GP conditions - urology

Question 1

Give 3 complaints in a history of balanitis

Answer 1

• Penile soreness and itch
• Bleeding from foreslin and/or odour
• Dysuria and/or dyspareunia

Question 2

Give 3 examination findings in balanitis

Answer 2

• Redness and swelling of glans penis (and often the foreskin) with exudate.
• Inability to retract foreskin (phimosis)
• Tightening of foreskin or meatal stenosis (narrowing of urethral opening)

Question 3

Define balanoposthitis

Answer 3

Inflammation of glans penis and foreskin

Question 4

Give causes of balanitis

Answer 4

• Non specific dermatitis
• Fungal, bacterial and viral infections
• STIs
• Irritant or allergic contact dermatitis

Question 5

How is balanitis caused by non-specific dermatitis managed?

Answer 5

• Clean area daily with warm water and avoid iritants
• 1% hydrocortisone cream up to 14 days
• Imidazole cream

Question 6

How is bacterial blanaitis in a child managed ?

Answer 6

• Oral flucolaxacillin for 7 days
• Consider 1& hydrocortisone cream up to 14 days to reduce discomfort

Question 7

How is candidal balanitis manged in an adult

Answer 7

• Imidazole cream up to 14 days
• 150mg oral fluconazole single dose

Question 8

How is bacterial balanitis managed in an adult

Answer 8

• 500mg oral flucolonazole 4 times daily for 7 days
• Consider hydrocortisone cream to reduce discomfort

Question 9

what should be done if symptoms of balanitis do not improve after 7 days of treatment

Answer 9

• Stop hydrocortisone if using
• Take sub-preputial swab to exclude or confirm a fungal or bacterial infection and treat accordingly

Question 10

How is candidal balanitis managed in a child

Answer 10

• Imidazole cream up to 14 days
• Consider hydrocortisone cream to reduce discomfort