Definition

Infection of the foreskin

Aetiology

Chronic balanitis associated with diabetes or balanitis xerotica obliterans

Risk factors

  • Poor hygiene or conversely, overwashing
  • Non-retraction of the foreskin

Clinical

  • Penile pain and DC
  • Impotence
  • Glans erythema and tenderness
  • Difficulty with urination and maintaining flow

Management

  • Gentle retraction, soaking and replacement of foreskin daily
  • Topical abx - bactrum
  • PO Cotrimoxazole

Natural Hx

  • Untreated, recurrent or chronic infection can lead to phimosis, meatal stenosis, retention and VUJ