Balanoposthitis: Difference between revisions
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*Balanitis = cellulitis of the glans | *Balanitis = cellulitis of the glans | ||
*Posthitis = cellulitis of the foreskin | *Posthitis = cellulitis of the foreskin | ||
*Risk factors: | *Risk factors: | ||
*Etiology | **Poor hygiene | ||
**Phimosis | |||
*Etiology | |||
**Irritant, bacterial, or fungal | |||
*Recurrent balanoposthitis can be sole presenting sign of DM | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 19:48, 17 August 2011
Background
- Balanitis = cellulitis of the glans
- Posthitis = cellulitis of the foreskin
- Risk factors:
- Poor hygiene
- Phimosis
- Etiology
- Irritant, bacterial, or fungal
- Recurrent balanoposthitis can be sole presenting sign of DM
Diagnosis
- Glans, foreskin are swollen, tender, and edematous
- Erythematous papular rash with satellite lesions = fungal
Treatment
- Irritant
- Sitz baths BID-TID while inflammation persists
- Hygiene
- Clean between foreskin and glans w/ Q-tip and irrigate w/ water until resolves
- Once resolved regular bathing of area in water (no soap) should be sufficient
- Bacterial
- Topical triple abx ointment QID or mupirocin cream BID
- Fungal
- Topical antifungal agents BID x2wk
- Clotrimazole 1% cream, miconazole 2% cream (may combine w/ hydrocortisone cream)
- Nystatin cream 100,000 units/gm if infection is resistant
- Single PO dose of fluconazole may be used in pts with DM or severe infection
- Topical antifungal agents BID x2wk
Disposition
Discharge
Source
UpToDate, Tintinalli