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Sir,
In nineteenth century penile inflammations characterised by red erosions and pain on glans and on foreskin and foul smelling discharge, were baptized as mal napolitain (by French militaries that had contracted the disease in Italy, or mal franzoso, by the Italian soldiers that had contracted this syndrome during campaigns in France), despite all Catholic and Christian cultures of Old Continent have been coining several epithets for balanitis as Grosse Verole, Grandcor, Bœsen Blattern, Bubās, Pudendagra, Passio Turpis saturnine, Gorra and this means that this urological malady has been always existing for centuries throughout all the aforesaid populations.
It is fascinating moreover that urologists belonging to religions not allowing circumcision, refer that balanitis is more frequent in circumcised than in uncircumcised men. Van Howe [
Weiss et al assumed that male circumcision were a potential risk of syphilis, chancroid, and genital herpes [
There are indeed some A.A. that assume neonatal circumcision should be mandatory to the prevent from urinary tract infections in infancy [
Apart from these statistical divergences, it is ascertained that an usual cause, amongst the various ones of balanitis, is the excess in washing [
I am strenuously persuaded that circumcision (e.g. the Khatna) reduces almost to half the incidence of balanitis.
Here follow two case reports of two waiters, employees at the canteen of a college (36 years) the former circumcised, the latter uncircumcised, that suffer from balanitis, because of excess of washing, due to their job indoor that coerces them to wash deeply every evening, using aggressive syndets.
Before to introduce my dermal-cosmeticological method to solve the two cases, it is better to clarify that the anaerobic microflora of the prepucial area amounts to 95.% of the total colony-forming units per square centimeter (peptococci, peptostreptococci, propionibacteria, bifidobacteria, eubacteria, and bacteroides, that after all represent the symbiontic bacterial component) and that the aerobic flora consisting most commonly of nonhemolytic streptococci and diphtheroids, represents the fraction of the commensal and pathogenic bacteria.
Cationic surfactants, ingredients of intimate bath foams, boast the eradication of all bacteria of human mucosa, and therefore all symbionts bacteria sojourning in the prepucial area are destroyed.
It is well known that lactic acid producing lactobacilli are welcome for the care of internal mucosae both in man and in woman and this is an exemplary reason why drinking yogurth, kefir and Koumīs in equatorial disctricts is advisable), some of the aforesaid lactobacilli are pathogens or commensals, albeit
A nouvelle vague coming from Australia and Canada that will invade all the world, forecasts the employ of raw unpasteurised cow milk as biological cosmetic.
Unpasteruised milk plus
The treatment I propose consists in spreading onto the glans and let it stand overnight a toffee-like-mousse made up with raw milk and lactose, where finally lactobacillus delbrüecki is dispersed, for two weeks.
Unequivocal positive results are observed in case I, the circumcised man, after the third night of application, meanwhile some potential amelioration is visible in uncircumcised man (Case II) only after the 11st night, but it is amazing to observe that after two weeks Case II’s aspect of penis does not appear safe and well treated as Case I’s one.
I deem the hypothesis I proposed could be reputed right, and, statistically, almost according to the empirical observations of these case reports, circumcision can reduce the risk of incidence of balanitis to 79%.
The examination of the patient was conducted according to the Declaration of Helsinki principles.