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 | ||
*Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | *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 | *Glans, foreskin are swollen, tender, and edematous | ||
*Erythematous papular rash with satellite lesions = fungal | *Erythematous papular rash with satellite lesions = fungal | ||
| Line 15: | Line 19: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Nontrauma penile DDX}} | {{Nontrauma penile DDX}} | ||
{{Penile Trauma DDX}} | |||
==Evaluation== | |||
*Typically a clinical diagnosis | |||
==Management== | ==Management== | ||
Revision as of 13:46, 1 February 2017
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
Penile trauma types
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