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How Is Peyronie's Disease Treated? continued...

Penile implants can be used in cases where Peyronie's disease has affected the man's ability to achieve or maintain an erection.

A non-surgical treatment for Peyronie's disease involves injecting the drug Xiaflex directly into the plaque in an attempt to soften the affected tissue, decrease the pain, and correct the curvature of the penis. Vitamin E pills haves also been shown to benefit some men with Peyronie's disease.

Another, less invasive option is laser treatment to thin the plaques of Peyronie's disease.

What Is Balanitis?

Balanitis is an inflammation of the head of the penis. A similar condition, balanoposthitis, refers to inflammation of the head of the penis and the foreskin. Symptoms of balanitis include redness or swelling, itching, rash, pain, and a foul-smelling discharge.

What Causes Balanitis?

Balanitis most often occurs in men and boys who have not been circumcised (had their foreskin surgically removed), and who have poor hygiene. Inflammation can occur if the sensitive skin under the foreskin is not washed regularly, allowing sweat, debris, dead skin, and bacteria to collect under the foreskin and cause irritation. The presence of tight foreskin may make it difficult to keep this area clean and can lead to irritation by a foul-smelling substance (smegma) that can accumulate under the foreskin.

Other causes of balanitis may include:

  • Dermatitis/allergy. Dermatitis is an inflammation of the skin, often caused by an irritating substance or a contact allergy. Sensitivity to chemicals in certain products -- such as soaps, detergents, perfumes, and spermicides -- can cause an allergic reaction, including irritation, itching, and a rash.
  • Infection. Infection with the yeast candidaalbicans (thrush) can result in an itchy, red, spotty rash. Certain sexually transmitted diseases -- including gonorrhea, herpes, and syphilis -- can produce symptoms of balanitis.

In addition, men with diabetes are at greater risk for balanitis. Glucose (sugar) in the urine that is trapped under the foreskin serves as a breeding ground for bacteria.

How Is Balanitis Treated?

Treatment for balanitis depends on the underlying cause. If there is an infection, treatment will include an appropriate antibiotic or antifungal medication. In cases of severe or persistent inflammation, a circumcision may be recommended.

Taking appropriate hygiene measures can help prevent future bouts of balanitis, such as retracting the foreskin daily and adequately cleaning and drying the head of the penis. In addition, it is important to avoid strong soaps or chemicals, especially those known to cause a skin reaction.

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