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Balanoposthitis

Mizuho Morrison, DO, Rick Pescatore, DO, and Matthew DeLaney, MD
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Balanitis describes inflammation of the glans penis and posthitis means inflammation of the prepuce. In practice, both areas are often affected together, and the term balanoposthitis then used. While the most common cause of balanoposthitis is non-specific or irritant use, there are several potential infectious causes of balanitis including candidal, bacterial, and viral pathogens. Candidal causes are most common and may often be secondary to underlying diabetes or immunosuppression. Bacterial causes include group A strep, staph, and anaerobes. Consider STDs and sexual abuse in your differential diagnosis as well as immunocompromised states such as diabetes mellitus. The majority of cases will resolve with improved local hygiene, topical antifungals, and/or topical antibacterials. Cases that are not responding to first line treatments should be referred to dermatology or urology for further diagnostic workup.

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Can't We All Just Get Along? Full episode audio for MD edition 204:00 min - 96 MB - M4AUC RAP January 2019 Written Summary 375 KB - PDF

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