Revision as of 00:58, 15 February 2021 by Elcatracho (talk | contribs) (→‎Background)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)


  • Balanitis = inflammation of the glans
  • Posthitis = inflammation of the foreskin
  • Recurrent balanoposthitis can be sole presenting sign of diabetes mellitus

Risk factors


  • Fungal (most common overall, candida most common species)[1]
  • Irritant
  • Bacterial

Clinical Features

Candidal balanoposthitis in a diabetic
  • Glans, foreskin are swollen, tender, and edematous
  • Erythematous papular rash with satellite lesions = fungal

Differential Diagnosis

Non-Traumatic penile diagnoses

Penile trauma types


  • Typically a clinical diagnosis
  • Consider blood glucose measurement to evaluate for diabetes


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


Common organisms are Candida, anaerobes, and Group B Streptococcus


  • Clotrimazole 1% applied topically to glans q12hrs until resolution
  • Nystatin cream 100,000 units/gm if infection is recurrent after clotrimazole therapy


  • Topical triple antibiotic ointment QID or mupirocin cream BID


  • Discharge

See Also

Paraphimosis Reduction


  1. McCollough M, Rose E. Genitourinary and renal tract disorders. In: Walls RM, Hockberger RS, Gausche-Hill M, et al., eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 9th ed. Elsevier; 2018:(Ch) 173.

UpToDate, Tintinalli