Balanoposthitis: Difference between revisions
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==Background== | ==Background== | ||
*Balanitis = | *Balanitis = inflammation of the glans | ||
*Posthitis = | *Posthitis = inflammation of the foreskin | ||
*Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | *Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | ||
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===Etiology=== | ===Etiology=== | ||
*Fungal (most common) | |||
*Irritant | *Irritant | ||
*Bacterial | *Bacterial | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 21:44, 18 January 2021
Background
- Balanitis = inflammation of the glans
- Posthitis = inflammation of the foreskin
- Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus
Risk factors
Etiology
- Fungal (most common)
- Irritant
- Bacterial
Clinical Features
- Glans, foreskin are swollen, tender, and edematous
- Erythematous papular rash with satellite lesions = fungal
Differential Diagnosis
Non-Traumatic penile diagnoses
Penile trauma types
Evaluation
- Typically a clinical diagnosis
- Consider blood glucose measurement to evaluate for diabetes
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