Levomekol ointment for balanoposthitis in men

Balanoposthitis is a urological disease, which is characterized by a simultaneous inflammatory process of the head of the genital organ in men (balanitis) and certain areas of the foreskin (posthitis). Essentially, these are two diseases, but often they occur simultaneously, and they are united under the common name - balanoposthitis. Patients sometimes call this disease balanoposthitis of the foreskin. It occurs in both adult men and children. Balanoposthitis in boys is most often diagnosed between the ages of 3 and 7 years.

Causes

The causes include infectious and non-infectious nature of the disease. Infectious balanoposthitis mainly occurs due to sexually transmitted infections (STIs), which include:

  • Syphilis.
  • Gonorrhea.
  • Genital herpes.
  • Candidiasis.
  • Human papillomavirus (HPV).
  • Gardnerellosis.
  • Mycoplasmosis.
  • Chlamydia.
  • Trichomoniasis.
  • Infections of the reproductive system (urethritis, cystitis, prostatitis).
  • Nonspecific pathogens (Escherichia coli, staphylococcus, streptococcus).

Non-infectious causes of balanoposthitis include:

  • Diabetes.
  • Irritative balanoposthitis - occurs as a result of some irritant, for example mechanical or chemical (thermal).
  • Lichen planus.
  • Psoriasis.
  • Rare diseases (Behçet's disease, Queir's erythroplasia, xerotic balanoposthitis obliterans, Zoon's plasma cell balanitis).

List and review of the most effective ointments for balanoposthitis

With balanoposthitis, the head of the penis becomes inflamed due to purulent accumulations in the preputial sac. Complex drug therapy includes medications for internal and external use. Local preparations: gel, cream or ointment for balanoposthitis suppress the inflammatory process, block the development of bacterial and fungal infections, and prevent the development of dangerous complications.

Efficacy of local therapy

Men suffering from balanoposthitis are treated with ointments with antiseptic, antimycotic, antibiotic, analgesic, anti-inflammatory, wound-healing effects and corticosteroids. They are prescribed:

  • Levomekol - ointment has an antiseptic effect;
  • Clotrimazole, Batrafen - agents with an antifungal effect;
  • Triderm is a complex preparation containing antibiotics, steroid hormones, and antimycotics;
  • Candide, Candibene, Batrafen, Canesten, Clotrimazole are medications with topical antimycotic action;
  • Laticort is a topical steroid drug.

Local drugs act locally; they do not penetrate the bloodstream and are not carried throughout the body. The active ingredients of ointments for balanitis are quickly removed and do not accumulate in tissues.

Ointments are used to treat early and advanced balanoposthitis. They effectively fight the disease, relieve inflammation, and eliminate symptoms. In combination with external medications, doctors prescribe immunomodulators. This allows for faster recovery.

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Local drugs act locally; they do not penetrate the bloodstream and are not carried throughout the body. The active ingredients of ointments for balanitis are quickly removed and do not accumulate in tissues.

They have a dense fatty structure. After treating the head of the penis with ointment, a protective film is formed on the affected skin. Compresses are made with ointments. The drug is applied to a napkin, wrapped around the affected part of the penis, covered with film or parchment, and secured with a dressing. The application is done at night.

List of local drugs

Depending on the symptoms and cause of balanitis, the doctor prescribes the following ointments:

  • Anti-inflammatory. They include antibiotics and corticosteroids. The drugs are used in combination with other medications. They are used in short-term courses.
  • Painkillers. Preparations based on external anesthetics relieve itching, burning, and irritation.
  • Products for tissue regeneration and wound healing. The bioactive substances contained in them restore damaged tissue.
  • Antimicrobial and antifungal. The products kill strains of pathogens: viruses, bacteria, fungi.

Levomekol

This ointment for the treatment of balanoposthitis is prescribed if the disease is caused by bacteria or fungi. The drug contains an antibiotic and an immunostimulant. It is not addictive. It can be combined with other medications without any problems. Used for long-term treatment.

Miramistin

The product has an antimicrobial and calming effect. It suppresses inflammation. It is used for balanitis caused by sexually transmitted diseases: genital herpes, gonorrhea, syphilis. Applications are made with Miramistin and simply lubricate the affected tissues.

Fluconazole

A gel-like ointment with a light structure is quickly absorbed and kills fungal infections. Has an antimicrobial and calming effect. Eliminates swelling, itching, burning. It is applied to the affected area once a day.

For the purpose of prevention, not only the head of the penis is treated with ointment. It is applied to the skin of the inguinal folds. Treatment lasts 14-21 days. Then they take a break to avoid addiction.

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Simple balanoposthitis

This is a mild form of this disease. Treatment of balanoposthitis in men in this case usually takes 5-7 days. Characteristic signs of simple balanoposthitis are:

  • Burning and itching. Usually appear first. These unpleasant sensations usually intensify when rubbing against underwear, touching the foreskin and glans, as well as during urination.
  • The head (as well as the foreskin) is red - these signs of inflammation can be located in the form of foci, either separated from each other or combined into one group.

  • Swelling and wrinkling of the head and foreskin are observed, i.e. maceration of the skin occurs - this is the expansion, loosening of tissues as a result of their saturation with intercellular fluid.
  • Erosion forms on the head and foreskin. This can be a single spot on the foreskin or multiple erosions, often combined into a single group.
  • Purulent discharge is often observed from the urethra.

Methods and rules of application

The drug is used externally in the form of an ointment or for impregnation of compresses.

It is important to follow the general rules of use: to achieve maximum effect, apply the medicine only to thoroughly washed areas from which purulent crusts have been removed. The ointment may burn when applied, but the discomfort passes quickly enough

It is important to remember that balanoposthitis is a serious disease that can be treated quite easily, but in advanced cases it can lead to very unpleasant complications. Therefore, before starting a course of treatment, it is necessary to consult a specialist.

By the way, doctors most often prescribe Levomekol for balnoposthitis, since its active components penetrate deep into the body, due to which the focus of the disease is quickly destroyed and recovery occurs in a fairly short time. After the symptoms disappear, the ointment is continued to be applied for another week to prevent relapses.

In children

Balanoposthitis most often affects children aged from birth to 5 years. Due to the fact that Levomekol must be applied to areas cleared of purulent crusts and therefore the ointment bakes, difficulties may arise in treating the damaged areas of the baby, even though the unpleasant sensations pass quite quickly. However, the result is worth it, and the course of treatment without the use of ointment can be significantly delayed.

Levomekol suppresses the inflammatory process for balanoposthitis

For children, the ointment is applied to the head of the penis before going to bed. The head must first be carefully removed, all secretions removed from it, and then treated with Levomekol or a compress with it. The ointment dampens the inflammatory process, so it is often used to treat balanoposthitis in children and adults. If the manipulation is difficult to carry out at home, then you can seek help from a pediatric urologist or surgeon.

In men

Before using the drug, the affected parts are washed with water and neutral gel. You can also use chamomile decoction or a weak solution of potassium permanganate. The crusts are removed from the head, and the skin itself is dried with a napkin. Then apply a thin layer of ointment and, if necessary, cover the treated area with a clean napkin. The procedure is repeated up to three times a day. At night, Levomekol can be applied more generously and a napkin can be secured on top. Such compresses have a beneficial effect on damaged skin areas with balanoposthitis in men.

If the inflammation is not severe, then the ointment is applied in a thin layer from head to base. The procedure must be repeated 2-3 times a day, and the course of treatment is 7-10 days, unless the specialist recommends his own treatment regimen.

Levomekol for balanoposthitis is applied 2-3 times a day

In advanced forms of the disease, the skin is treated with miramistin before applying the ointment. And then a compress is often applied. To do this, the ointment is distributed in a thick layer over the affected areas, covered with a napkin, and then the whole thing is fixed with a gauze bandage. This compress is left for 20 minutes. The course of treatment is approximately the same as with the usual use of the ointment - 7 - 14 days. Sometimes, to achieve a faster effect, such dressings are left overnight. In this case, the course of treatment may be reduced to 5 days.

In addition, there are several other ways to use the ointment:

  • Injecting a small dose directly into the urethra;
  • The ointment is slightly warmed up and applied with a syringe without a needle directly to the wounds;
  • The bandage is folded in half, a little drug is applied to it, and the whole thing is applied as a compress to the affected area.

The course of treatment is carried out until the unpleasant symptoms disappear completely. However, it is advisable to apply ointments to the damaged areas once a day for about a week after this. This will serve as almost complete insurance against recurrence of the disease.

It is important for men to remember that during this disease it is necessary to abstain from sexual activity. The disease is contagious, therefore, in case of contact, barrier contraceptives should be used, and both partners should be checked for the presence of infectious agents of balanoposthitis and undergo treatment together

Gangrenous balanoposthitis

This form of the disease is very severe and is characterized, in addition to local lesions, by general signs of intoxication, namely: fever, weakness and malaise. Very painful bleeding and purulent ulcers are observed on the head and foreskin of the penis. Due to the swelling, phimosis occurs, i.e. it is impossible to expose the head of the penis. After the ulcers heal, scars remain. They can also lead to phimosis, since these scars are connective tissue formations that are not able to stretch. In addition, perforations may remain on the foreskin after the ulcers have healed.

Methods and rules of application

There are 2 main methods indicated in the manufacturer's instructions: application directly to the skin or use for compresses. However, in the second case, you should not self-medicate; you will need a doctor’s prescription.

The ointment is prescribed when the following symptoms appear:

  • burning, severe discomfort, swelling of the sensitive skin and head of the penis;
  • purulent discharge;
  • impaired urination;
  • phimosis (more common in boys, but can also develop in adulthood).

In difficult situations, the following methods may be used:

  • bandages made from a bandage folded in half (usually at night, secured with an elastic bandage);
  • injection of slightly warmed ointment directly into the wounds (use a syringe without a needle);
  • in difficult situations - directly into the urethra in a small dose.

In chronic stages, a combination with oral antibiotics and antimycotic drugs will be required.

Basic rules:

  • first wash the head of the penis with warm water and a neutral gel, then disinfect it with a weak solution of potassium permanganate or Miramistin, dry (if there is slight rawness, this is a side effect, it will go away in a few minutes);
  • dried purulent crusts, if any, should be removed first;
  • the product is carefully applied to the affected areas, ulcers (strictly follow the doctor’s instructions, in particular the duration and frequency of therapy);
  • if necessary, apply a sterile compress cloth or bandage on top;
  • more complex methods of administration are usually carried out by a doctor.

This treatment is carried out up to 3 times a day, including at night. NSAIDs may be prescribed to reduce pain. Without prior consultation, you can only take paracetamol or ibuprofen.

Levomekol: treatment of suppuration, acne, balanoposthitis and diaper rash. Duration of ointment use


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In children

Levomekol for balanoposthitis in a child can be used starting from 3 years. The preparation method is the same

It is important to strictly monitor hygiene and teach the boy this. In particular, daily washing and changing of linen are necessary

At the first sign of a problem, you will need to consult a pediatric urologist. You cannot prescribe treatment yourself or use untested, including home remedies. If the disease is a complication of other diseases, the root cause is eliminated first.

Can lead to the development of phimosis and other problems in the genitourinary system. Also, do not forcibly retract the foreskin, which can worsen the problem. For babies under 1 year of age, local methods (including creams) are contraindicated; only intravenous injections are prescribed.

In men

The specific method should be selected by the urologist, depending on the form of the disease and its stage. As a rule, the duration of therapy does not exceed 4-5 days. Longer use is undesirable due to the risk of osmotic shock to tissues. Complex administration options can be practiced independently only after detailed instructions and training in the clinic.

Then other antibacterial and antifungal creams are used. This promotes complete recovery and prevents possible relapses.

Signs of balanoposthitis in some STIs

STI that caused balanoposthitisCharacteristic symptoms
GonorrhealThere are classic signs of simple balanoposthitis, which are combined with urethritis.
ChlamydialUsually only signs of balanitis appear, i.e., foci of inflammation (red spots) are present only on the head of the penis and are distinguished by the presence of clear contours.
TrichomonasMore often it manifests itself as urethritis. It is distinguished by the presence of purulent discharge of yellow or white color, which is foamy in nature. These secretions accumulate between the glans and foreskin. They have a very unpleasant smell. The head of the penis may be completely swollen and red, or there may be isolated areas of inflammation on it.
CandidaThe first signs are itching and burning, which then turn into pain. As the disease progresses, a white coating appears on the head, which resembles cheesy lumps and is easily removed. This is how candidal balanoposthitis manifests itself in men. Treatment is carried out with antifungal agents.
HerpeticThe head of the penis and the foreskin are covered with many bubbles with transparent watery contents. These blisters burst, and in their place red-pink ulcers form. After these ulcers heal, pigment spots remain. This type of balanoposthitis, as a rule, occurs in a chronic form with periods of exacerbation and remission.
SyphiliticWith this type of balanoposthitis, hard chancre forms on the skin of the head and foreskin - painless ulcers that appear at the site of the initial penetration of the infection during the primary period of syphilis.
GardnerellaIt resembles simple balanoposthitis, but with very scanty manifestations. If the patient’s immune system is strong, then this type of balanoposthitis goes away without treatment within 2-3 days. Treatment of balanoposthitis in men in this case may not be carried out.
PapillomavirusManifests itself in the form of genital warts. It can also affect other areas of the body.

How does Levomekol act on the disease?

Levomekol ointment is a combined drug that has antibacterial, anti-inflammatory, immunostimulating and wound-healing effects.
It contains: Levomycetin (chloramphenicol) - an antibacterial agent with a wide spectrum of action, Methyluracil - stimulating local immunity and helping to accelerate the regeneration of cells and tissues, polyethylene oxides - auxiliary substances that help the delivery of active components to the wound and the outflow of wound discharge.

Release form - ointment of various packaging - from 40 g to 1000 g. It is used for the treatment and prevention of suppuration of wounds, burns, trophic and necrotic ulcers, infectious processes on the skin and in superficial tissues, eczema, hemorrhoids, insect bites, inflammatory processes in ENT and reproductive organs. In surgery, postoperative treatment of sutures with Levomekol is practiced to prevent infection and accelerate healing.

The ointment acts only locally, without penetrating the systemic bloodstream and without damaging biological membranes. Levomycetin is quickly delivered to the inflammatory focus with the help of polyethylene glycols, which suppresses the proliferation of bacteria.

The polyethylene glycols themselves adsorb exudate, liquid or pus on their molecules and remove them to the outside, cleansing the lesion. Due to this, symptoms such as redness, pain, swelling and suppuration disappear. But it is too early to stop therapy at this stage.

In the following days, after the inflammation subsides, methyluracil in Levomekol will help improve local immunity and tissue trophism, and accelerate metabolic processes in them. In the presence of damaged mucous membranes, it will accelerate their healing and epithelization.

Thus, the effects of using Levomekol are as follows:

  • antibacterial;
  • anti-inflammatory;
  • decongestant;
  • immunostimulating;
  • keratoplasty.

Characteristic signs of balanoposthitis:

  • discomfort during sex and urination;
  • hyperemia and itching of the head of the penis;
  • formation of scars and adhesions on the foreskin;
  • discharge of purulent exudate;
  • tissue swelling;
  • unpleasant odor;
  • excessive formation of smegma;
  • increased excitability;
  • necrotic areas in the area of ​​tissue damage;
  • hypertrophy of the inguinal lymph nodes;
  • pain in the genital area;
  • low-grade fever;
  • general weakness.

Types of ointments

Treatment of balanoposthitis in men begins with an examination to identify the cause of inflammation and identify the pathogenic organisms that caused the disease. For external therapy, antibacterial and antifungal agents (ointments, creams, gels) are used.

Levomekol

A combined remedy that speeds up the healing process. It contains an antibiotic (chloramphenicol) and an immunomodulator (methyluracil). The ointment is effective against anaerobic and aerobic bacteria. The medicine is used to treat pathological areas of the skin. Such procedures are performed at least twice a day. With individual intolerance, allergies sometimes occur.

Clotrimazole

The bioactive substance of the drug is clotrimazole, the auxiliary substances are microcrystalin, cetomacrogol, cetostearyl alcohol, methylparaben and paraffin. The product is applied to the skin after hygienic procedures.

The course of treatment depends on the etiology of the disease, the stage of pathogenesis and the degree of damage to organ tissue. Sometimes there are side effects of the ointment - itching and hyperemia. If these symptoms occur, use of the drug should be stopped.

Clotrimazole is not prescribed to children and patients with hypersensitivity to its components.

Akriderm

A hormonal agent with pronounced antiallergic, anti-inflammatory, antipruritic and anti-edema effects. Akriderm quickly relieves pain, eliminates itching, hyperemia and swelling in the affected area.

Betamethasone dipropionate is the basis of the ointment. The dose and duration of therapy is determined by the attending physician. The course of treatment is three to four weeks.

The medication is not prescribed to patients with skin pathologies of bacterial, mycotic or viral etiology.

Bepanten

The drug activates the wound healing process, normalizes cellular metabolism, and increases the strength of collagen fibers. The ointment has a moisturizing, regenerating and anti-inflammatory effect.

Dexapanthenol is the active ingredient of the drug. Doctors recommend using the ointment 3-4 times a day. Side effects after using Bepanten rarely occur, sometimes itching and urticaria appear.

Used for the treatment of balanoposthitis, the etiology of which is associated with chlamydia, gram-negative and gram-positive microflora. Apply three times a day. The course of treatment is determined by the presence of symptoms of the disease.

Syntomycin ointment

The most common remedy for the treatment of balanoposthitis of bacterial origin.

The drug is active in the fight against gram-negative and gram-positive bacteria and even some viruses. This product should not be used for more than 5 days in a row.

When using the ointment, you need to be aware of side effects (itching, rashes, hyperemia, swelling and other signs of allergic reactions).

Baneocin

The ointment contains two strong antibiotics - bacitracin and neomycin. The combined use of these antibiotics has a wide spectrum of antimicrobial action. The medication should not be prescribed if there is hypersensitivity to the ingredients of the drug or other aminoglycoside antibiotics.

Fluconazole

The best remedy for eliminating mycotic pathology. The ointment is quickly adsorbed and exhibits a long-lasting therapeutic effect. Therefore, it can be applied to problem areas of the skin once a day, best done before bed.

Pimafucin

An antifungal drug from the macrolide group, has a detrimental effect on dermatophyte fungi and yeast fungi. The medicine exhibits only a local effect. If side effects occur, patients complain of nausea, dysfunction of the digestive system, and burning in the genital area.

Triderm

Provides effective treatment even for chronic forms of balanoposthitis. Its main components are clotrimazole, gentamicin and betamethasone dipropionate. This composition of the ointment has antipruritic, antiallergic, antimycotic, antibacterial and anti-inflammatory effects.

Zinc ointment

The main active ingredient of the ointment is zinc oxide. Regular use of the medicine helps get rid of swelling, redness and irritation. It has a drying effect, has an antimicrobial and anti-inflammatory effect.

Pimafukort

The most effective drug to combat balanoposthitis. The main active ingredients of the product are natamycin, hydrocortisone and neomycin. The medicine exhibits anti-inflammatory, antifungal and antibacterial effects. With prolonged use, itching, stretch marks, hypertrichosis, contact dermatitis and skin hyperemia occur.

Dermozolon

This medicine is used to treat simple and erosive balanoposthitis. Also helps fight viral and fungal infections. Shows anti-allergic, wound-healing, anti-inflammatory effects.

Cycloferon

Used to treat balanoposthitis of viral origin. The drug has antiviral, immunomodulatory, antiproliferative, antitumor and anti-inflammatory properties. Cycloferon is effective in the early stages of pathogenesis; it can also be used to treat complicated forms of balanoposthitis.

Reviews

“Symptoms of balanoposthitis began to appear after severe hypothermia.

At the initial stages of the disease, I tried to solve the problem with the help of baths with potassium permanganate, but I did not get the desired result. A friend advised me to use Levomekol.

The ointment was applied to a piece of bandage and applied to the problem area. Literally two weeks later the signs of the disease disappeared. I was pleased with the results of the therapy.”

“After sexual intercourse, problems with urination appeared, cracks appeared on the foreskin, and tissue swelling was also observed. At the doctor's appointment, it turned out that I had balanoposthitis. The doctor recommended using Pimafucort ointment. I smeared the glans penis with this remedy twice a day. After a week of such procedures, signs of inflammation were eliminated.”

“Signs of balanoposthitis have bothered me since childhood. I didn’t pay much attention to the problem, since relapses of the disease were rare. However, recently the situation has worsened greatly, I turned to a urologist, he diagnosed candidiasis balanoposthitis, prescribed Fluconazole, Miramistin, Safocid. Within a week it was all gone.”

Some signs of balanoposthitis with a non-infectious nature of occurrence

Type of balanoposthitisCharacteristic symptoms
For lichen planusAs a rule, in the area of ​​the neck of the penis, individual or grouped nodules that have an irregular shape appear. There are white scales on their surface. Such nodules appear on other parts of the body.
Balanoposthitis with psoriasisLesions appear on any part of the body, including the penis. This type of balanoposthitis is characterized by the appearance of red nodules covered with small scales.
For diabetesSigns of this type of balanoposthitis depend on the severity of diabetes mellitus and the age of the patient. Characteristic symptoms are: redness of the glans and foreskin, pain in these areas. These areas may become dry, cracked, and ulcerated, as well as bleeding. After the cracks heal, scars remain.

Types of ointments

Solcoseryl

Doctors in their practice use solutions, ointments, gels and creams for inflammation of the penis. Usually several drugs are combined. Each of them performs its own functions. This approach is especially important for complicated forms of balanoposthitis.

Syntomycin ointment

Syntomycin is a broad-spectrum antibiotic that is effective for external use. It is active against many pathogenic microorganisms. Synthomycin ointment for bacterial balanoposthitis is the first choice. Affordable, effective, easy to use, it eliminates balanitis and other inflammations within a few days of regular use.

Streptocide ointment

Another antibacterial drug for external use. Streptocide is a well-known sulfonamide used to disinfect wounds, ulcers and inflammatory phenomena on the skin. The best effect is observed in the treatment of streptococcal infections, and treatment of balanoposthitis in men with this drug is indicated when these particular microorganisms are identified.

Levosin

This is a combination ointment containing antibiotics, anesthetics and chemotherapy components. Due to this composition, the drug has a complex effect: it fights gram-positive, gram-negative and anaerobic bacteria, and also relieves inflammation and reduces pain.

Zinc ointment

The active substance in it is zinc oxide. It has pronounced antimicrobial, drying properties, and fights well against “wet” wounds and diaper rash. Zinc ointment helps with bedsores, dermatitis, and trophic ulcers. In addition, it is prescribed in the initial stage of balanoposthitis. The ointment quickly begins to act.

Levomekolev ointment

A drug with a pronounced anti-inflammatory effect. It is used for abscesses when quick, safe removal of purulent contents is necessary. Levomekol is effective not only against bacteria. It fights well against protozoa, including chlamydia, rickettsia, and spirochetes.

Clotrimazole

A popular inexpensive cream used to treat mycoses, that is, skin diseases caused by fungi. The active substance - clotrimazole - is effective against yeast, dimorphic and mold fungi, dermatophytes, actinomycetes.

A few days after the start of treatment, inflammation decreases significantly. In some cases, the cream will cope with complicated pyoderma and help cure pityriasis versicolor (such skin lesions also cause inflammation of the head of the penis).

Nizoral

An antifungal drug that is available in different forms: tablets, cream, shampoo. The active ingredient is ketoconazole. It inhibits vital activity and destroys most parasitic fungi, and is active against some cocci.

If treatment of balanoposthitis with ointments does not give the desired result (in advanced cases), then taking Nizoral tablets is indicated.

Pimafucin

The active component of the cream, natamycin, is a polyene antibiotic that has a pronounced antimycotic effect. Indications for its use are fungal infections of the skin and mucous membranes, balanoposthitis. The drug is especially effective against fungi of the genus Candida. They cause a disease known as thrush.

In both drugs, the active ingredient is dexpanthenol, better known as provitamin B5. This substance accelerates tissue regeneration, cell renewal, normalizes cellular metabolism, and moisturizes the skin both on the surface and in the deep layers.

Both creams should be applied to the affected areas in combination with anti-inflammatory drugs. They are not used as independent drugs for monotherapy.

Triderm

Combined cream. They treat complicated cases of balanoposthitis, when a fungal infection joins a bacterial infection or vice versa. Instead of using several creams, use Triderm. It contains gentamicin (a powerful antibiotic with a broad spectrum of action), clotrimazole (an antimycotic agent) and betamethasone (a corticosteroid that provides an anti-inflammatory effect).

Akriderm

The manufacturer offers several types of the drug. In its pure form, Akriderm contains betamethasone, a corticosteroid with powerful anti-inflammatory properties. This substance relieves swelling and itching. The drug is prescribed for dermatitis, eczema, neurodermatitis, and allergic rashes.

There are such types of Akriderm:

  • with antimycotic components (HA);
  • with gentamicin (Genta);
  • with salicylic acid (SA).

Pharmacies offer many dosage forms, not only creams, but also gels and solutions. They are also used in dermatological and urological practice.

But creams or ointments have proven to be very effective. It is due to the composition of the products, which contains a fatty component. Usually this is purified paraffin, lanolin, beeswax, vegetable or mineral oils. They form a thin film, which ensures better penetration of active substances into the skin, and, accordingly, higher effectiveness of drugs.

Cream or ointment is the best option for the treatment of erosive or simple balanoposthitis, regardless of its etiology. This dosage form can be used for compresses. But many doctors do not recommend fat-containing products for the treatment of fungal diseases. Gels or liquids are better suited for these purposes.

In some cases, balanoposthitis and balanitis bother men constantly. In such cases, doctors recommend surgical treatment. It consists of performing an operation to circumcise the foreskin. This intervention is performed on an outpatient basis and allows you to get rid of persistent infection of the genital organ.

Careful sexual hygiene and safe sex help prevent inflammatory diseases of the genital organs.

Not in all cases, ointment for balanoposthitis is the right solution. It is better if a man goes to the doctor and finds out what is causing the disease. If the cause is metabolic disorders or structural features of the foreskin, treatment should be chosen so as to eliminate the provoking factor. Only in this case can you be cured and forget about the unpleasant disease forever.

If a doctor has diagnosed inflammation of the skin fold of the foreskin (balanoposthitis) in men, then after establishing the cause of the ailment and the nature of the origin of the infection, the most suitable ointments for treatment are prescribed.

They have some advantages over other forms of drugs:

  • Versatility of use;
  • Local action;
  • Rapid elimination from the body;
  • Inability to accumulate medicine in internal organs and systems.

The texture of external products used for balanoposthitis is dense and oily. After application to the affected area, a thin protective film is formed on its surface. Ointments can be applied to the diseased organ or applied to it in the form of compresses.

The duration of treatment for balanoposthitis using ointments takes about 10-14 days. More serious lesions, the occurrence of which is associated with gonorrhea or syphilis, can take up to several months to be treated.

For children with inflammation of the foreskin, it is recommended to treat the organ with Baneocin ointment, Tetracycline ointment, as well as Triderm, Akriderm GK and Genta. For men, this list can be supplemented with Syntomycin ointment, Zinc ointment, Streptocide ointment, Nizoral, Clotrimazole and others. One product should be used no longer than 1 course (up to 2 weeks). For balanoposthitis, it is most effective to combine drugs with different spectrums of action.

Content

Principles of treatment

Treatment of balanoposthitis in men. Drugs

First of all, it is necessary to establish the cause that caused the disease. Self-medication is not recommended. It is necessary to contact a urologist or dermatologist (venereologist). Treatment of balanoposthitis in men is often specific, depending on the causative agent of the disease. It is necessary to carefully follow all the doctor’s recommendations.

So, if candidal balanoposthitis is diagnosed in men, treatment must be carried out using antifungal agents. In this case, locally antifungal ointments “Mikogal”, “Miconazole”, “Terbinafine”, “Candide”, “Clotrimazole”, “Omoconazole”, etc. are used. The ointment is rubbed into the affected areas 2 times a day. Before the procedure, it is necessary to carry out thorough hygiene of the genital organs (wash with soap). Typically this treatment lasts about 3-4 weeks.

Antibacterial and antiallergic agents are often used when treating balanoposthitis in men. The drugs “Lokasalen”, “Lorinden”, “Locacorten” based on flumatozone pivalate are powerful agents that simultaneously have anti-inflammatory and antiallergic effects. Treatment with these drugs is also carried out under the supervision of a doctor.

Fungal balanoposthitis: treatment with ointments

Pimafucin is used as a cream for balanitis.

The product has activity against fungi.

It works especially well on all types of the Candida family.

At the same time, pathogen resistance to it does not develop.

The active component of the ointment is Natamycin.

This remedy acts on many fungi and belongs to the polyene series.

Slows down metabolism in the fungal cell.

If inflammation of the foreskin and head of the penis is caused by fungi, the drug is excellent.

It must be used within 10 days.

Side effects are rare. Irritation is not a reason to discontinue the drug.

Clotrimazole has an antimycotic effect - it kills fungal infections.

It also has a fungistatic effect; the ointment can stop the growth and reproduction of the fungus.

It is used for balanitis, if the disease is caused by fungi.

For an inflammatory process on the penis, the remedy is used up to three times a day, therapy can last up to two weeks.

It can completely rid a person of a fungal infection.

Side effects may include the development of local allergies. Appears with urticaria, hyperemia, itching.

Fainting and a sharp drop in blood pressure are rare.

If any undesirable effect occurs, you should immediately visit a doctor.

Nizoral has a strong fungicidal effect.

Blocks the formation of elements important for reproduction.

Disrupts metabolism in the fungal cell.

The active ingredient is Ketoconazole.

The ointment is prescribed for balanoposthitis, if the disease is caused by fungi.

As a rule, the causative agents of the disease are representatives of the genus Candida.

The course of topical application in some patients reaches up to two weeks.

Side effects include local allergic reactions such as itching, peeling of the skin, and hyperemia.

"Levomekol" - ointment. Price

This drug includes two active ingredients: chloramphenicol (chloramphenicol) and methyluracil. The first is a broad-spectrum antibiotic and can destroy pathogens. The second substance stimulates the regeneration of damaged epidermal tissue. Levomikol ointment is prescribed for all types of balanoposthitis.

The drug “Levomekol” (ointment) is very effective for balanoposthitis. Its price is low, within 100 rubles. Therefore, the remedy is used for any type of this disease.

Bandages with ointment are applied to the damaged areas at night after careful hygiene of the genitals. This procedure is carried out within 5 days. Treatment must be carried out under the supervision of a doctor.

For balanoposthitis caused by an STI, specific treatment is used aimed at destroying the causative agent of the disease.

Basic list of antibiotic tablets for balanoposthitis

Antibiotics for balanoposthitis are often taken in tablets, and they are prescribed taking into account the etiology. Since balanitis and balanoposthitis can be caused by any microorganisms, including Escherichia coli, streptococci, staphylococci, Neisseria, as well as Koch's bacillus, clostridia and other microorganisms, both aerobic and anaerobic, treatment is first carried out with antibiotics with the broadest spectrum of action, and then adjusted for sensitivity.

  • Antibiotics should not be taken orally for mild forms of balanoposthitis. Systemic antibacterial therapy is used either in severe cases, for example with a purulent form, or with sexually transmitted diseases.
  • Antibiotics are not used for fungal infections, allergies or viral diseases.
  • Among drugs with a wide spectrum of action, antibiotics from the group of Levomycetin and Doxycycline can be used against bacteria.
  • Macrolides are used - Erythromycin, Oletetrin, Roxithromycin.
  • Quinolone derivatives are also used, for example Nalidixic acid or Nevigramon, nitrofuran derivatives (Furagin) and hydroxyquinoline derivatives (Nitroxoline).
  • For anaerobic infection, Azithromycin showed good results.
  • Of the sulfonamides, you can use Biseptol.
  • In case of a specific infection, penicillin drugs, cephalosporins, for example Tsiprolet, are used.
  • For candidiasis balanoposthitis, antifungal drugs such as Clotrimazole or Flucanozole are used.
  • For chlamydia and ureaplasma infections, drugs from the metronidazole group are used.

Medicine for balanoposthitis for systemic action can be taken not only in the form of tablets. Drugs in the form of intramuscular injections and intravenous infusions, which are carried out depending on the nature of the symptoms of balanoposthitis and the severity of the condition, have an effective effect.

Both partners should undergo a course of antibacterial treatment. During antibiotic treatment, there are restrictions on alcohol intake.

Adverse reactions and contraindications

As a rule, the use of Levomekol does not cause negative symptoms. Local application does not allow the drug to enter the bloodstream or accumulate in the organs - the remnants are eliminated within a day. Among other things, the ointment can be combined with antibiotics and other antibacterial drugs that a man uses for therapeutic purposes.

The only contraindication is individual intolerance to the drug. It is not recommended to use the ointment for severe fungal or viral infections. In case of an overdose, itching, redness, and local swelling of the genital organ may occur. There is no need to treat associated effects, just stop therapy for a while.

Having understood what Levomekol medicinal ointment and balanoposthitis are, it is not recommended to start self-medication! First, an examination by a doctor, diagnosis and prescription - this is the only way to achieve the desired effect. In addition, in advanced forms of pathology, additional measures will be required to ensure the effectiveness of the therapy.

Levomekol ointment is easily tolerated by humans and has almost no contraindications. The drug is used externally, so it does not accumulate in the internal organs and does not enter the blood. The active components of its composition are removed from the body surface within 24 hours. The only reason for refusing to use the drug may be personal intolerance to it.

Levomekol contains an antibacterial component (chloramphenicol), the use of which is not recommended for:

  • Eczema;
  • Hypersensitivity;
  • Psoriasis
  • Mycosis.

The non-infectious form of balanoposthitis does not imply refusal of sexual intercourse, but doctors recommend using barrier contraception during treatment.

In case of an overdose of the drug, a child and an adult may experience unpleasant side effects in the form of itching, redness and slight swelling. They do not cause much discomfort and go away on their own after using the drug (usually within 24 hours).

In urology, local treatment of balanoposthitis with levomekol is the gold standard of pharmacotherapy

The ointment has many indications for use. It is actively used in all areas of medicine, especially in purulent surgery, dermatology and venereology, gynecology, and urology. Levomekol is prescribed for purulent infectious and inflammatory processes in the skin and subcutaneous fat, as well as for necrotic and destructive changes in the mucous membrane and skin of the external genitalia.

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