Balanitis is an inflammation of the foreskin and head of the penis.
Balanitis is usually caused by poor hygiene in uncircumcised men. The inflammation can be due to infection, harsh soaps, or failure to properly rinse soap off while bathing. Several other diseases, including reactive arthritis and lichen sclerosis et atrophicus, can lead to balanitis. Men with uncontrolled diabetes are at risk of developing balanitis.
Your dermatologist or urologist may be able to diagnosis the cause of your balanitis by examination alone. However, additional skin tests for viruses, fungi, or bacteria are often needed. Occasionally, a skin biopsy is required.
Treatment depends on the cause of the balanitis. For example, infectious balanitis may be treated with antibiotic pills or creams. Balanitis occurring with skin diseases may respond to steroid creams. In severe cases, circumcision may be the best option.
Most cases of balanitis can be controlled with medicated creams and good hygiene. Surgery is not usually necessary. Outcomes are nearly always positive.
Chronic inflammation or infection can:
Notify your health care provider if you are experiencing any signs of balanitis including swelling of the foreskin or pain.
Good hygiene can prevent most cases of balanitis. During bathing, the foreskin should be retracted to adequately clean and dry the area beneath it.
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Jordan GH, Schlossberg SM. Surgery of the penis and urethra. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed.Philadelphia, Pa: Saunders Elsevier; 2007:chap 33.