BALANOPOSTHITIS

Question 1

Pathophysiology

Answer 1

Inflammation involving glans and foreskin in uncircumcised males

Question 2

Etiology

Answer 2

Main cause is infection
Candida
Other etiology:
trauma
chemical irritation
drug rash
contact dermatitis
poor hygiene

Question 3

Etiology to consider if recurrent

Answer 3

Recurrent candida albicans balanoposthitis consider diabetes

Recurrent infections consider sexual abuse

Question 4

Management: General Measures

Answer 4

Improve hygiene
Sitz baths to reduce inflammation
If urination is painful, have child void in bath or warm water

Question 5

Pharmacological Management

Answer 5

If candida is suspected then treat with topical antifungal agent such as clotrimazole 1% BID for two weeks
If suspect erythema secondary to irritation or allergen, treat with avoidance of precipitants and topical steroid such as HC 1% BID for one week
If bacterial infection is suspected, treat with topical antibiotic such as Fucidin 1% BID
If marked erythema or cellulitis, treat with PO cephalexin

Question 6

Management of Recurrent Disease

Answer 6

Circumcision