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Balanitis: Urology Clinics Manchester discusses the causes, management and symptoms



In this article we discuss Balanitis.


Balanitis


Balanitis is inflammation of the glans penis. Inflammation of the foreskin (posthitis) may also occur in combination with this (balanoposthitis). It is common and is predisposed by diabetes. Tight foreskin may also cause this, although cycles of inflammation and scarring also contribute to the formation of phimosis.


Typically, patients will present with irritation but rarely have urinary symptoms.

Management revolves around initial advice on hygiene and analysis for possible diabetes. In recurrent episodes, a circumcision may be advisable. Patients who present acutely should have herpes excluded (if sexually active), and where necessary, be treated and referred to a specialist. In those with ulceration and lymphadenopathy treatment is urgent as failure to resolve may be due to more sinister pathology.


Commonly, yeast/fungal infections may be the cause. In such cases topical or oral therapy is useful. In others, faecal bacteria may be the causative organism; hence metronidazole or flucloxacillin may help.


Patients should be considered for circumcision if phimosis or recurrent problems occur.


This article is intended to inform and give insight but not treat, diagnose or replace the advice of a doctor. Always seek medical advice with any questions regarding a medical condition.

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