Balanoposthitis: Difference between revisions
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*Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | *Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus | ||
== | ==Evaluation== | ||
*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 | ||
Revision as of 10:56, 23 July 2016
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
Evaluation
- Glans, foreskin are swollen, tender, and edematous
- Erythematous papular rash with satellite lesions = fungal
Differential Diagnosis
Non-Traumatic penile diagnoses
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