Balanoposthitis is an inflammation of the penile gland and foreskin (the membrane that covers the penile gland). Sometimes there is isolated inflammation only of the penile gland (balanitis) or only of the foreskin (fasting). But most often both of these structures are involved, and then we talk about balanoposthitis.

Causes of balanoposthitis

The most common cause of balanoposthitis is stasis of the contents of the preputial sac, the cavity formed by the skin around the penile gland. The contents of this bag are residual urine, smegma (a substance secreted by the glands of the inner leaf of the foreskin to lubricate the penile gland), and smegmalite (products of smegma degradation). Balanoposthitis occurs more easily in patients with diabetes (due to the high content of glucose in the urine) and in people suffering from gonorrhea or trichomoniasis infection.

Among other causes that facilitate the appearance of balanoposthitis are:

  • frequent masturbation
  • narrowing of the preputial orifice
  • frequent washing of the penile gland with soap (the glans should be washed with water without using soap to prevent dryness of the mucosa)
  • lack of sufficient moisture in the partner's vagina

Balanoposthitis is not always infectious in nature, but the infection is often associated with the disease. Among the most common germs that are involved in the process of balanoposthitis are:

  • staphylococci
  • streptococci
  • Proteus
  • E. Coli
  • Herpes viruses
  • Fungi (Candida)

Signs and symptoms

Among the earliest signs of balanoposthitis are:

  • Hyperemia and spongy appearance of the skin of the affected foreskin
  • Edema of the glans and foreskin
  • Serous or sero-purulent removals from the preputial sac
  • Increase in volume of the inguinal ganglia

The symptoms that appear in this stage of balanoposthitis are:

  • Itching in the genital area
  • Generalized malaise

With the progression of balanoposthitis, the following signs are associated:

  • Erosion and flaking of the skin in the affected area
  • The appearance of a characteristic whitish area around the affected areas
  • Ulcers of the penile gland and foreskin

In severe cases balanoposthitis is complicated by:

  • Healing and narrowing of the preputial orifice (phimosis and paraphimosis)
  • Inflammation of the urethra (urethritis)
  • Inflammation of the lymphatic vessels of the penis (lymphangitis)
  • Gangrene of the penis

Treatment of balanoposthitis

The treatment of balanoposthitis is conservative in the absence of phimosis and paraphimosis. Conservative treatment of balanoposthitis is systemic and local.

To treat balanoposthitis use:

  • Antibacterial drugs to fight the associated infection
  • Anti-inflammatory drugs

Your doctor may also recommend a series of local procedures to combat the manifestations of balanoposthitis:

  • Bathe 2-3 times a day with
  • Potassium permanganate
  • Rivanol
  • Dioxidin
  • Furacilin

The prophylactic measures that will prevent the occurrence of balanoposthitis are:

  • Respecting the hygiene of the genitals and the perineum area
  • Avoiding the accumulation of residual content in the preputial sac
  • Rinse the penile gland with water before and after sexual intercourse
  • Timely treatment of phimosis, diabetes and urethritis