This begins with the etiology of glansitis, which has the following common causative factors: 1. Non-infectious factors: including local trauma, friction, excessive washing stimulation with soaps and detergents.
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3, amoebic protozoal infection: patients mostly first have glans circumcision lesions, local loss of barrier role, followed by intestinal amoebic infection caused by. It is characterized by local erosions and ulcers, obvious tissue necrosis, and amoebic protozoa can be found in the smear of secretions.
4. Trichomonas infection: most spouses have Trichomonas vaginalis II infection. The symptoms are mild and mainly manifest as erythematous papules and small blisters at the glans. They are well-defined and gradually enlarge in extent, and the patient feels itchy. Trichomonas can be found in the secretions.
5, circumcision: Most patients with glans are accompanied by varying degrees of circumcision and excessive prepuce, and are also more likely to be complicated by the above pathogens, often after treatment of the above infections, still recurring erythematous papules at the glans. This, combined with repeated irritation from the foreskin, is thought to be the result of the “dirt-harbouring” nature of the overcircumcised foreskin, which is prone to incomplete removal of these pathogens.
Therefore, for patients with recurrent glans after regular treatment, circumcision can often achieve a satisfactory “complete cure” if it is accompanied by an overcircumcised foreskin.