Balanoposthitis: Difference between revisions
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*Etiology | *Etiology | ||
**Irritant, bacterial, or fungal | **Irritant, bacterial, or fungal | ||
*Recurrent balanoposthitis can be sole presenting sign of | *Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | ||
==Diagnosis== | ==Diagnosis== | ||
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**Sitz baths BID-TID while inflammation persists | **Sitz baths BID-TID while inflammation persists | ||
**Hygiene | **Hygiene | ||
***Clean between foreskin and glans | ***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 | ***Once resolved regular bathing of area in water (no soap) should be sufficient | ||
*Bacterial | *Bacterial | ||
**Topical triple | **Topical triple antibiotic ointment QID or mupirocin cream BID | ||
*Fungal | *Fungal | ||
**Topical antifungal | **Topical antifungal agent BID x 2wk | ||
***Clotrimazole 1% cream, miconazole 2% cream (may combine w/ hydrocortisone cream) | ***Clotrimazole 1% cream, miconazole 2% cream (may combine w/ hydrocortisone cream) | ||
***Nystatin cream 100,000 units/gm if infection is resistant | ***Nystatin cream 100,000 units/gm if infection is resistant | ||
**Single PO dose of fluconazole may be used in | **Single PO dose of fluconazole may be used in patient with diabetes mellitus or severe infection | ||
==Disposition== | ==Disposition== | ||
Revision as of 18:06, 26 August 2013
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 diabetes mellitus
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 with Q-tip and irrigate with water until resolves
- Once resolved regular bathing of area in water (no soap) should be sufficient
- Bacterial
- Topical triple antibiotic ointment QID or mupirocin cream BID
- Fungal
- Topical antifungal agent BID x 2wk
- 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 patient with diabetes mellitus or severe infection
- Topical antifungal agent BID x 2wk
Disposition
Discharge
See Also
Source
UpToDate, Tintinalli