A patient recently discovered that he was infected with soft chancre. Reflecting on the unsatisfactory sexual experiences in the past, he suspects whether this is related to the current symptoms, especially worrying about causing impotence. In response to this question, experts provided an answer: Soft chancre may indeed cause sexual pain, spermatorrhea, premature ejaculation, and other issues due to inflammatory stimulation. If complications such as urethral fistula and tissue necrosis occur, patients may suffer mental pressure, and over time, impotence symptoms may appear.
As for the treatment of soft chancre, it mainly includes the following aspects:
1. Systemic treatment: Using antibiotics as the main method, commonly used ones include erythromycin, lincomycin, to control the progression of the disease.
2. Local treatment: Use erythromycin ointment on intact skin, while ulcerated areas should be cleaned with hydrogen peroxide first to ensure local cleanliness and appropriate disinfection. If there is lymphadenopathy, consider whether injection treatment is needed based on actual conditions.
3. Surgical treatment: When the disease progresses to late stages, surgical intervention may be considered. For patients with phimosis, medication or wet dressing should be applied in the early stage, followed by circumcision when conditions permit.
4. Treatment for HIV co-infection: If the patient is also infected with HIV, the treatment of soft chancre will be more complex and time-consuming, usually requiring the combined use of two antibiotics. Follow-up examinations are needed shortly after the initial treatment to monitor for any other pathogen co-infections. The speed of ulcer healing is related to the size of the ulcer area and requires patient treatment.
The above is a brief explanation of soft chancre and its treatment methods, hoping to provide some assistance and guidance to patients.
