Balanoposthitis: Difference between revisions
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==Background== | ==Background== | ||
*Balanitis = cellulitis of the glans | *Balanitis = [[cellulitis]] of the glans | ||
*Posthitis = cellulitis of the foreskin | *Posthitis = [[cellulitis]] of the foreskin | ||
*Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | *Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | ||
===Risk factors=== | ===Risk factors=== | ||
*Poor hygiene | *Poor hygiene | ||
*Diabetes | *[[Diabetes]] | ||
*[[Phimosis]] | *[[Phimosis]] | ||
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[[File:PMC3150172 ijgm-4-511f1.png|thumb|Candidal balanoposthitis in a diabetic]] | [[File:PMC3150172 ijgm-4-511f1.png|thumb|Candidal balanoposthitis in a diabetic]] | ||
*Glans, foreskin are swollen, tender, and edematous | *Glans, foreskin are swollen, tender, and edematous | ||
*Erythematous papular rash with satellite lesions = fungal | *Erythematous papular [[rash]] with satellite lesions = fungal | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 18:10, 14 September 2019
Background
- Balanitis = cellulitis of the glans
- Posthitis = cellulitis of the foreskin
- Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus
Risk factors
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
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