examining the child's genitals.
Nevertheless, in the diagnosis of the disease, some laboratory tests are necessary. Recommended to do:
- general urine analysis,
- back sowing secreted secretion from prepuce,
- bacterial culture to detect candidiasis,
- determination of the level of glycemia (to exclude diabetes in a child),
- general blood test (to determine the intensity of the infectious process).
Read also Pustules on the labia
To clarify the diagnosis, consultation with a pediatric nephrologist, dermatologist, endocrinologist is also necessary.
Dr. Komarovsky will explain how to treat inflammation of the foreskin in a child, and identify the most common causes of such inflammation.
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Dr. Komarovsky is a pediatrician, TV presenter, and author of books on children's health and parental sanity.
Symptoms and clinical picture of balanoposthitis in a child
The first symptoms of balanoposthitis in a child are pain and a tooth in the area of the glans penis, burning sensation and difficulty urinating. A clinical examination clearly shows the redness and swelling of the head, while pulling the foreskin visible accumulated smegma, which has an unpleasant odor. With the purulent form of balanoposthitis, the purulent-inflammatory contents of the bag are secreted from under the foreskin.
In addition to local manifestations, with balanoposthitis, general reactions of the body to the inflammatory process occur. Fever, malaise, drowsiness, irritability, aggravated by itching.
Symptoms of balanoposthitis in a baby
Balanoposthitis in children of the first year of life is a rather private disease. This is due to the fact that even with good hygiene of the external genitalia in the newborn, microorganisms from the intestine enter the foreskin and head of the penis and cause its inflammation. Also, physiological phimosis, present in almost 100% of children in the first year of life, complicates the hygiene procedures in the child.
Also a common reason for the development of balanoposthitis in newborns is the improper use of diapers: a rare change, improper size selection, and so on.
Symptoms of balanoposthitis in an infant are always clearly visible.The head and foreskin become swollen, bright red, bright red dots appear on the penis. The child becomes restless. When urinating, you can notice an increase in the aggressiveness and irritability of the child due to pain.
Balanoposthitis in children of preschool and school age
The spread of this disease in this age group has almost the same reasons as in earlier periods.
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- physiological phimosis, which has now become pathological,
- poor penile hygiene
- the attachment of pathogenic microflora, in particular, at this age, candida microflora is quite common.
To the already described causes of inflammation, it is worth adding the use of tight-fitting underwear, which constantly rubs the foreskin. A constant mechanical effect on the sensitive area leads to inflammation of the glans penis and foreskin.
Symptoms of balanoposthitis in adolescents
The most common cause of balanoposthitis in older boys is the addition of staphylococcal, streptococcal, candidal infection due to poor penile hygiene. The constant mechanical effect on the penis of tight-fitting underwear also has a significant role in the occurrence of this disease.
Teenagers are characterized by the development of balanoposthitis against the background of specific diseases that already exist, such as gonorrhea, trichomoniasis, candidiasis, herpes, etc. Although rare, phimosis also occurs at an older age. It must be understood that physiological phimosis in adolescents already has the nature of a pathology, therefore, if by the age of 6-7 years the foreskin does not expose the glans penis, then this problem must be solved surgically.
Treatment of balanoposthitis in a child: an overview of the main methods
Treatment of balanoposthitis in a child depends on the degree of the disease. A mild degree can be treated at home. In more severe forms of balanoposthitis, you must always consult a doctor for the necessary treatment recommendations.
So, consider the treatment of a mild degree of this disease. It is characterized by a slight irritation of the skin of the foreskin, without damage to the glans penis. In this case, treatment at home can be dispensed with.
The following treatments are recommended:
- Thorough hygiene of the external genitalia, especially after bowel movements and diaper changes (in children of the first year of life),
- Every 2-3 hours, you must use the bath with a solution of chamomile. It should be noted that during the baths it is not necessary to expose the head, the components of the solution themselves are penetrated under the foreskin,
- Use a moisturizer that reduces dryness and skin irritation.
As a rule, 2-3 days of such care for the child’s penis help to completely cure this disease.
In more severe forms of balanoposthitis, it is strictly recommended to consult a doctor.
For productive treatment, you must do the following:
- All the same hygiene measures as with a mild degree of the disease.
- Every 2-3 hours, baths with chamomile solutions (2-3 tablespoons of the plant per 1 cup of boiling water). An alternative to herbal infusion may be a solution of furatsilina (2-3 tablets per glass of water).It is necessary to lower the diseased organ in a glass with the prepared solution for 10 minutes.
- Between the baths and at night, ointment applications with antimicrobial agents should be used. The most common is Levomekol. The penis is wrapped with a napkin soaked in this drug. Also do not forget about the thorough hygiene of the affected area before this manipulation. 3-4 days of this treatment will contribute to a complete recovery.
- With the fungal origin of balanoposthitis, it is recommended that ointment applications be made with drugs such as clotrimazole or candida. In this case, treatment continues for 2-3 weeks until complete recovery.
All the symptoms and treatment methods described above are related to acute balanoposthitis. But there is also a purulent form of this disease. Of course, it is much less common, but still there is a place to be. It develops due to purulent lesions of the head and foreskin of the penis.
Often a purulent form is a direct complication of phimosis. Complete contraction of the foreskin causes ismegma stagnation. After a while, they cause inflammation and begin to suppurate under the foreskin.
For purulent balanoposthitis, the following is characteristic:
- The duration of the course of the disease. With the treatment failure of the acute form, or the complete absence of this treatment, the disease can become chronic.
- Yellow (purulent) contents with an unpleasant odor stand out from under the foreskin.
- As a result of profuse suppuration, swelling appears, itching and burning join, which are the main symptoms of purulent balanoposthitis.
Treatment of a purulent form of this disease is different from acute. The main causes of purulent balanoposthitis are the addition of staphylococcal, streptococcal or yeast infection. After identifying a specific pathogen, the type of drugs for treatment is prescribed.
The main method of treatment of a purulent form is circular excision of the foreskin of the penis. Only this allows you to surely get rid of this disease.
Thus, for the most rational and surgical treatment of balanoposthitis in a child, it is necessary to consult a urologist or surgeon. Based on the data of clinical analysis and examination, he will determine the form of the disease and select the right treatment.
Symptoms, diagnosis and treatment of acute balanoposthitis in children
10 minutes to read
Balanoposthitis is a polyetiological disease associated with inflammation of the foreskin and glans penis. Pathology occurs mainly in uncircumcised boys.
Balanitis is an inflammation of the head of the penis, which is manifested by its redness, swelling, soreness, exudate in the form of serous discharge or pus can be separated from the surface of the head. The child may be disturbed by itching, burning, and frequent urination, in young children this is manifested by crying and anxiety.
Fasting is an inflammation of the skin sheet of the foreskin, which is manifested by its redness, swelling, itching, burning and soreness / difficulty in abduction, urination.
Since the head of the penis in the boy is normally covered with foreskin, the inflammatory process, as a rule, covers both. Isolated inflammation is less common.
Acute balanoposthitis in childhood is most often diagnosed among boys in the age group of two to five years.
1. The main causes of inflammation
- Often the cause of acute balanoposthitis in children is infection of smegma, which normally forms in the pocket under the skin flap of the prepuce (foreskin).
Unlike adults, in children the infection is caused by a nonspecific opportunistic flora. According to some sources, the main infectious agents are streptococci, as well as Candida spp.
, Pseudomonas spp., Serratia spp., E. coli. 1-3.
In other cases, in 47% of children with balanoposthitis, the leading infectious agent was not established, mixed flora was seeded in 22% of patients, staphylococcus in 16%, Proteus, morganella and other bacteria in other cases.
One way or another, this issue still needs to be clarified, although it is already clear that the main role in the occurrence of balanoposthitis in children is played by the nonspecific bacterial flora.
- Inflammation of the foreskin and the glans penis in a child can be associated with their injury, for example, during masturbation, fastening the pants fly and jeans, sand on the beach, etc.
- Balanoposthitis can be allergic.
Symptoms in this case arise from direct contact with the allergen (for example, an allergic reaction to the chemical components of the washing powder that is stored on baby clothes, shampoos, soaps, shower gels, underwear).
Food intolerance also matters (systemic manifestations of allergies in the form of a rash, swelling, redness of the skin). An allergic reaction to taking certain medications (salicylates, anticoagulants, anticonvulsants, etc.) can lead to the development of characteristic symptoms of balanitis, postitis in a child.
- Inflammatory dermatoses are less common in children.
- A combination of several factors.
2.1. Hygiene Care
Non-compliance with the rules of hygienic care of the inguinal region and genitals is one of the leading risk factors for balanoposthitis in boys.
The child must be trained to take the foreskin each time he takes a shower / bath (in the absence of phimosis, narrowing of the skin ring of the foreskin), wash the surface of the head with a solution of warm water, dry the skin and return it to its original place. It is important to avoid foreskin abduction with an effort leading to discomfort and pain.
- With a prolonged absence of processing of the pocket between the foreskin and the head, smegma accumulates in it, which is a detached, old epithelium.
- Over time, smegma can become infected with bacteria and fungi, which leads to the development of balanoposthitis 1-3.
- Do not use concentrated detergents, soaps for hygienic body care, which lead to irritation of the skin and contribute to the attachment of infection.
- Untimely change of diapers, crawling on the floor without underwear, swimming in dirty ponds can contribute to infection of the foreskin and glans penis.
2.2. The presence of phimosis
Nine out of ten boys have problems with the removal of skin from the head of the penis from birth. In most cases, a child's phimosis occurs without signs of inflammation.
Often, problems with the removal of the skin flap are associated with the adhesion of the epithelial leaves of the head of the penis and prepuce, the congenital narrowing of the foreskin ring and a short bridle. In this case, the doctor diagnoses the physiological phimosis in the child.
Violation of skin abduction contributes to the accumulation of smegma under the prepuce, increasing the risk of infection.
Often the cause of inflammation is the parents' attempts to expose and rinse the baby’s head. With excessive abduction of the foreskin, microcracks form on its inner surface, which can serve as a gateway for infection.
3. Symptoms of balanoposthitis
If the child has symptoms of balanoposthitis, parents turn to an appointment with a pediatrician or surgeon, less often a urologist.
Leading complaints in a child:
- 1 Complaints of redness and swelling of the glans penis and skin sheet of the foreskin.
- 2Parents often indicate that the foreskin has ceased to be normally removed against the background of edema and inflammation.
- 3A serous or purulent discharge from its surface may appear in a child. Pus excretion, significant hyperemia and edema are observed in acute suppurative balanoposthitis and are usually caused by staphylococcal infection.
- 1 Itching and burning in the head area.A child can comb intimate places, cry for no reason, fidget on the spot.
- 2 Soreness during urination is associated with urine irritation of the inner leaf of the foreskin, head and external opening of the urethra. The child cries during and after going to the toilet, says that he is "nibbling, burning, biting."
4. First aid to the baby
- If you suspect inflammation of the foreskin and head, you must seek the advice of the local pediatrician, who, if necessary, will refer the child to a consultation with a urologist. If possible, it is better to visit a doctor on the same day. Before the examination, it is not necessary to produce a toilet of the genitals.
- And if this is not possible? In this case, it is possible to start treatment at home before the examination. However, it is not worth postponing the appointment and consultation.
- You can’t try to cure the child yourself, resort to alternative methods of treatment. Procrastination, improper treatment can lead to the progression of inflammation, the development of complications.
The provision of first aid at home for a child with acute balanoposthitis includes:
- 1 Preparation of slightly warm baths (37 degrees) with a decoction of chamomile, a slightly pink solution of potassium permanganate. To properly prepare a solution of potassium permanganate, it is necessary to dissolve the grains in a bucket, and only then add the resulting solution to a bath of clean water. Newborns and infants can use boiled water.
- 2Washing a pocket between the glans penis and foreskin using a syringe without a needle (5-10 ml) with a light warm solution of furacilin, sterile warm saline. After washing from the hole in the foreskin, smegma (white lumps in large quantities) can be released. The child usually wants to urinate after the procedure.
- 3After the procedures have been completed, apply an antibacterial ointment to the foreskin and glans penis (for example, Baneocin ointment, eye tetracycline ointment, Triderm, Acriderm GK and Ghent).
- 4Another time we remind you that these manipulations can be performed only on condition that the doctor cannot be accessed earlier than after 2 days.
- 5 Usually these manipulations are enough to prevent complications in time.
- The diagnosis of acute balanoposthitis in a child of the prepubertal period (before puberty) is somewhat different from adult patients, since the likelihood of an STI is practically eliminated 1-3.
- 2In order to make a diagnosis, an examination by a urologist is necessary.
The doctor draws attention to changes in the skin, the presence of discharge from the surface of the head, the severity of edema, problems with abduction of the foreskin. 3Before starting local treatment, a smear is taken from the prepuce pocket for microscopy and bacterial culture in order to determine the pathogen and its sensitivity to antibiotics.