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Abstract

Balanitis in the vast majority of cases is a simple intertrigo, with no specific cause. Sometimes, an overgrowth of commensal anaerobes or candida is seen. It responds to the simple measures of retraction of the prepuce, saline baths and a drying powder, rather than a cream. Occasionally there are underlying conditions, such as lichen sclerosus et atrophicus, lichen planus or manifestations of a systemic dermatoses. Biopsy is mandatory in all cases that do not respond to simple measures. Except where specifically indicated, steroids should be avoided, as they may induce an expression of HPV as genital warts. A sexually transmitted disease screen is mandatory where there has been an infection acquisition opportunity.

Keywords

Balanitis Candida Thrush Genital dermatitis 

References

  1. American Academy of Pediatrics Task Force on Circumcision. Circumcision policy statement. Pediatrics. 2012;130:585.CrossRefGoogle Scholar
  2. Edwards SK, Handfield-Jones S, on behalf of Clinical Effectiveness Group, British Association for Sexual Health and HIV. 2008 UK National Guideline on the Management of Balanoposthitis. Available from: http://www.bashh.org/guidelines.
  3. Kulkarni S, Barbagli G, Kirpekar D, Mirri F, Lazzeri M. Lichen sclerosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients. Eur Urol. 2009;55(4):945–54.CrossRefGoogle Scholar
  4. Kumar B, Sharma R, Ragagopalan M, Radothra BD. Plasma cell balanitis: clinical and histological features – response to circumcision. Genitourin Med. 1995;71:32–4.PubMedPubMedCentralGoogle Scholar
  5. Poter WM, Dinneen M, Hawkins DA, Bunker CB. Erosive penile lichen planus responding to circumcision. J Eur Acad Dermatol Venereol. 2001;15(3):266–8.CrossRefGoogle Scholar
  6. SK Edwards, CB Bunker, Fabian Ziller and Willem I van der Meijden. 2013 European guideline for the management of balanoposthitis. Int J STD AIDS 2014;25:615–626Google Scholar

Further Reading

  1. Liatsikos EN, Perimenis P, Dandinis K, Kaladelfou E, Barbalias G. Lichen sclerosus et atrophicus. Findings after complete circumcision. Scand J Urol Nephrol. 1997;31:453–6.CrossRefGoogle Scholar
  2. Lisboa C, Santos A, Dias C, Azevedo F, Pina-Vaz C, Rodrigues A. Candidal balanitis: risk factors. J Eur Acad Dermatol Venereol. 2010;24(7):820–6. Epub 2009 Dec 11.CrossRefGoogle Scholar
  3. Morris BJ, Waskett JH, Banerjee J, et al. A ‘snip’ in time: what is the best age to circumcise? BMC Pediatr. 2012;12:20. doi: 10.1186/1471-2431-12-20.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Tobian AA, Kacker S, Quinn TC. Male circumcision: a globally relevant but under-utilized method for the prevention of HIV and other sexually transmitted infections. Annu Rev Med. 2014;65:293–306.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.GUIDE Clinic, St. James’ HospitalDublin 6Ireland

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