Usually it is a bacterial or fungus-related infection, but posthitis can also be caused by chemical or physical irritation. Often, unprotected sexual intercourse and poor hygiene or comorbidities, such as a foreskin constriction (phimosis) with subsequent limited hygiene, can be the cause.
Posthitis, like balanitis, has many possible causes, so the cause must be accurately diagnosed before a treatment modality can be selected.
The therapy is basically carried out medicinal and begins with a local therapy. Depending on the pathogenesis, antibiotic or fungicidal ointments are used. In the case of chemical or mechanical irritation, a therapeutic trial with ointments containing glucocorticoid may also be undertaken. For persistent relapses, circumcision may be considered.
- Eckert K, Janssen N, Franz M, Liedgens P. Die nicht-retrahierbare Vorhaut bei beschwerdefreien Jungen - Eine Indikation zur Zirkumzision? [The non-retractable foreskin in symptom-free boys - An indication for circumcision?] (German). Der Urologe. 16 September 2016; 3/2017 PMID. DOI. Retrieved 23 October 2019.