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Balanitis, Phimosis, and Paraphimosis

John M. Doan, DO and Sarah Dolbear, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Balanitis:

    • An inflammation of the glans penis

    • Posthitis is an inflammation of the foreskin.

    • Balanitis xerotica obliterans (BXO) is lichen sclerosus of the glans penis (uncommon).

  • Phimo...

DIAGNOSIS

HISTORY

  • Balanitis:

    • Pain

    • Drainage

    • Dysuria

    • Odor

    • Ballooning of foreskin with voiding

    • Redness

  • Phimosis:

    • Painful erections

    • Recurrent balanitis

    • Foreskin balloons when voiding

    • Inability to retract foreskin...

TREATMENT

GENERAL MEASURES

  • Consider circumcision for recurrent balanitis and paraphimosis.

  • Warm compresses or sitz baths

  • Local hygiene

MEDICATION

  • Balanitis:

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Balanitis: 
  • Every 1 to 2 weeks until etiology has been established

  • Persistent balanitis may require biopsy to rule out malignancy or BXO.

  • Evaluatio...

REFERENCES

1 Oster J. Further fate of the foreskin. Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys. Arch Dis Child.  1968;43(228):200–203.  [View Abstract]
2 Zav...

ADDITIONAL READING

  • Hollowood AD, Sibley GN. Non-painful paraphimosis causing partial amputation. Br J Urol.  1997;80(6):958.  [View Abstract]

  • Kiss A, Csontai A, Pirót L, et al. The response of ba...

SEE ALSO

Reactive Arthritis (Reiter Syndrome) 

CODES

ICD10

  • N48.1 Balanitis

  • N47.1 Phimosis

  • N48.0 Leukoplakia of penis

  • N47.2 Paraphimosis

  • N47.7 Other inflammatory diseases of prepuce

ICD9

  • 607.1 Balanoposthitis

  • 605 Redundant prepuce and phimosis

  • 607.81 Balani...

CLINICAL PEARLS

  • Balanitis is an inflammation of the glans penis. Posthitis is an inflammation of the foreskin. BXO is lichen sclerosus of the glans penis.

  • With recurrent infections and a plaque, a biop...

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