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Balanoposthitis
From WikEM
Contents
Background
- Balanitis = cellulitis of the glans
- Posthitis = cellulitis of the foreskin
- Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus
Risk factors
- Poor hygiene
- Phimosis
Etiology
- Irritant
- Bacterial
- Fungal
Clinical Features
- Glans, foreskin are swollen, tender, and edematous
- Erythematous papular rash with satellite lesions = fungal
Differential Diagnosis
Non-Traumatic penile diagnoses
- Phimosis
- Balanoposthitis
- Paraphymosis
- Priapism
- STDs
Penile Trauma
Evaluation
- Typically a clinical diagnosis
Management
Reduce Irritation
- Sitz baths BID-TID while inflammation persists
- Hygiene
- Clean between foreskin and glans with Q-tip and irrigate with water until resolves
- Once resolved regular bathing of area in water (no soap) should be sufficient
Antimicrobial
Common organisms are Candida, anaerobes, and Group B Streptococcus
Antifungal
- Clotrimazole 1% applied topically to glans q12hrs until resolution
- Nystatin cream 100,000 units/gm if infection is recurrent after clotrimazole therapy
Antibacterial
- Topical triple antibiotic ointment QID or mupirocin cream BID
Disposition
Discharge
See Also
References
UpToDate, Tintinalli
