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__NOTOC__
__NOTOC__
{{CMG}}; {{AE}} {{JH}}.
{{BalanitisV}}
{{Balanitis}}
{{CMG}}; {{AE}}{{VD}}
{{SK}} Balanoposthitis.


==[[Balanitis overview|Overview]]==
{{SK}} Balanoposthitis
* '''Please click here to know more about Infectious balanitis'''


==[[Balanitis historical perspective|Historical Perspective]]==
* '''Please click here to know more about Penile carcinoma in situ causing Balanitis'''
* '''Please click here to know more about Inflammatory deramtosis causing Balanitis'''
* '''Please click here to know more about Zoon's Balanitis'''
* '''Please click here to know more about Balanitis xerotica obliterans'''


==[[Balanitis classification|Classification]]==
==Overview==
Balanitis is inflammation of glans penis. When balanitis involve foreskin and prepuce it is termed balanoposthitis. Causes of balanitis can be mainly categorized into 1) Infectious 2) Inflammatory dermatoses 3) Penile carcinoma in situ. 


==[[Balanitis pathophysiology|Pathophysiology]]==
== Classification  ==


==[[Balanitis causes|Causes]]==
There is no established classification system for Balantis. Based on the etiologies, Balanitis can be classified into:
* Infectious
* Inflammatory dermatoses
* Penile carcinoma in situ


==[[Balanitis differential diagnosis|Differentiating Balanitis from other Diseases]]==
{{familytree/start}}
{{familytree | | | | | | | | | | | | | | | | | A01 |A01='''Balanitis'''}}
{{familytree | | | | |,|-|-|-|-|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|-|-|-|.| | | }}
{{familytree | | | | B01 | | | | | | | | | | | B02 | | | | | | | | | B03 |B01='''Infectious'''|B02='''Inflammatory dermatoses'''|B03='''Premalignant(penile carcinoma in situ)'''}}
{{familytree | | | | |!| | | | | | | | | | | | |!| | | | | | | | | | |!| | | }}
{{familytree | | | | |!| | | | | | | | | | | | |!| | | | | | | | | | |!| | | }}
{{familytree | | | | C01 | | | | | | | | | | | C02 | | | | | | | | | C03 |C01=[[Candida]] (albicans, krusei)<br>[[Streptococci]]<br>Anaerobes<br>[[Staphylococci]]<br>[[Trichomonas vaginalis]]<br>[[Herpes simplex virus]]<br>[[Human papillomavirus]]<br>[[Mycoplasma genitalium]]|C02=[[Lichen sclerosus]]<br>[[Lichen planus]]<br>[[Psoriasis]]<br>[[Circinate balanitis]]<br>[[Zoon's balanitis]]<br>[[Eczema]]<br>[[Allergic reactions]]|C03= [[Bowen's disease]]<br>[[Bowenoid papulosis]]<br>[[Erythroplasia of Queyrat]]}}
{{familytree/end}}


==[[Balanitis epidemiology and demographics|Epidemiology and Demographics]]==
==Diagnosis and management==
<br>'''''2008 UK National Guideline on the Management of Balanoposthitis''''' <br>
{| align=center
|-
|
{{familytree/start |summary=Diagnostic and Management approach of balanitis and balanoposthitis}}
{{familytree | | | | | | | | | | | | | | A01 | | A01=Balanitis/balanoposthitis}} 
{{familytree | | | | | | | | | | | | | | |!| | |}}
{{familytree | | | | | | | | | | | | | | B01 | | B01=Take history and examine}}
{{familytree | | | |,|-|-|-|-|-|-|-|-|-|-|^|-|-|-|-|.| | | }}
{{familytree | | | C01 | | | | | | | | | | | | | | C02 | |C01=Perpuce retracts|C02=Perpuce does not retract}}
{{familytree | |,|-|^|-|-|-|-|.| | | | | | |,|-|-|-|^|-|-|.| |}}
{{familytree | D01 | | | | | D02 | | | | | | D03 | | | | D04 |D01=Ulceration present|D02=Erythema,subpreputial discharge|D03=Prepuce scarred|D04=Prepuce swollen}}
{{familytree | |!| | | |,|-|-|^|-|.| | | | | |!| | | | | |!|}}
{{familytree | E01 | | E02 | | | E03 | | | | E04 | | | | E05 |E01=Follow genital ulcer protocol|E02=Fowl smelling|E03=No odour|E04=Refer to surgical opinion|E05=Treat as genital ulcer disease}}
{{familytree | |!| | | |!| | | | |!| | | | | |!| | | | | |!| | | |}}
{{familytree | |!| | | F01 | | | F02 | | | | |!| | | | | |!| | | | |F01=Metronidazole 400 mg bd|F02=Antifungal+1% Hydrocortisone cream apply bd}}
{{familytree | |!| | | |!| | | | |!| | | | | |!| | | | | |!|}}
{{familytree | |`|-|-|-|^|-|-| G01 |-|-|-|-|-|^|-|-|-|-|-|'| | | | | | |G01=Review}}
{{familytree | | | | | | | |,|-|^|-|.| | | | | | | | | | | | | | |}}
{{familytree | | | | | | | H01 | | H02 | | | | | | | | | | | | | | | |H01=If better discharge|H02=If not better 1) Reassess-try alternative pathyway 2) Erythromycin 500 bd 3) Potent steroid cream}}
{{familytree/end}}
|}


==[[Balanitis risk factors|Risk Factors]]==
== Differential Diagnosis ==
 
{| class="wikitable"
==[[Balanitis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
!
 
!Erythema
==Diagnosis==
!Discharge
[[Balanitis history and symptoms|History and Symptoms]] | [[Balanitis physical examination|Physical Examination]] | [[Balanitis laboratory findings|Laboratory Findings]] | [[Balanitis ultrasound|Ultrasound]] | [[Balanitis other imaging findings|Other Imaging Findings]] | [[Balanitis other diagnostic studies|Other Diagnostic Studies]]
!Fowl smelling discharge
 
!Circinate lesions
==Treatment==
!Grouped vesicles present
[[Balanitis medical therapy|Medical Therapy]] | [[Balanitis surgery|Surgery]] | [[Balanitis primary prevention|Primary Prevention]] | [[Balanitis secondary prevention|Secondary Prevention]] | [[Balanitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Balanitis future or investigational therapies|Future or Investigational Therapies]]
!Becomes aceto white on application of 5% acetic white
 
!White patches
== Case Studies ==
!Purplish lesion
[[Balanitis case study one|Case #1]]
!pinpoint redder spots
==Related Chapters==
!Red scaly plaques
*[[Penis]]
!Failure to respond to treatment
*[[Glans penis]]
|-
*[[Foreskin]]
|Candida Balanitis
*[[Inflammation]]
|
*[[Circumcision]]
|
*[[Balanitis xerotica obliterans]]
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{{Diseases of the pelvis, genitals and breasts}}
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[[de:Eichelentzündung]]
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[[es:Balanitis]]
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[[fr:Balanite]]
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[[Category:Inflammations]]
|Anaerobic Infection
[[Category:Urology]]
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[[Category:Penis]]
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[[Category:Primary care]]
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|Aerobic Infection
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|Trichomonas vaginalis
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|Treponema paliidum
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|Herpes simplex
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|Human papilloma virus
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|Lichen sclerosus
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|Lichen Planus
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|Psoriasis
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|Circinate
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|Zoon's balanitis
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|Eczema
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|Allergic reaction
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|Bowen's disease
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|Bowenoid papulosis
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|Erythroplasia of Queyrat
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== References ==
{{Reflist|2}}
[[Category:Balanitis]]
[[Category:Infectious diseases]]
{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}

Revision as of 18:00, 8 February 2017

Template:BalanitisV Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vishal Devarkonda, M.B.B.S[2]

Synonyms and keywords: Balanoposthitis

  • Please click here to know more about Infectious balanitis
  • Please click here to know more about Penile carcinoma in situ causing Balanitis
  • Please click here to know more about Inflammatory deramtosis causing Balanitis
  • Please click here to know more about Zoon's Balanitis
  • Please click here to know more about Balanitis xerotica obliterans

Overview

Balanitis is inflammation of glans penis. When balanitis involve foreskin and prepuce it is termed balanoposthitis. Causes of balanitis can be mainly categorized into 1) Infectious 2) Inflammatory dermatoses 3) Penile carcinoma in situ.

Classification

There is no established classification system for Balantis. Based on the etiologies, Balanitis can be classified into:

  • Infectious
  • Inflammatory dermatoses
  • Penile carcinoma in situ
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Balanitis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Infectious
 
 
 
 
 
 
 
 
 
 
Inflammatory dermatoses
 
 
 
 
 
 
 
 
Premalignant(penile carcinoma in situ)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Candida (albicans, krusei)
Streptococci
Anaerobes
Staphylococci
Trichomonas vaginalis
Herpes simplex virus
Human papillomavirus
Mycoplasma genitalium
 
 
 
 
 
 
 
 
 
 
Lichen sclerosus
Lichen planus
Psoriasis
Circinate balanitis
Zoon's balanitis
Eczema
Allergic reactions
 
 
 
 
 
 
 
 
Bowen's disease
Bowenoid papulosis
Erythroplasia of Queyrat

Diagnosis and management


2008 UK National Guideline on the Management of Balanoposthitis 

 
 
 
 
 
 
 
 
 
 
 
 
 
Balanitis/balanoposthitis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Take history and examine
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Perpuce retracts
 
 
 
 
 
 
 
 
 
 
 
 
 
Perpuce does not retract
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ulceration present
 
 
 
 
Erythema,subpreputial discharge
 
 
 
 
 
Prepuce scarred
 
 
 
Prepuce swollen
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Follow genital ulcer protocol
 
Fowl smelling
 
 
No odour
 
 
 
Refer to surgical opinion
 
 
 
Treat as genital ulcer disease
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Metronidazole 400 mg bd
 
 
Antifungal+1% Hydrocortisone cream apply bd
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Review
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If better discharge
 
If not better 1) Reassess-try alternative pathyway 2) Erythromycin 500 bd 3) Potent steroid cream
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Differential Diagnosis

Erythema Discharge Fowl smelling discharge Circinate lesions Grouped vesicles present Becomes aceto white on application of 5% acetic white White patches Purplish lesion pinpoint redder spots Red scaly plaques Failure to respond to treatment
Candida Balanitis
Anaerobic Infection
Aerobic Infection
Trichomonas vaginalis
Treponema paliidum
Herpes simplex
Human papilloma virus
Lichen sclerosus
Lichen Planus
Psoriasis
Circinate
Zoon's balanitis
Eczema
Allergic reaction
Bowen's disease
Bowenoid papulosis
Erythroplasia of Queyrat

References

Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Balanitis&oldid=1292013"