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Balanoposthitis: Causes, Symptoms, Treatment and Cost

Last Updated : Feb 16, 2023

What is Balanoposthitis?

A medical ailment called balanoposthitis is one that affects the foreskin and the
head of the penis, which is also referred to as the glans. An infection or
inflammation of the region is likely to blame in this case.

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Types of Balanoposthitis
There are several different types of balanoposthitis which include:
Zoon's Balanoposthitis: This type of balanoposthitis is caused by an infection
with Candida albicans, a fungus found on the skin. Symptoms include redness
and swelling in the glans and foreskin with possible itching and discharge.

Circinate Balanoposthitis: This type of balanoposthitis is caused by an

infection with Reiter's syndrome, a form of arthritis that can affect many parts
of the body including the penis and foreskin. Symptoms include redness,
swelling and pain in the glans and foreskin as well as difficulty urinating due to
narrowing of the urethra.

Pseudoepitheliomatous Balanoposthitis: This type of balanoposthitis is

caused by an infection with human papillomavirus (HPV). Symptoms include
multiple warts on the glans and foreskin, which may be painful or itchy.

What causes Balanoposthitis?

Balanoposthitis is caused by a variety of factors such as bacterial and fungal
infections, allergic reactions to soaps or other irritants, or physical trauma.

Other causes can include

poor hygiene

Tight clothing
 diabetes

immunosuppression.

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What are the symptoms of Balanoposthitis?

The most common symptoms of balanoposthitis include:

Foreskin and penis head inflammation, redness, and itching are other
symptoms.

Painful during micturition.

Expelling of fluid suddenly from the penis

Putting off a putrid odour across the afflicted region.

The foreskin is difficult to draw back because of this.

Discomfort experienced during sexual activity or masturbation

How can you prevent Balanoposthitis?

 To prevent balanoposthitis, it is important to practise good hygiene.
This includes washing the penis with warm water and mild soap every day, gently
pulling back the foreskin to clean underneath it, and drying the area thoroughly
afterwards.

Additionally, wearing loose-fitting underwear helps to keep the area dry and
reduce irritation from sweat or friction from tight clothing.Avoiding sexual activity
or using a condom when engaging in intercourse also helps to reduce chances of
contracting sexually-transmitted infections which can lead to balanoposthitis.

Balanoposthitis - Diagnosis and Tests

Tests may be required to confirm a diagnosis and identify the cause, such as
swab tests to check for bacteria or fungi, or a blood test to check for diabetes.

A biopsy of the afflicted region could be performed in some circumstances to

help with the diagnosis.Diagnosis of balanoposthitis typically involves physical
examination, laboratory tests, and imaging studies.

Physical examination: During physical examination, the doctor will look for
signs of inflammation and redness on the head of the penis. They may also
check for any discharge or ulcers present on the penis.

Laboratory tests: Blood tests may be used to check for sexually transmitted
infections or other types of infections that could be causing balanoposthitis.

Urine tests: There is also the possibility of carrying out urine tests in order to
eliminate urinary tract infections from the list of potential causes of
balanoposthitis.

Imaging studies: Imaging studies such as ultrasound or MRI may be used to

check for any underlying problems that could be causing balanoposthitis, such
as tumors or cysts.

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What are possible complications of Balanoposthitis?
A wide range of problems may be brought on by balanoposthitis. The following
are the most often encountered complications:

Phimosis is the inability of a man's thin foreskin to fold or retract.

Paraphimosis is a condition in which a fold of foreskin protrudes from behind

the apex of the penis.
Urinary tract infections

Foreskin hardness and constriction are symptoms of balanitis xerotica

obliterans, an uncommon condition.

Other complications may include skin irritation, pain during urination or sexual
intercourse, scarring, swelling, and in some cases even penile amputation.

Home Remedies for Balanoposthitis?

Apply a paste of neem leaves and turmeric powder on the affected area to
reduce inflammation and infection.

Apply a paste of coriander seeds soaked overnight in warm water to help

soothe the affected area.

Soak a piece of cotton cloth in cold water and place it on the affected area for
10-15 minutes twice a day to reduce swelling and itching.

Make a paste of honey, gooseberry juice and ginger powder and apply it directly
on the affected part to reduce inflammation and infection.

Boil some neem leaves in water, strain the solution, cool it down and use it as
an antiseptic wash for cleaning the affected area once or twice daily.

What to eat in Balanoposthitis?

In general, it is recommended to eat a balanced diet that is high in fiber, whole
grains, fruits and vegetables.

Additionally, it is important to choose foods that are low in saturated fats and
added sugars.A healthy diet should consist of a variety of foods, including lean
meats, fish, eggs, nuts, seeds, beans, and legumes.

What not to eat in Balanoposthitis?

It is recommended to avoid foods that are high in sugar, fat, and refined carbs
when suffering from balanoposthitis.

These foods can promote inflammation and worsen symptoms of this condition.

Balanoposthitis Treatment
There are several surgical treatments for balanoposthitis, including circumcision,
preputioplasty, and frenuloplasty.

Circumcision: The most frequent treatment is removing the penile foreskin by

surgical excision.

Preputioplasty: It is a procedure to reconstruct or reduce the size of the

foreskin.

Frenuloplasty: It is a procedure to repair or replace a narrow frenulum, which is

a band of tissue connecting the foreskin to the glans (head) of the penis.

Other treatments include topical antibiotics, antifungal medications, and

steroid creams. Some cases may require more extensive surgery if other
methods are not successful in treating symptoms.

Which doctor to consult for Balanoposthitis?

Urologists are the most qualified medical professionals to diagnose and treat
balanoposthitis.

Urologists have extensive training in the diagnosis and treatment of illnesses that
affect the urinary system and male reproductive organs, making them ideal
candidates to examine patients suffering from balanoposthitis.

Which are the best medicines for Balanoposthitis?

The best medicines for treatment of balanoposthitis depend on the underlying
cause. Some common medications used to treat balanoposthitis include:

Oral antibiotics such as amoxicillin, ciprofloxacin, metronidazole or

azithromycin.

Antibiotic creams such as mupirocin, bacitracin, or clindamycin can be applied

to the affected area.

Antifungal creams containing clotrimazole or ketoconazole.

Corticosteroid creams to reduce inflammation and discomfort.

 Topical antiseptic solutions such as benzalkonium chloride or povidone-iodine
solution for cleaning the affected area daily and preventing reinfection.

How long does it take to recover from Balanoposthitis?

The length of time it takes to recover from balanoposthitis normally ranges from a
few days to a few weeks, depending on the severity of the ailment and the
treatment plan that is provided.

Are the results of the treatment permanent?

The effects of treatment for balanoposthitis might vary widely depending on the
nature of the infection and the extent to which it has progressed.

In many instances, therapy is effective in reducing symptoms and removing the

infection, resulting in a resolution that is effective over the long term.

Nevertheless, if the root reason isn't treated, the symptoms may keep coming
back or even turn into a chronic condition. It is essential to stick to any therapies
that have been recommended, as well as follow the advice of a medical
professional.

What are the post- treatments guidelines?

Post-surgical treatment guidelines for balanoposthitis vary depending on the
severity and cause of the condition. Generally, treatment involves proper hygiene,
topical and oral medications, and possibly minor surgery.

Careful hygiene: Cleaning the infected area with warm water and mild soap is
important to reduce inflammation and promote healing. The patient should avoid
harsh soaps or anything that may irritate the area further.

Follow-up visits: It is important to follow up with a doctor after treatment so

they can monitor your progress and adjust treatments accordingly if needed.

What is the cost of Balanoposthitis treatments in India?

The cost of Balanoposthitis treatments in India can vary depending on the
severity of the condition, as well as the type of treatment being sought.

Generally speaking, local treatments such as topical medications and creams

may cost around Rs. 500-1,000 , while more advanced treatments such as laser
therapy can cost upwards of Rs. 10,000.In some cases, surgery may be necessary
to fully resolve the issue and this could cost anywhere from Rs. 20,000 - 50,000.

What are side-effects of Balanoposthitis treatments?

The most common side effects of treatments for balanoposthitis include skin
irritation, burning, itching, and redness.In some cases, a topical antifungal
medication may lead to an allergic reaction or a skin rash.

Other rare but possible side effects may include swelling, tenderness, pain or
discomfort in the genital area.

Balanoposthitis - Outlook / Prognosis

If you are suffering from any complications relating to Balanoposthitis then you
should consult a doctor nearby as they can cause complications like phimosis,
paraphimosis, urinary tract infections, etc. in which treatment course can range
from a few months to years depending on the severity of the situation.

References

Content Details
Written By
Drx Hina Firdous
PhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child Care
Pharmacology

Reviewed By
Reviewed By
Dr. Bhupindera Jaswant Singh
MD - Consultant Physician
General Physician

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