Balanoposthitis is inflammation of the glans penis and foreskin in uncircumcised males. It is commonly caused by infections, particularly Candida albicans or other fungi. Other causes include viruses like HSV, bacteria like Gardnerella vaginalis, irritants, trauma, fixed drug eruptions, premalignant conditions, and various cutaneous and mucocutaneous diseases. Symptoms include papules, pustules, vesicles, erosions, edema, phimosis, and foul discharge. Diagnosis involves examination, tests like KOH mounts or cultures, and biopsies. Treatment involves hygiene, antibiotics, antifungals, corticosteroids, circumcision for severe
2. DEFINITION
• Gk : ‘Balanos’ - Head of Penis / Glans
Lat : ‘Posthe’ - Foreskin / Prepuce
+ ‘itis’ – inflammation
Defined as the inflammation of the Glans Penis
and mucosal surface of the Prepuce, commonly
in uncircumcised males, with subpreputial
discharge and phimosis. 2% Incidence
18. CLINICAL FEATURES
• Erosive indurated painless Chancre over
Prepuce with Phimosis – Doughy inflitrate /
Nodular Infiltrate / Diffuse Inflitrate)
(Follman’s Balanitis of Syphilis)
19. CLINICAL FEATURES
• Multiple painful shallow non-indurated ulcers
with undermined edges over prepuce / glans
+/- Phimosis (Chancroid)
20. CLINICAL FEATURES
• Annular erythematous moist plaques with
ulceration healing with fibrosis / scarring with
preceding Oral Ulcers / Ophthalmic inv
(Behcet’s Disease)
21. CLINICAL FEATURES
• Bright red micaceous scaly annular plaques
with cutaneous / nail / joint inv
(Penile Psoriasis)
22. CLINICAL FEATURES
• Painless, Serpiginous, geographic dermatitis of
Glans (uncirc) and Hyperkeratotic plaques (Cir)
(CIRCINATE BALANITIS of REITER’S DIS)
23. CLINICAL FEATURES
• Chronic inflamm followed by atrophic
sclerosis, depigmentation, induration, phimosi
s and Urethral Stricture
(Lichen Sclerosus et Atrophicans / BXO)
24. CLINICAL FEATURES
• Chronic benign circumscribed plasma cell
balanitis; shiny red velvety plaques with
Cayenne Pepper stippling (ZB)