Balanitis (balanoposthitis) Flashcards
1
Q
Balanitis is
A
inflammation of the foreskin
usually affects the glans penis and tissues behind the foreskin (balanoposthitis)
2
Q
Causative factors
A
Phimosis
Poor hygiene
Candida albicans infection; others including severe streptococcus pyogenes
Inflammatory dermatoses: e.g. lichen sclerosis, eczema
Diabetes and HIV (predisposing)
3
Q
Treatment
A
Mild cases may be treated with;
- gentle saline bathing and washing behind foreskin
- a barrier cream or hydrocortisone 1% to tip of penis,
- and then application of an antibacterial ointment, e.g. fucidin, if more severe
- swabs for culture if purulent discharge
If yeasts present—
- topical nystatin or imidazole cream (e.g. clotrimazole 1% for 5 d)
- If trichomonads —metronidazole or tinidazole (oral)
If bacteria present (usu. cellulitis)—
- topical antibiotic (e.g. chloramphenicol)
- if severe, di(flu)cloxacillin (o) or IV
4
Q
Mild cases with phimosis in children Rx
A
Apply 0.05% betamethasone cream tds for 10 days.
5
Q
Xerotica Obliterans
A
Thickening of the foreskin with skin pallor
may respond to corticosteroid cream if it is mild.
Can result in phimosis, usually 10–12 yrs.
Circumcision is indicated for recurrent problems.
