Balanitis simplex N48.11

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

balanoposthitis simplex; recurrent balanitis; vulgar balanitis

Definition
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Frequent, acute or chronic inflammation of glans penis and inner foreskin sheet.

Etiopathogenesis
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Usually no single cause can be identified; interaction of numerous factors: mechanical trauma, smegma congestion due to poor hygiene or phimosis, shift in the germinal flora with overgrowth of facultative pathogens, contact allergy, urethritis, bacterial balanitis.

Manifestation
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In men between 40 and 70 years of age.

Clinical features
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Reddening of the sulcus coronarius and oedematous swelling of the glans with serous or serous-purulent exudation. The foreskin is difficult to reposition. Itching, burning.

Diagnosis
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Swabs of the preputial space and urethra, examination for bacteria and fungi.

Differential diagnosis
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Erythroplasia, balanoposthitis chronica plasmazellularis; balanitis candidamycetica,

Therapy
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Elimination of predisposing factors (e.g. phimosis). After each urination cleaning of glans and foreskin with water or olive oil, additional astringent sitting baths with synthetic tanning agents (e.g. Tannolact), followed by dry swabs, insertion of a gauze strip into the preputial space or insertion of an ointment gauze with antiseptic additives (e.g. Braunovidon, Betaisodona). Good results also by treatment with a soft zinc paste.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020