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Balanitis, Postitis, Balanopostitis

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balanoposthitis Balanite Postite
Description of the disease An infectious / inflammatory condition affecting both the glans surface and the internal prepuce Phlogosis of the terminal part of the penis (glande or balano), which is particularly reddened, painful, itchy and swollen Phlogosis of the foreskin (the retractile muco-cutaneous leaflet that covers the penis glans) often caused by bacterial infections
Etymology of the term Balano = glans

Post office = foreskin

-ite = inflammation

Balano (from the Greek balanus, acorn) = glans

-ite = inflammation

root post - (poste, from the Greek pósthē) = foreskin

-ite = inflammation

Incidence index Men (can also transmit balanopostitis to women), especially affects uncircumcised men Incidence index 5 times higher in uncircumcised subjects than in circumcised ones. Very common disease among infants and non-circumcised diabetic adults. Men, especially diabetics (uncircumcised subjects)
Symptomatic picture Erythema, pruritus, edema, irritation, pain, maceration, phimosis,

microvescicamento, dysuria, bladder-pustular lesions that tend to burst, superficial ulcers, inguinal adenopathy,

scales erosions

In some circumcised diabetic patients, balanitis is asymptomatic.

Common symptoms:

inflammation of the glans

erythema, itching and / or burning, urination disorders, bleeding, edema, ulcerative lesions,

whitish secretions that emit bad smell, swollen inguinal lymph glands

Particularly dry and purulent foreskin skin, swelling and redness, exudate formation, bloody wounds, microlesions and sores, whitish spots, loss of elasticity of the foreskin skin, phimosis, pain during intercourse.

(all the symptoms listed above refer to the foreskin, not to the glans)

etiopathogenesis Candida albicans, Chlamydia urethritis ( Chlamydia trachomatis ), trichomoniasis, Herpes simplex, gonorrhea, syphilis, scabies, diabetes, erythroplasia of Queyrat, psoriasis, Lichen planus, seborrheic dermatitis, iatrogenic erythemas Bacterial, parasitic, mycotic or viral infections, immunological deficits, contact dermatitis, Lichen planus, drug allergies, gonorrhea, intertrigo, syphilis Infectious etiological factors (eg. Chlamydia, trichomoniasis , Herpes simplex ), toxic (eg intolerance to particular medicinal products), traumatological, autoimmune, metabolic, allergic (eg contact dermatitis), diabetes mellitus, urethritis and gonorrhea, ammonia dermatitis
Classification Allergic balanopostitis

Irritating balanopostitis

Mycotic balanopostitis

Balanopost. immunological

Infectious balanopostitis

Protozoan Balanoposthitis

Mixed balanopostitis

Iatrogenic balanopostitis

Psudoepiteliomatous balanitis of Lortat - Jacob and Civatte

Xerotic balanitis obliterans

Zoon plasma cell balanitis

Circulated Balanitis

Allergic balanitis

Immunological balanitis

Moniliasic Balanitis

Also in this case, the post is classified according to the trigger
Therapy Choice according to the infectious, inflammatory, irritant or allergic agent that caused balanoposthitis:
  • circumcision
  • specific antimicrobials
  • cortisone creams
  • bacteriological and mycological investigation
  • Administration of specific antibacterial, anti-inflammatory and anti-microbial medicinal products
  • Topical application of cortisone
  • Circumcision
Also in this case, the choice of the most appropriate drug should be made based on the cause
  • targeted andrological visit
  • meticulous bacteriological and mycological investigation in order to isolate the responsible bacteria
  • specific antimicrobials
  • cortisone creams
  • circumcision
Prophylaxis (identical for balanoposthitis, balanitis and postitis)
  • proper intimate hygiene
  • be careful to gently dry the foreskin
  • use of non-aggressive detergents
  • proper intimate hygiene
  • be careful to gently dry the foreskin
  • use of non-aggressive detergents
  • proper intimate hygiene
  • be careful to gently dry the foreskin
  • use of non-aggressive detergents