Difference between revisions of "Balanitis"

From IntactiWiki
Jump to navigation Jump to search
m (Excessive washing and non-specific dermatitis: typo)
m (replace <coauthors> parameter)
Line 3: Line 3:
 
  |first=Sarah
 
  |first=Sarah
 
  |author-link=
 
  |author-link=
|coauthors=
 
 
  |title=Balanitis and balanoposthitis: a review
 
  |title=Balanitis and balanoposthitis: a review
 
  |journal=Genitourin Med
 
  |journal=Genitourin Med
Line 23: Line 22:
 
  |first=S
 
  |first=S
 
  |author-link=
 
  |author-link=
  |coauthors=Casin I, Janier M, Morel P
+
  |last2=Casin
 +
|first2=I.
 +
|last3=Janier
 +
|first3=M.
 +
|last4=Morel
 +
|first4=P.
 
  |title=Balanitis and balanoposthitis: a review
 
  |title=Balanitis and balanoposthitis: a review
 
  |journal=Genitourin Med
 
  |journal=Genitourin Med
Line 46: Line 50:
 
Birley ''et al''. (1993) report excessive washing, especially with the use of soap, will dry the oils out of tissues and cause a balanitis like inflammation. The use of soap should be avoided.<ref name="Birley1991" >{{REFjournal
 
Birley ''et al''. (1993) report excessive washing, especially with the use of soap, will dry the oils out of tissues and cause a balanitis like inflammation. The use of soap should be avoided.<ref name="Birley1991" >{{REFjournal
 
  |last=Birley
 
  |last=Birley
  |first=HDL
+
  |first=H.D.L.
 
  |author-link=
 
  |author-link=
  |coauthors=Wasker MM, Luzzi GA, ''et al''.
+
  |last2=Wasker
 +
|first2=M.M.
 +
|last3=Luzzi
 +
|first3=G.A.
 +
|etal=yes
 
  |title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing
 
  |title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing
 
  |journal=Genitourin Med
 
  |journal=Genitourin Med
Line 63: Line 71:
 
}}</ref> Although it is commonly believed that the human foreskin is the source of infection so must be constantly washed to prevent infection, that is not true. Fleiss, Hodges & Van Howe (1998) report the foreskin has both protective and immunological functions that help to prevent disease.<ref name="Fleiss1997">{{REFjournal
 
}}</ref> Although it is commonly believed that the human foreskin is the source of infection so must be constantly washed to prevent infection, that is not true. Fleiss, Hodges & Van Howe (1998) report the foreskin has both protective and immunological functions that help to prevent disease.<ref name="Fleiss1997">{{REFjournal
 
  |last=Fleiss
 
  |last=Fleiss
  |first=P
+
  |first=Paul M.
 
  |author-link=Paul M. Fleiss
 
  |author-link=Paul M. Fleiss
  |coauthors=Hodges GM, Van Howe RS
+
  |last2=Hodges
 +
|first2=G.M.
 +
|last3=Van Howe
 +
|first3=R.S.
 
  |title=Immunological functions of the human prepuce
 
  |title=Immunological functions of the human prepuce
 
  |journal=Sex Trans Inf
 
  |journal=Sex Trans Inf
Line 92: Line 103:
 
  |first=Douglas
 
  |first=Douglas
 
  |author-link=
 
  |author-link=
|coauthors=
 
 
  |title=The fate of the foreskin: a study of circumcision
 
  |title=The fate of the foreskin: a study of circumcision
 
  |trans-title=
 
  |trans-title=
Line 111: Line 121:
 
  |first=RS
 
  |first=RS
 
  |author-link=Robert Van Howe
 
  |author-link=Robert Van Howe
|coauthors=
 
 
  |title=Variability in penile appearance and penile findings: a prospective study
 
  |title=Variability in penile appearance and penile findings: a prospective study
 
  |journal=Brit J Urol
 
  |journal=Brit J Urol
Line 126: Line 135:
 
}}</ref> Boys who have been circumcised are likely to experience balanitis caused by exposure to ammoniacal diapers (nappies).<ref>{{REFjournal
 
}}</ref> Boys who have been circumcised are likely to experience balanitis caused by exposure to ammoniacal diapers (nappies).<ref>{{REFjournal
 
  |last=Simpson
 
  |last=Simpson
  |first=E
+
  |first=E.
 
  |author-link=
 
  |author-link=
  |coauthors=Baraclough P
+
  |last2=Baraclough
 +
|first2=P.
 
  |title=The management of the paediatric foreskin
 
  |title=The management of the paediatric foreskin
 
  |journal=Australian Family Physician
 
  |journal=Australian Family Physician
Line 143: Line 153:
 
}}</ref> Hsieh ''et al''. (2006), working in Taiwan, where boys are not circumcised, examined 2,149 elementary pre-adolescent schoolboys. Hsieh ''et al''. found ''only'' one case of balanitis in the intact 2,149 boys,<ref>{{REFjournal
 
}}</ref> Hsieh ''et al''. (2006), working in Taiwan, where boys are not circumcised, examined 2,149 elementary pre-adolescent schoolboys. Hsieh ''et al''. found ''only'' one case of balanitis in the intact 2,149 boys,<ref>{{REFjournal
 
  |last=Hsieh
 
  |last=Hsieh
  |first=Tf
+
  |first=T.F.
 
  |author-link=
 
  |author-link=
  |coauthors=Chang CH, Chang SS
+
  |last2=Chang
 +
|first2=C.H.
 +
|last3=Chang
 +
|first3=S.S.
 
  |title=Foreskin development before adolescence in 2149 schoolboys
 
  |title=Foreskin development before adolescence in 2149 schoolboys
 
  |trans-title=
 
  |trans-title=

Revision as of 14:54, 15 October 2019

Balanitis is an inflammation of the glans (AKA balanus), but is not necessarily an infection. Balanitis may occur together with posthitis (inflammation of the foreskin), when it is known as balanoposthitis.[1] Balanitis xerotica obliterans (BXO) is a separate and distinct condition. For more information on BXO, Balanitis xerotica obliterans. Balanitis can occur in both circumcised and intact (non-circumcised) males.

It has many causes, including fungal, yeast, virus, or bacterial infection, environmental irritants, excess sugar in urine, and others. The treatment of balanoposthitis requires accurate diagnosis of the cause of the balanoposthitis because different treatments are required for different causes. Abdennader et al. (1996) observe that such dermatological conditions as psoriasis, lichen planus, lichen sclerosus, fixed drug eruptions, and bullous diseases are not balanitis.[2]

One can’t properly treat balanoposthitis until one knows what is causing it. Different causes require different treatments. When one knows the cause, then an appropriate treatment can be selected.[1]

Diagnosis requires an accurate history, and such tests as biopsy and a swab with a culture.[1] In the absence of a diagnosis, any prescription for treatment is a guess and is likely to fail.

Excessive washing and non-specific dermatitis

Birley et al. (1993) report excessive washing, especially with the use of soap, will dry the oils out of tissues and cause a balanitis like inflammation. The use of soap should be avoided.[3] Although it is commonly believed that the human foreskin is the source of infection so must be constantly washed to prevent infection, that is not true. Fleiss, Hodges & Van Howe (1998) report the foreskin has both protective and immunological functions that help to prevent disease.[4] Washing removes the protective substances and leaves the penis prone to infection, so washing should be limited and soap should not be used.

Balanoposthitis is not an indication for circumcision.

Diabetic males

Diabetic males who have high sugar in their urine may have recurrent yeast infections. Better control of sugar levels is indicated. Recurrent yeast infections that are not responsive to better management of diabetes may be relieved by circumcision.

Childhood

The foreskin is protective of the glans penis in childhood.[5] Van Howe (1997) reported data collected in his pediatric practice on 468 boys up to 18 years of age. Among boys less than three years of age, circumcised boys were significantly more likely to have a reddened meatus or balanitis.[6] Boys who have been circumcised are likely to experience balanitis caused by exposure to ammoniacal diapers (nappies).[7] Hsieh et al. (2006), working in Taiwan, where boys are not circumcised, examined 2,149 elementary pre-adolescent schoolboys. Hsieh et al. found only one case of balanitis in the intact 2,149 boys,[8] which suggests a protective effect for the foreskin.

External links

  • REFweb (14 February 2008). Balanitis, Circumcision Information Reference Library. Retrieved 7 October 2019.
  • REFweb (2019). Phimosis and Balanitis, Doctors Opposing Circumcision, Doctors Opposing Circumcision. Retrieved 7 October 2019.

References

  1. a b c REFjournal Edwards, Sarah. Balanitis and balanoposthitis: a review. Genitourin Med. 1996; 72: 155-9. PMID. PMC. DOI. Retrieved 7 October 2019.
  2. REFjournal Abdennader, S, Casin, I., Janier, M., Morel, P.. Balanitis and balanoposthitis: a review. Genitourin Med. 1996; 72: 434-5. PMID. PMC. DOI. Retrieved 7 October 2019.
  3. REFjournal Birley, H.D.L., Wasker, M.M., Luzzi, G.A., et al. Clinical Features and management of recurrent balanitis; association with atopy and genital washing. Genitourin Med. 1 October 1993; 69(5): 400-3. PMID. PMC. DOI. Retrieved 7 October 2019.
  4. REFjournal Fleiss, Paul M., Hodges, G.M., Van Howe, R.S.. Immunological functions of the human prepuce. Sex Trans Inf. 1 October 1998; 74(5): 364-7. PMID. PMC. DOI. Retrieved 7 October 2019.
  5. REFjournal Gairdner, Douglas. The fate of the foreskin: a study of circumcision. Brit Med J. 24 December 1949; 2: 1433-7. PMID. PMC. DOI.
  6. REFjournal Van Howe, RS. Variability in penile appearance and penile findings: a prospective study. Brit J Urol. 1 November 1997; 80(6): 776-81. PMID. DOI. Retrieved 1 October 2019.
  7. REFjournal Simpson, E., Baraclough, P.. The management of the paediatric foreskin. Australian Family Physician. 1 May 1998; 27(5): 381-3. PMID. Retrieved 10 July 2019.
  8. REFjournal Hsieh, T.F., Chang, C.H., Chang, S.S.. Foreskin development before adolescence in 2149 schoolboys. Int J Urol. 2006; 13(7): 968-70. PMID. DOI. Retrieved 9 October 2019.