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Balanitis

Aka: Balanitis, Balanoposthitis, Foreskin Infection

Definition
1. Foreskin and glans penis inflammation
Epidemiology
1. Incidence: 3% of uncircumsized males
Pathophysiology
1. In uncircumsized males due to irritant or infection
Causes
1. Contact Dermatitis (Irritant Balanitis)
  1. Soap
  2. Bubble bath
  3. Fabric softeners
  4. Laundry detergent
2. Infectious Balanitis
  1. Candida albicans (most common)
  2. Gram-negative Bacteria
  3. Group A Beta-hemolytic Streptococcus
  4. Neisseria gonorrhoeae
  5. Chlamydia
Predisposing factors
1. Diabetes Mellitus
2. Poor hygiene
3. Irritants (See causes above)
Signs and Symptoms
1. Local pain and swelling at glans penis
2. Discharge between foreskin and glans penis
3. Pruritus
Management
1. Irritant Balanitis
  1. Sitz bath
  2. Retract foreskin and clean glans
  3. Consider brief topical Hydrocotisone 0.5%
2. Infectious Balanitis (Candida most common source)
  1. Good hygiene
  2. Topical Antifungal cream (e.g. Clotrimazole)
  3. Cellulitis
    1. First generation Cephalosporin
Prevention
1. Circumcision
References
1. Marx (2002) Rosen's Emergency Medicine, Mosby, p. 2838
2. Lundquist (2001) Emerg Med Clin North Am 19(3):529-46

Balanitis (C0004690)
Definition (MSH)	Inflammation of the head of the PENIS, glans penis.
Concepts	Disease or Syndrome (T047)
MSH	D001446
ICD10	N48.1
SnomedCT	155928003, 266572002, 198021000, 44882003, 198020004
English	Balanitides, BALANITIS, balanitis (diagnosis), balanitis, Balanitis NOS, Balanitis [Disease/Finding], balanities, Balanitis (disorder), Balanitis [Ambiguous], Balanitis
French	BALANITE, Balanite SAI, Balanite, Balanis xerotica obliterans
Portuguese	BALANITE, Balanite NE, Balanite
Spanish	BALANITIS, Balanitis NEOM, Balanitis, Balanitis [Ambiguous], balanitis (trastorno), balanitis
German	BALANITIS, Balanitis NNB, Balanitis
Dutch	balanitis NAO, balanitis, Balanitis
Italian	Balanite NAS, Balanite
Japanese	亀頭炎, 亀頭炎ＮＯＳ, ｷﾄｳｴﾝ, ｷﾄｳｴﾝNOS
Swedish	Balanit, BALANIT
Czech	balanitida, Balanitida, Balanitida NOS
Finnish	Balaniitti, ESINAHAN TULEHDUS/BALANITIS
Russian	BALANIT, БАЛАНИТ
Norwegian	BALANITT
Danish	Balanit
Hungarian	balanitis, Balanitis, balanitis k.m.n.
Basque	BALANITISA
Polish	Zapalenie żołędzi
Sources	Derived from the NIH UMLS (Unified Medical Language System)

Balanoposthitis (C0004691)
Concepts	Disease or Syndrome (T047)
MSH	D001446
ICD9	607.1
ICD10	N48.1, N47.6
SnomedCT	198024008, 46090001, 198020004
English	BALANOPOSTHITIS, Balanoposthitis NOS, balanoposthitis, balanoposthitis (diagnosis), Balanoposthitis NOS (disorder), Balanoposthitis (disorder), Balanoposthitis
Italian	Balanopostite
Japanese	亀頭包皮炎, ｷﾄｳﾎｳﾋｴﾝ
Spanish	Balanoposthitis, BALANOPOSTITIS, balanopostitis (trastorno), balanopostitis, SAI (trastorno), balanopostitis, SAI, balanopostitis, Balanopostitis
German	Balanoposthitis, BALANOPOSTHITIS
French	BALANO-POSTHITE, Balanoposthite
Portuguese	BALANOPOSTITE, Balanopostite
Czech	Balanopostitida
Korean	귀두포피염
Hungarian	Balanoposthitis
Dutch	Balanoposthitis, balanoposthitis
Sources	Derived from the NIH UMLS (Unified Medical Language System)