View source for Balanoposthitis

==Background==
*Balanitis = inflammation of the glans
*Posthitis = inflammation of the foreskin
*Balanoposthitis = inflammation of both glans and foreskin
*Recurrent balanoposthitis can be sole presenting sign of [[diabetes mellitus]]

===Risk factors===
*Poor hygiene
*Uncircumcised
*[[Diabetes]]
*Immunodeficiency
*[[Phimosis]]

===Etiology===
*Fungal (most common overall, [[candida]] most common species)<ref>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.</ref>
*Irritant (soaps, lotions, lubricants)
*Bacterial, which includes common skin organisms (Staph, strep) and STIs. 
*Trauma

==Clinical Features==
[[File:PMC3150172 ijgm-4-511f1.png|thumb|Candidal balanoposthitis in a diabetic]]
[[File:Повреждённая крайняя плоть полового члена.jpg|thumb]]
[[File:Balanite de Noon.jpg|thumb]]
*Glans and foreskin may be swollen, erythematous, tender, or itchy
*Severe cases may involve difficulty voiding, foul smell, and penile discharge/purulence
*Erythematous papular [[rash]] with satellite lesions = fungal

==Differential Diagnosis==
{{Nontrauma penile DDX}}
{{Penile Trauma DDX}}

==Differential Diagnosis==
{{Nontrauma penile DDX}}
{{Penile Trauma DDX}}

==Evaluation==
*Typically a clinical diagnosis
*Consider blood glucose measurement to evaluate for diabetes
*Consider swabbing for [[Sexually transmitted diseases]] in the appropriate setting

==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 is sufficient; soap may worsen irritation

===Antimicrobial===
{{Balanoposthitis Antimicrobial}}

==Disposition==
*Discharge

==See Also==
*[[Paraphimosis reduction]]

==References==
<references/>

[[Category:Pediatrics]]
[[Category:Urology]]