Understanding Balanitis: A Guide for Patients

Causes, Symptoms, Treatment & Prevention of Penile Inflammation

Dermatology

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Last updated: Mar 24, 2025

What is Balanitis?

Balanitis is inflammation of the glans (head) of the penis. When both the glans and foreskin are affected, it's called balanoposthitis.

Common Symptoms

  • Redness and swelling of the penis head
  • Itching or burning sensation
  • Discharge under the foreskin
  • Pain or discomfort
  • Difficulty retracting the foreskin
  • Unpleasant odor

Causes

Common causes include:

  • Poor hygiene
  • Fungal infections (e.g., Candida)
  • Bacterial infections
  • Skin conditions (psoriasis, eczema)
  • Allergic reactions to:
    • Soaps
    • Lubricants
    • Spermicides
    • Latex condoms

Risk Factors

  • Uncircumcised males
  • Diabetes
  • Obesity
  • Compromised immune system
  • Poor personal hygiene

Diagnosis

Your healthcare provider will:

  1. Perform a physical examination
  2. Take a medical history
  3. May collect swabs for testing
  4. Check blood sugar levels if diabetes is suspected

Treatment Options

Medical Treatment

  • Antifungal creams for fungal infections
  • Antibiotics for bacterial infections
  • Steroid creams for inflammation
  • Antihistamines for allergic reactions

Self-Care Measures

  • Gentle cleaning with warm water
  • Keeping the area dry
  • Avoiding irritants

Prevention

  • Maintain good hygiene
  • Dry thoroughly after washing
  • Use mild, unscented soaps
  • Control blood sugar if diabetic

When to Seek Medical Care

  • Symptoms persist beyond 1 week
  • Severe pain or swelling
  • Fever
  • Difficulty urinating
  • Recurring episodes

Complications

  • Scarring
  • Phimosis (tight foreskin)
  • Spread of infection
  • Sexual difficulties

Long-term Management

  • Regular cleaning routine
  • Prompt treatment of symptoms
  • Regular medical check-ups if recurring
  • Management of underlying conditions

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