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Balanitis, Phimosis, and Paraphimosis

Nathan J. Macedo, MD, MPH Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Balanitis:

    • Balanitis is an inflammation of the glans penis.

    • Posthitis is an inflammation of the foreskin or prepuce.

    • Balanoposthitis is inflammation of both the glans penis and the fore...

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 at ...

TREATMENT

GENERAL MEASURES

  • Consider circumcision for recurrent balanitis and paraphimosis.

  • Warm compresses or sitz baths

  • Local hygiene

MEDICATION

  • Balanitis:

    • Allergic/irritant:

      • Hyd...

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– 20...

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

SNOMED

  • 44882003 Balanitis (disorder)

  • 449826002 Phimosis (disorder)

  • 19803300...

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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