Drugs for the treatment of balanoposthitis in men: what pills and ointments do urologists prescribe? Monodose therapy for candidal balanoposthitis Fluconazole from balanoposthitis did not help.

More recently, it was believed that thrush is a purely female disease. But the Candida fungus can live, live and multiply on the male genital organs completely unhindered. But thrush is not a sentence, it is successfully treated with fluconazole.

Candidiasis in men (symptoms)

Male candidiasis manifests itself with a decrease in the body's immune function, stress, prolonged hypothermia, obesity, non-observance of personal hygiene rules, sexual contact with a sick partner, uncontrolled intake of a large number of antibiotics. Contribute to thrush and cracks in the mucous membranes.

The symptoms of thrush in men depend on the area affected by the fungus.

Balanoposthitis. Localization of the fungus - the glans penis and the foreskin. The patient feels a burning sensation during urination, itching in the groin and glans penis, notes its redness, swelling and the presence of a milky white coating. The discharge is lumpy, cheesy, the smell from the perineum is sour. Sexual intercourse does not give psychological relaxation, accompanied by pain or discomfort.
Candida urethritis. The localization of the fungus is the mucous membrane of the urinary canal. It is characterized by inflammation of the urethra and feels like gonorrhea (clapper): frequent and painful urination, sometimes with the release of mucus and blood. Discharge (especially in the morning) appearance filiform, white.
Candida pyelocystitis. Localization of the fungus - the bladder and kidneys. General malaise, fever, pain in the area are added to the above symptoms. Bladder and in the kidneys. In this case, the patient is most often determined in a hospital.

If a man has no symptoms, and his partner regularly fights thrush, then he is likely to be a carrier of a fungal infection. In this case, the man should also be examined and take measures to stop the carriage.

The disease must be confirmed in the laboratory, excluding during this period (and for the period of treatment) sexual intercourse and oral caresses. In the presence of a permanent partner, treatment should be carried out by both partners at the same time.

A doctor will tell a man how to treat candidiasis. Most often, complex therapy is prescribed, including a special diet, vitamin therapy and medications.

It is imperative to monitor the cleanliness of the body and genitals, wash them several times a day with a decoction or infusion of chamomile, change underwear daily (and even more often), and boil bedding.

Fluconazole (about the drug)

Usually, thrush in men is successfully treated with Fluconazole. At the same time, fluconazole is not only the name of the drug, but also the name active substance a number of similar drugs, for example, "", "Diflazon", "Mycomax", "Diflucan". Therefore, a doctor or pharmacist may well advise you to purchase one of the listed analogues of Fluconazole. But the healing process will not suffer from this.

The drug is approved by the World Health Organization and has a number of manufacturers around the world. It is produced (both here and abroad) in tablets and capsules of 50 and 150 mg (in a carton).

The release of fluconazole in pharmacies is carried out without a doctor's prescription. You cannot buy the drug from hands, in the markets, from dubious suppliers. Also, you can not use the drug with an expired shelf life (over 3 years) or not stored correctly (at a temperature above 25 ° C) for its intended purpose.

The price of fluconazole in pharmacies does not depend on its quality, but on the type of pharmacy and manufacturer.

By pharmacological action fluconazole is a potent antifungal agent (not just for candida). It inhibits the vital functions of fungi, inhibits their ability to grow and reproduce. At the same time, harm to human body from taking the drug is not present, and the effect on the liver is minimal.

For men, it is especially important that during treatment with fluconazole there are no contraindications to driving.

The healing effect of this drug is much higher than that of the "classic" drugs - "Clotrimazole", "", "Nystatin", etc.

Fluconazole for thrush (use)

If you decide to treat thrush with fluconazole, you should know that this drug (and its analogues) should not be used together with drugs that include astemizole and terfenadine. If you have liver or kidney disease, pregnancy, take fluconazole with caution (under the supervision of a physician).

Instructions for use of the drug prescribes how to take it correctly. This is a one-time intake of 150-200 mg of fluconazole (usually 1 capsule) with repeated administration of the same dose after 10-15 days. This dosage inhibits the growth of candida, but does not destroy it as a component normal microflora mucous.

It is known that with candidiasis, the severity of symptoms and the severity of the lesion can be different, and the state of health is different for everyone, therefore, in order to avoid relapses and the transition of the disease to a chronic form, it would be better if the doctor selects the dosage and frequency of taking fluconazole (treatment regimen).

This will prevent possible manifestations side effects drug from the heart, blood vessels, stomach, intestines, nervous system and will protect you from overdose, which is manifested by fever and hallucinations.

In addition, in addition to tablets and capsules with fluconazole, men are often recommended to use external preparations. They are sold in a pharmacy in the form of creams or gels (for example, with clotrimazole or with the same flucnasol).

In general, treatment lasts 2-4 weeks, but sometimes fluconazole for thrush in men is used up to six months to achieve complete recovery.

Thrush is very sensitive to diet food, for example, sugar "feeds" fungi. Therefore, throughout the entire period of treatment, it is necessary to exclude the intake of alcohol, coffee, sweets, pastries. You can drink compotes, weak tea, juices, eat - cereals, boiled meat and fish. Whether it is possible to eat vegetables and fruits is an ambiguous question. Some experts believe that in large quantities, especially fruits containing a lot of sugars, can only do harm. Therefore, it will be better if the consumption of fruits and vegetables in the diet is present in moderation.

The fact that you are healthy, and the thrush is finally defeated, will be indicated by laboratory results and the absence of symptoms of candidiasis for 12 months. During this time, sexual intercourse should be protected (with a condom) and kept to a minimum.

Balanoposthitis is one of the male diseases associated with inflammation of the skin of the penis (glans and foreskin).

There are several main reasons for the development of balanoposthitis. The most common among them are:

permanent mechanical injuries of the genital organs (for example, damage to the skin with improperly selected underwear);
topical medicines permanently applied to the penis;
various types of intimate lubricants constantly applied to the penis;
excess salt in the urine;
reception medicines(of a different spectrum of action), affecting the skin of the body;
various infections (including sexually transmitted ones).

Symptoms of the development of balanoposthitis

Balanoposthitis has quite characteristic symptoms that even a non-specialist can notice. These include:

burning and itching in the genital area (permanent and during urination);
redness of the glans penis or the entire penis;
swelling of the genital organs;
appearance of thick discharge bad smell;
the appearance of purulent discharge;
erosion of the foreskin (the appearance of flaky spots that cause severe discomfort);
severe weakness and loss of strength;
persistent headaches;
increase in body temperature;
the appearance of spots with clear outlines (as a rule, they occur at the acute stage of the development of the disease);
the appearance of microcracks on the foreskin.

Types of balanoposthitis and their treatment

There are several types of balanoposthitis (the classification is based on the nature of the pathogen):

Candida balanoposthitis. This type of disease has a fungal character. Very common among male patients diabetes. Treatment should be comprehensive and include both drug therapy and compliance strict diet excluding sweet foods, spicy and pickled dishes. It is also not recommended to drink alcoholic beverages. During the period of treatment, you must completely abandon sexual contact. In the most severe forms of the disease, it is possible to perform an operation involving the partial removal of the patient's foreskin. Otherwise, inflammation can spread to other organs.
Infectious balanoposthitis. This type of disease is accompanied by pain and burning during urination and ulcerative formations on the foreskin and glans penis. Treatment involves taking antibacterial agents, which the doctor selects individually for each patient, depending on the type of infection, the degree of its spread and the individual physiological characteristics of a person.
Circinar balanoposthitis. It is characterized by the formation of clear red (sometimes even burgundy) spots on the foreskin and glans penis. The causative agent of this species is chlamydia. Incorrect or insufficient treatment in this case can lead to the formation of white and gray spots on the penis, as well as scaly inflammation. Treatment also includes a course antibacterial drugs and physiotherapy.
Anaerobic balanoposthitis. It is characterized by the formation of erosive spots on the foreskin and a sticky white coating with an unpleasant odor on the glans penis. The spots peel off, sometimes pus can be released from them. The genitals are constantly swollen, and the patient is haunted by severe itching. Often, with this type of disease, the receptors atrophy, and the head of the penis loses its sensitivity.

Forms of balanoposthitis

Balanoposthitis also manifests itself in various forms: ordinary, acute and chronic.

Normal form. It manifests itself in the form of a slight inflammation of the penis. During the transition to an acute form, inflammation is formed into clear erosive spots, prone to peeling.
Sharp form. Accompanied by constant purulent discharge and gangrene. Often with this form, phimosis is also noted - the fusion of the tissues of the glans penis with the foreskin. Inflammation in this case is very difficult to remove and the healing of purulent wounds is a long process.
Chronic form. As a rule, it is the result of a strong weakening of the immune system or untimely treatment of diseases of the genital organs, as well as their improper treatment. The appearance of blisters or small red spots on the penis indicates that the patient is allergic to latex contraceptives.

Diagnosis of balanoposthitis

Diagnosis of balanoposthitis, despite the severity of symptoms, should be carried out by a specialist.

In most cases, this includes a general examination as well as a referral for tests such as: general analysis urine, complete blood count, clinical analysis blood, antibacterial cultures, etc.

In acute forms of the disease and the spread of the disease, as well as the development of complications, it may be recommended ultrasound examination, PCR and other diagnostic procedures.

Preparations for the treatment of balanoposthitis

The appointment of drugs for the treatment of balanoposthitis depends on the form of the disease and its causative agent, as well as on the presence or absence of concomitant diseases. In most cases, the list of drugs prescribed to the patient includes antibiotics in the form of tablets, as well as various anti-inflammatory ointments, creams and gels. With candidal balanoposthitis, antifungal drugs are also prescribed. In the most severe forms of the disease, surgery may be recommended, which is performed under local anesthesia. In other cases, inpatient treatment is not required and home therapy is sufficient.

It is also allowed to use the methods of "folk" medicine, but only in the case of an appropriate recommendation from a specialist. Alternative medicine advises drinking anti-inflammatory herbs, as well as rinsing the penis with disinfecting decoctions.

Disease prevention

Recipes of "folk" medicine are also suitable as prophylactic agents. In addition, it is necessary to strictly observe the rules of personal hygiene: take a shower every day and change underwear, as well as use high-quality contraceptives.

Remember that balanoposthitis is very often sexually transmitted, so treatment and preventive measures should be carried out by both partners. Only then will they be truly effective.

Candidal balanoposthitis - what is it?

A disease of the genitourinary system of a man, characterized by inflammation of the glans penis and the skin fold that forms the foreskin, or rather its inner sheet, is called balanoposthitis.

Balanoposthitis manifests itself in many forms, the most pronounced pathogenic properties of which today is candidal, caused by yeast-like fungi of the genus Candida invisible to the naked eye, or rather, not just their presence, but a pathological increase in their number.

At the same time, a feature of this form of the disease is its conditional pathogenicity. This means that almost all representatives of mankind in the body have microorganisms of the genus Candida, making up the usual microflora of the colon and oral cavity, and in women and the vagina. And only in some cases, giving a kind of impetus, they begin to multiply intensively, producing endotoxins and enzymes that cause the corresponding symptoms.

Most often, this is caused by a general weakening of the immune system after a long illness or taking antibiotics, severe hypothermia, neglect of hygiene procedures, or getting a stronger strain of the virus from a sexual partner after unprotected intercourse. Often, the development of candidal balanoposthitis in men is the first, clearly visible sign of diabetes mellitus.

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Candida balanoposthitis affects not only the stronger sex. Basically, women are susceptible to candidiasis, or, as it is also called, thrush, since it is much easier for fungi to physiologically survive in their genital organs - approximately one in three suffered it at least once in their life, and more than fifty percent of those who had previously been ill are affected by it two or more times. Children are also at risk, in most cases they receive candida during childbirth, passing through the birth canal of an infected woman.

When infected with candidal balanoposthitis in men, swelling of the glans penis occurs, its redness, itching and burning are noted, but the most striking symptom that appears after a few days if left untreated is the accumulation of cheesy secretions under the foreskin that have a specific unpleasant odor. In women, discharge appears in the vagina and on the labia.

Treatment of candidal balanoposthitis in men using various means and techniques

When treating candidal balanoposthitis in men, it is important to remember that it must be passed along with a sexual partner, since otherwise the infection from an untreated person will again be transmitted to the one who has already undergone treatment. You should also take care to identify the initial source of infection, strengthen immunity and treat all concomitant diseases.

On the this moment candidal balanoposthitis in men, the treatment of which can be quite simple, has many methods:

First of all, this conservative treatment, which includes more thorough adherence to hygiene procedures, washing the affected areas with physiological, antiseptic and uroseptic solutions, treatment with antiseptic ointments and emulsions, baths with a manganese solution or chamomile decoction, as well as a daily change of underwear.
If there is no visible progress in the treatment of candidal balanoposthitis in men, then along with strengthening immunity due to immunomodulators and vitamin-mineral complexes, drug treatment- taking antibiotics and antifungal drugs.
In the most difficult cases, one has to resort to surgical intervention - an operation called circular excision of the foreskin of the penis, that is, circumcision, is prescribed. Such a radical procedure allows you to cope with several difficulties at once: removing the cause of phimosis, drying the weeping surfaces of the glans penis, creating more negative conditions for the development of pathogenic microflora and fungi.

So with the help of what drugs can you cope with a disease such as candidal balanoposthitis? Treatment usually involves the use various kinds antifungal drugs in tablets and in the form of ointments, most often based on fluconazole and natamycin. Among the most effective:

Pimafucin
intraconazole
Flucostat
Mycosist
Diflucan
Fluconazole
Diflazon
Orungal

It is important to understand the seriousness this disease and never self-medicate. correct dosage, the time of admission and the drug that suits you specifically can only be determined by the attending physician, based on the results of the tests and the data of the survey.

Features of the course of chronic candidal balanoposthitis in men

Many men, having felt the first symptoms of the disease, are lost and, without going to the doctor, they miss the opportunity to say goodbye to this disease with the least trouble. This is fundamentally not true, since even in the case of a rapid disappearance of symptoms, a man becomes a carrier of a disease that, without proper treatment, eventually becomes chronic.

Chronic candidal balanoposthitis in men has a long, undulating course and is characterized by a fairly frequent recurrence - up to four to seven exacerbations during the year.

The chronic course of the disease is typical for people with a weakened immune system, carriers of fungal and herpetic infections, affected by sexually transmitted diseases and diabetes.

Symptoms of chronic candidal balanoposthitis in men include:

Persistent muffled itching.
Painful sensations when touched.
Edema.
Hyperemia.
Whitish films and curdled discharge on the head of the penis and especially significant accumulation of them under the foreskin, which are quite easily removed mechanically, have an unpleasant sour-putrefactive odor.
Profuse mucous discharge mixed with pus from the urethra.
Ulcers and periodically bleeding erosive notches, surrounded by whitish rims of dead cells.
Painful erection.
Inability to have sexual intercourse due to its extreme pain.

Chronic candidal balanoposthitis in men can occur in the following forms:

Indurative - it is characterized by withering skin head and foreskin of the male penis, and then their painful wrinkling.
Ulcerative hypertrophic - characterized by the appearance of multiple deep poorly healing erosions, in extremely severe cases leading to perforation of the foreskin and gangrenous death of parts of the head, which reduces, and in some cases completely eliminates its sensitivity.

Complications in chronic candidal balanoposthitis in men:

With the penetration of inflammation into the urethra (and this happens in 97% of men), the entire genitourinary system is affected, namely the urethra, bladder, prostate and kidneys.
phimosis and paraphimosis.
Inflammation of the inguinal lymph nodes.
Cancer of the male genital organ.
Interdigital erosion.
Curdled discharge on tongue and mouth.
Candida paronychia in skin folds.
Change in shape, curvature of the penis.

Quite often, doctors use Orungal in the treatment of chronic candidal balanoposthitis, as it is a recognized remedy in the fight against candidomycosis with lesions of the skin and mucous membranes and with deep visceral candidiasis. The method of treatment is also convenient - taking gelatin capsules once or twice a day, depending on the recommendations of the attending physician.

Features of the course of the acute form of candidal balanoposthitis in men

The acute form of candidal balanoposthitis in men is characterized by an avalanche-like increase in symptoms and transience. Its duration does not exceed two months.

Candida balanoposthitis - symptoms of an acute form of the disease:

Severe swelling of the glans penis.
Redness.
Hypersensitivity, which negatively affects the sexual life of a man and his partner, as it significantly reduces the time of sexual intercourse.
Inflammatory processes on the head and foreskin.
Heat.
Fever.
Diaper rash, developing into sores and erosion on the constantly weeping softened surface of the head and foreskin.
The necrosis of the superficial parts of the glans penis.
Increased amount of allocated smegma.
Curdled discharge with an unpleasant putrid-sour smell.
Acute pain, itching and burning.
Abundant mucous, with an admixture of pus, discharge from the urethra.

Among the complications of acute candidal balanoposthitis, the following should be distinguished:

The development of the erosive form of the disease into gangrenous with further necrosis of the tissues of the male genital organ.
Intoxication.
Inflammation of the inguinal lymph nodes.
Growth of scar tissue on the foreskin and eventually phimosis.

How to use Genferon for the effective treatment of prostatitis

Prostatitis is a very common male ailment, accompanied by many unpleasant and painful symptoms. In the end, if the disease is not treated, it leads to impotence and infertility and flows into a chronic course with periods of painful exacerbations. For the most effective treatment, it is often recommended to accompany oral medication with rectal suppositories, which will help to cope with the infection at the site of its spread and reduce painful symptoms. An integrated approach guarantees the patient a faster cure and a more stable result in the future.

In general, the process of treatment of prostatitis until complete recovery lasts quite a long time. The clinical picture of prostatitis is very characteristic of the rapid blocking of symptoms, which the patient complained about. Although painful symptoms can be relieved by short term, this does not mean that the disease has receded. It is very important at this point to continue treatment so as not to acquire a chronic form of prostatitis.

The trigger for the onset of the disease is the onset of stagnant processes in the vessels of the prostate. It is this problem that rectal suppositories will most effectively help to solve, for example, Genferon with prostatitis shows excellent efficiency. They, acting directly on the problem, remove the inflammatory process, while not lowering the overall immunity of the patient.

Their positive effect is based mainly on the antibacterial and antiviral properties of the components of the drug. At the same time, suppositories have a pronounced immunostimulating effect due to the interferons included in their composition. Restoration of normal blood circulation is the key to a successful outcome and further complete recovery. However, if the disease has already flowed into the chronic stage, this will be extremely difficult to achieve. The main ways to establish proper blood flow today are: laser therapy, treatment with the help of a magnetic field, sound therapy.

After the patient contacts the urologist, the doctor collects a complete history and restores clinical picture diseases. Based on this information, a competent medical treatment is prescribed by a specialist. As mentioned above, in addition to complex therapy and for the rapid removal acute symptoms rectal suppositories are recommended. They are almost always well tolerated by the patient and have a pronounced therapeutic effect. Genferon suppositories, which have a high degree of absorption, that is, good absorption by the tissues of the anus, have proven themselves to be the most effective in this regard.

According to reviews, the effect of suppositories is noticeable already on the second day of use: patients note a significant relief of symptoms. Suppositories should be taken by gently inserting into a relaxed anus twice a day for 10 days. Doctors prefer to prescribe Genferon also due to the fact that the latter has practically no adverse reactions with prostatitis. IN rare cases Patients noted slight irritation in the anus, which went away on its own within a day.

It is also important that a woman who has sex with a man suffering from prostatitis must also undergo a full course of treatment. For more detailed advice, you should consult your doctor.

Candles Genferon show high efficiency, both in the relief of symptoms of acute prostatitis, and in the treatment of the chronic form of the disease. Most importantly, at the same time, do not forget about the need for an integrated approach, because if the disease is not cured in time, it will deprive a man of the opportunity to be a man. The price of Genferon cannot be called low relatively, for a full course of treatment with candles you will need to pay about 1000 rubles. However, it is absolutely worth it, due to how much more effective the result shows this drug compared to its more budgetary competitors.

The scope of the anti-infective effect of the drug is quite wide. Genferon is also highly effective in the treatment the following diseases: chlamydia, influenza, trichomoniasis, herpes of the 1st and 2nd class, urethritis, candidiasis (thrush in men and women), balanoposthitis, pelvic inflammatory processes of various etiologies in women, cystitis, erosive inflammation of the cervix, human papillomavirus, acute and chronic inflammation top respiratory tract, mycoplasmosis and more.

Fungal diseases of the mucous membranes affect not only women, but also men. The most common cause of these diseases are fungi from the genus Candida.

In the process of life, these microorganisms lead to the formation of white plaque, which is collected in lumps and resembles cottage cheese in appearance. Due to this property, mucosal candidiasis is commonly called thrush. Most often, the disease occurs in women and young children.

For men, the occurrence of thrush on the mucous membrane of the penis is a rather uncharacteristic phenomenon. The occurrence of thrush in the oral cavity can be associated with various reasons and act as a separate disease or accompany other pathologies of the male body.

Reasons for the development of the disease

The main reason for the development of candidiasis is the rapid reproduction of fungi. Fungi, including the genus Candida, are in competition with bacteria that inhabit the mucous membranes and are the natural human microflora. Microorganisms do not allow fungi to multiply, without creating a favorable environment for them to grow.

The immune system, in turn, inhibits the growth of pathogenic microflora. Thus, the appearance of fungal flora, its reproduction and growth, which leads to the development of thrush, is possible if the balance between human immunity, bacterial flora of mucous membranes and fungi is disturbed. This is possible in such cases:

Candidiasis of the oral cavity - quite rare disease adults, especially men. The presence of such a disease should prompt the doctor not only to the right treatment, but also to the idea of diagnosing other organs and systems, as well as discovering the true cause of the development of an oral infection.

Thrush of the penis is a rather rare, but sometimes occurring pathology among men. The main causes of this pathology are:

It is important to note that particularly active growth of fungi of the genus Candida is observed in an alkaline environment. The head of the penis is constantly bathed in urine, which is usually acidic. This factor prevents the development of active candidiasis.

Description of the drug

Fluconazole is one of the leading drugs in the group of antifungal pharmacological agents. The mechanism of action of the drug is based on the inhibition of the activity of fungal enzymes, thanks to which the fungi receive nutrients, grow and multiply. The drug Fluconazole is available in the following dosage forms:

The drug has good absorption in the gastrointestinal tract, which allows almost 90% of the drug to enter the bloodstream, which is comparable to intravenous injections of the drug. Capsules of the drug are more stable in the gastrointestinal tract.

The choice of the form of the drug for thrush should be carried out by a doctor, taking into account the severity of the process, the likelihood of recurrence of the fungal process.

With thrush that occurs in the oral cavity in a man, Fluconazole should be taken at a dosage of 50-100 mg for 7-14 days. The form of the drug depends on the severity of the course of the fungal process and is selected by the doctor.

In order to prevent relapses, fluconazole should be taken at 100 mg every month. If a patient has a fungal infection against the background of immunodeficiencies, then the dose of drugs, the course of administration and the prophylactic dose are selected individually.

With balanitis and balanoposthitis in men who are caused by thrush, Fluconazole must be taken once, at a dosage of 150 mg per day. In order to prevent these diseases of the penis, prophylactic doses of the drug can be used from 50 to 400 mg per day.

Principles of treatment

The main principle of the treatment of thrush in men is the accurate diagnosis and severity of the course of a fungal disease. It is the ignoring of this principle at the stage of preparation for treatment or in the case of self-treatment that leads to relapses of candidiasis.

Also, one of the main principles of the treatment of candidiasis is the use of a combination of local drugs and medicines systemic action. This is especially true for genital manifestations of candidiasis.

This use of a combination of drugs allows the patient to recover more quickly and reduce the risk of recurrence of the disease.

Some forms of balanoposthitis, especially those identified on their very initial stage allow treatment only local funds- baths, lotions, enhanced personal hygiene measures. However, in some cases, such measures are not enough - in this case, the doctor decides on the advisability of prescribing drug therapy in particular antifungal drugs.

As a rule, treatment with fluconazole for balanoposthitis is effective only in the candidal form of this disease caused by the Candida fungus. In fact, without the use of this or a similar drug, it is not possible to cope with inflammation of the penis, since all other remedies will only remove the symptoms, and the disease itself will recur later. Fluconazole is the most effective tool, the main advantage of which is a single dose (dose of 150 mg).

Fluconazole is a drug belonging to the group of azoles. Its function is to have a depressing effect on the production of ergosterol, by directly affecting the mycelium of the fungus. Thus, under the influence of oxidation, the candida fungus, which provokes candidal balanoposthitis, dies due to a violation of membrane biosynthesis. In some cases, treatment with fluconazole for balanoposthitis is not an accompanying, but the only possible therapy - as a rule, this occurs when the patient has resistance (resistance) to the action of local drugs. This is usually observed in patients with chronic balanoposthitis who use a certain remedy for a long time.

In addition to the dosage and duration of administration, the treatment of balanoposthitis with fluconazole involves a number of other features. So, for the duration of therapy, it is imperative to exclude sexual intercourse, while it is also desirable for the patient's sexual partner to undergo a course of treatment. In addition, the use of fluconazole should be accompanied by a certain diet, since the use of certain products can significantly reduce the effectiveness of the drug, up to its complete uselessness. In the case of chronic recurrent inflammation of the penis, the patient may be prescribed long-term therapy with this drug - as a rule, 1 tablet of 150 mg per week is used for several months.

Furacilin for balanoposthitis and balanitis
Despite the fact that balanoposthitis is enough serious illness, which requires mandatory medical supervision, its ...

Balanoposthitis, which has a candidal form of nature of origin, is an acute or chronic inflammation the surface of the head of the penis, as well as the skin that surrounds this part of the penis. This type of disease differs from all other types of balanoposthitis in that it rarely passes into the acute phase of its development. Fungal balanoposthitis is characterized by a latent stage and sluggish inflammation, which quite often does not always make it possible to determine the candidal etiology of the disease during a visual examination. This complicates the diagnosis of the disease. It is believed that on average every third man at least once in his life, but faced with the symptoms of this disease, and 15% of total number patients experienced pathological complications caused by the lack of therapy or improperly selected medications for treatment.

Causes of the disease and how is it transmitted?

There is a certain list of factors, the presence of which increases the likelihood that sooner or later, but a man will fall ill with candidal balanoposthitis with all the ensuing consequences. The causes of the onset of the disease in previously healthy people are as follows.

Lack of hygiene

For the development of candidiasis, comfortable conditions are needed that would enable the fungus to maximize its numerical population and provoke an inflammatory process. Therefore, if a man does not wash his intimate area daily with soap and warm water, then over time the first symptoms of a candidal lesion of the penis will begin to appear.

Presence of fungus on other parts of the body

In people who initially already have a dermatological disease in the form of mycosis of the feet or nail plates, the principle of self-infection works. This happens in everyday life, when the patient, after taking a bath, wipes himself with a towel, wiping his legs, arms and inguinal region. A man, even without realizing it, spreads dangerous spores of a fungal infection through his skin.

Weak immunity

The presence of a strong immune system is a guarantee that the protective function of the body will work in a timely manner and fungal microorganisms will be completely destroyed, preventing the development of the disease. If, due to difficult working conditions, chronic lack of sleep, poor nutrition, the presence bad habits, the immune status of a man decreases, then candidiasis is immediately activated and pronounced traces of the presence of the disease appear on the foreskin.

unprotected sex

Sexual contacts with a non-permanent partner must be safe. For this, it is recommended to use barrier methods of contraception in the form of condoms. The microflora of the female vagina is diverse, and even taking into account the fact that a woman keeps her body clean and pays great attention to the hygiene of the intimate area, it does not reduce the likelihood that she may have a hidden form of thrush. This disease, which is actually an analogue of candidal balanoposthitis. After a man has entered into intimacy with such a partner, after 1-2 weeks, the first symptoms of the disease appear.

Taking antibiotics

Those who have taken large amounts of potent drugs over a long period of time antimicrobials, the bacterial balance is disturbed and fungi begin to dominate over other types of microflora. Due to the presence of this causative factor, the ability of the immune system to resist foreign biological agents is also sharply reduced.

Balanoposthitis of the candidal type is transmitted by two methods known to medicine. This is unprotected sex with a partner carrying fungus spores, or household infection through common items, which theoretically should be purely individual (underwear, towels, bar soap, other hygiene and care products for the intimate area).

Symptoms of candidal balanoposthitis in men

The signs of the fungal type of the disease are very similar to other types of the inflammatory process of the foreskin, but still have a number of their own characteristics, which manifest themselves in the form of such painful conditions of the surface of the penis:

persistent pain is felt, which is affected by a fungal agent;
the epithelial cover becomes inflamed, reddens and becomes covered with one continuous spot of the specified color or is taken as a small rash;
the diseased part of the skin of the penis gets wet, sticky, exudes a specific yeast aroma, which is very unpleasant and persistent;
a spasm of the urinary canal occurs, the walls of the urethra swell and, as a result, the process of natural outflow of urine slows down (spores of candidal fungi have the ability to penetrate not only the surface layer of the skin, but also migrate along the urethra, rising into the prostate gland, bladder and even kidneys) ;
body temperature rises, which in most cases does not exceed 37.7 degrees Celsius;
located in the groin in the area hip joints(during palpation, this part of the body is painful);
there is swelling of the foreskin, which is visually enlarged several times.

The fungal type of inflammation of the penis in men very rarely leads to the formation of sores, pustules and all kinds of erosions on the skin. Basically, these are weeping eczemas, manifesting themselves in the form of single spots.

What tests should be done to confirm the diagnosis?

In order to really say with 100% certainty that a man has candida balanoposthitis, it is necessary to pass the following types of tests:

If the mycotic inflammation is very extensive and infection of other organs of the genitourinary system has occurred, then the attending physician may additionally prescribe the patient to undergo an ultrasound diagnosis of the bladder, prostate gland, and kidneys.

How and what is the treatment of candidal balanoposthitis in men?

Therapy of this disease requires an integrated approach with the simultaneous use of external preparations, as well as internal saturation of the body by taking tablets and intramuscular injections. In the current medical practice, the following types of medicines are used.

Antifungal ointment (Triderm, Fluconazole, Lamisil, Clotrimazole, Fluconazole)

It is applied directly to the lesion, where characteristic changes in the state of epithelial tissues are observed with their further destruction by fungi. Processing is carried out in the morning and in the evening for 12-20 days. The ointment is smeared in an even layer to ensure sufficient saturation of the body with the active components of the drug.

Intramuscular injections (Laferobion)

The drug is administered as an injection into the buttocks. The course of treatment is determined individually by the attending physician, but it cannot last longer than 15 days. After this time, you need to take a break.

Epigen spray

It is applied by spraying directly onto the surface of the head. A positive therapeutic effect is observed as early as 2-3 days from the start of treatment.

Pills Futsis

Taken in the first 3 days of menstruation. This is a prerequisite if this remedy for a fungal infection is present in the therapy regimen. The duration of admission can reach up to 6 months if the disease is severely neglected.

Treatment of chronic candidal balanoposthitis in men requires not only the use of potent medications, but also a certain diet. For the patient, restrictions are imposed on the use of flour and confectionery products, fried, smoked and highly fatty foods.

Features of the chronic form

A sluggish inflammation of the foreskin of a fungal nature of origin is distinguished by the fact that it may not manifest itself for several months, and then suddenly appear in the form of a seasonal exacerbation, when a man's body lacks vitamins and is greatly weakened. The acute phase lasts about 1-2 weeks, and then the disease subsides again and the patient thinks that the disease has passed on its own, but in fact this is an erroneous opinion, which only leads to a deterioration in general well-being.

It is important to remember that this disease will not go away on its own. It needs to be disposed of systemically, with the use of all types of medicines at once.

Complications with improper treatment or its absence

Chronic candidal balanoposthitis in men is successfully treated, and if the patient ignores the disease and lets it take its course, or the medicines are chosen incorrectly, then the following complications may occur:

infection of the prostate gland and the appearance of prostatitis;
infertility if the fungus has penetrated the seed sacs;
Fourier gangrene, which develops under the influence of an excessive amount of fungal infection;
mass death of epithelial cells, which has all the signs of necrosis;
oncological processes in the penis.

It is quite realistic to prevent these complications, but only on condition that the man monitors his health and responds in a timely manner to the slightest manifestations of symptoms of fungal balanoposthitis.