A Posthitis is the medical term for an inflammation of the prepuce of the penis. When posthitis occurs with balanitis, it is known as balanoposthitis.
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.
Possible complications include spreading of the infection to the glans (balanitis) as well as further ascending, which can lead to prostatitis or a urinary tract infection.
- 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.