Diagnosis of acornitis | Inflammation of the glans

Diagnosis of acornitis

The inflammation of the glans is usually already visible to the naked eye. Also the involvement of the foreskin is usually very obvious by redness and swelling. The diagnosis then includes above all the clarification of the involvement of the urethra or other regions.

Whether the inflammation of the glans has its origin in a bacterial infection, or whether it is a non-infectious inflammation, is then first determined on the basis of the medical history and the findings. Microbiological examinations are then carried out, especially if the suspicion of a bacterial cause is confirmed. These usually include an examination of a smear from the glans itself, as well as a urine analysis. The microbiological diagnostics are then also very important in the further course of treatment. If no clear cause can be identified, diabetes should always be excluded due to the increased risk for this group of people.

Prophylaxis

The best prophylaxis to prevent inflammation of the glans is thorough but not excessive hygiene. Thus the penis should be washed daily, with the foreskin retracted. The best way is with lukewarm water and a mild soap.

A cleaning solution that is too aggressive can, due to the drying out of the skin and the damage to the natural protective barrier, tend to promote an inflammation of the glans. Protection during sexual intercourse is also important. This applies both to the risk of infection among strangers and to the protection of the partner. In patients with phimosis, a circumcision works preventive against an inflammation of the glans, but should only be performed when it is really necessary. As a rule, this is when there are problems with recurring inflammation of the glans, or when the phimosis does not regress by itself.

Prognosis

The prognosis for inflammation of the glans is very good. With appropriate therapy and if personal hygiene measures are observed, the inflammation can be treated very well. However, some patience may be required.

Only in the rarest cases does the balanitis recur repeatedly. But even then, in case of doubt, a circumcision can be helped. An inflammation of the glans should not remain untreated, because in this case it can lead to adhesions and in the course of time to a narrowing of the foreskin.