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Foreskin infection, medically known as balanitis or posthitis, is an inflammation or infection of the foreskin and the head of the penis (glans). It is a common condition, particularly in uncircumcised males, and can cause discomfort, pain, redness, swelling, and a foul-smelling discharge. This infection is typically the result of poor hygiene, fungal or bacterial infections, or underlying health conditions such as diabetes. Foreskin infections are generally treatable but can lead to complications if not addressed promptly.
Foreskin infection often develops when the area beneath the foreskin becomes a breeding ground for bacteria or fungi due to accumulated moisture, sweat, or dirt. Poor hygiene is a leading cause, as it allows dead skin cells, urine, or smegma to build up, creating an ideal environment for microorganisms. In some cases, tight foreskin (phimosis) can make cleaning difficult, increasing the risk of infection. Other contributing factors include sexually transmitted infections (STIs), allergic reactions to soaps or lubricants, and conditions like eczema or psoriasis. An underlying health issue, such as uncontrolled diabetes, can also weaken the immune system and predispose individuals to infection.
Diagnosing foreskin infection begins with a thorough physical examination by a healthcare provider. The doctor will assess the symptoms, such as redness, swelling, and discharge, and inquire about the patient’s hygiene practices, sexual activity, and medical history. In some cases, a swab of the affected area may be taken to identify the specific bacteria or fungi causing the infection. For recurrent infections, blood tests may be recommended to check for underlying conditions like diabetes or immune deficiencies. Early diagnosis is crucial to prevent complications such as scarring, phimosis, or the spread of infection to nearby areas.
Surgical treatment is typically considered when foreskin infections are severe, recurrent, or do not respond to non-surgical interventions. The most common surgical procedure for treating chronic foreskin infections is circumcision, which involves the removal of the foreskin. Circumcision eliminates the environment in which infections thrive, providing a permanent solution. For cases where the foreskin is too tight (phimosis), a minor surgical procedure called preputioplasty may be performed to loosen the foreskin without removing it entirely. These procedures are generally safe and effective, with a short recovery period. Surgery is usually recommended only after careful evaluation by a healthcare professional and is often a last resort.