Balanitis

Definition

Balanitis is a condition of the penis marked by inflammatory (swelling, redness, pain) changes of the foreskin and head of the penis. The risk of balanitis is greater in uncircumcised males compared to circumcised males. There are number of causes that can lead to balanitis, including infection, trauma, irritation by environmental substances and poor hygiene. Treatment options are directed towards the cause. Usually drug treatment for underlying infection is sufficient. In a few cases of balanitis where poor hygiene is due to an inability to retract the foreskin, circumcision is recommended.

Symptoms

The symptoms of balanitis includes :

  • Red and swollen head of the penis and foreskin
  • Pain of the penile head and foreskin
  • Foul smelling penile discharge
  • Rashes on the head and adjacent area of the penis
  • Difficulty in urination

Sometimes neglected cases of balanitis may present with :

  • Scarring and narrowing of the penile orifice (opening) due to repeated attacks of balanitis (meatal stricture).
  • Difficulty in pulling back (retraction) of the foreskin over the tip of the penis due to small opening (phimosis) leading to difficulty in urination and recurrent infection.
  • Due to recurrent episodes of balanitis, the foreskin may become trapped behind the head of the penis (paraphimosis) leading to decreased blood supply to the tip of the penis (gangrene).

Causes

Causes of balanitis includes :

  • Poor penile hygiene: failure to wash the penis after retracting (pulling back) the foreskin is one of the common causes of balanitis. Uncircumcised men are more prone to balanitis although circumcised people may also suffer from balanitis.
  • Overuse of soap during washing, use of abrasive agents and failure to rinse soap and foam (residual soap) properly can also cause irritation and lead to balanitis.
  • Irritation of the skin of the penis by chemicals present in condoms, spermicidal gel, soaps, detergents (due to inadequate washing of clothes) and certain fabrics.
  • Infection: bacterial (warm and moist environment under the foreskin serve as the ideal area for bacterial growth), viral even fungal (Candida usually from the female partner suffering from vaginal candidiasis) infection can cause balanitis. Sexually transmitted diseases (STDs) predispose a person to balanitis.
  • Poorly controlled diabetes mellitus (sugar diabetes).
  • Physical injury to the penis.
  • Circinate balanitis: Co-existent with other disease like reactive arthritis (also known as reiter’s disease manifested as inflammatory changes of joints, urethra and eyes), some skin diseases like eczema, psoriasis (dry scaly skin disorder), lichen planus (itchy, purple plaques over arms, legs oral mucosa).
  • Unknown causes: Zoon’s balanitis, is a rare skin disease of the foreskin due to unknown cause, that is usually treated with circumcision.

Risk factors

  • Poor penile hygiene
  • Overuse of soap
  • Uncircumcised penis
  • Diabetes mellitus
  • Sexually transmitted diseases

Treatment

Causes of balanitis determine the mode of treatment. Although it can be an embarrassing condition, balanitis should not be ignored. It can lead to severe complications and permanent damage to the penis.

  • Infections due to bacterial, fungal, viral infection require treatment with the appropriate antibiotic, antifungal and antiviral drugs.
  • In severe cases where maintenance of good hygiene is impossible due to inability to retract (pull back) the foreskin beyond the tip of the penis (phimosis), circumcision is necessary.
  • Anti-inflammatory drugs are useful for reducing the swelling and pain but only offer symptomatic relief.

More Related Topics

  • Rosettia Trimble

    Can this be passed on to a female partner? What are the best types of medicines for this infection when the patient has type 2 diabetes?

    • Dr. Chris

      Hi Rosettia. Cross-infection is possible and therefore both partners should be treated simultaneously especially when it is a sexually transmitted infection. The medication depends on whether it is bacterial or fungal infection. However, you should not be self-medicating. Rather speak to your doctor about the correct antibiotic or antifungal. Remember that balanitis is not always due to an infection – certain non-infectious skin diseases, chemical irritation and so on can also cause balanitis. So the cause had to first be identified before medication is prescribed. Diabetics are at a higher risk of contracting infectious balanitis. Once again, this condition should not be self-managed but a doctor’s supervision is essential for diabetics.


Related pages


heavy period large blood clotsstomach rumbling gas and diarrheatender sensitive nipplesnormal tongue anatomywhy my boobs itchitch with no rashsharp pain in collar bonetenacious mucussharp pain in rib cage right sidewhy is my stomach making gurgling soundsthin stools colon cancercauses of pain under armpitdiarrhea and utibig mac with fries caloriesbartholins absesswhat is galactorrhoeaneck redness causeswhy does left side of stomach hurtirritation under breastreasons for soft stoolskin infections on feet picturesbrown specks in sputumsymptoms for staphnormal colored stoolwhat causes blue tonguegreenish flemlittle girl breast expansioncause of yellowish dischargestomach pain upper right side under ribsindex finger pain swellingpersistent mucustender enlarged breastsslow transit colonpain on left side of chest when breathing inlazy intestinesbottom lip twitching pregnancyreally smelly vaginaitchy painful rashscleroderma itchy skinrash under boobthick mucus discharge during late pregnancystomach gurgling then diarrheatiny bump on roof of mouthsmelly vaginal fluidvitiligo in the genital areastomach pain on the left side under ribsdiarrhea explosivestomach pain diaphragmringworm armpitupper left back pain under ribsyellow discharge during third trimesterdiscomfort under left rib cage after eatingdouche vaginasharp abdominal pain during bowel movementpictures athlete's footphlegm vomitpopped rib musclemarginal gingivitis treatmentmorning cough causeshyperpigmentation pregnancydischarge and fishy smellis it normal to pass blood clots on periodi cough up phlegm every morningpain in right side during bowel movemente coli uti pregnancyvagina discharge during pregnancyend of period smells badcough phlegm color meaningcauses of tracheitisstomach lining in stoolmucus with bowel movementstwitch in my upper lipanus skin infectionspainless oral ulcerswhat causes stomach to growl excessively