Balanitis and Balanoposthitis - Review article

International Journal of Research in Health Sciences,2014,2,1,375-392.
Published:January 2014
Type:Review Article
Author(s) affiliations:

S. Arunkumar1, S. Murugan2, B. Sowdhamani3, R. Sureshkumar4

1-Professor and HOD, 2-Assistant Professor, 3,4–Junior Residents, Department of STD, Chengalpattu Medical College, Chengalpattu, Tamil Nadu, INDIA.


Balanitis is defined as inflammation of the glans penis, which often involves the prepuce (Balanoposthitis). In the present scenario, where there is a decline in the tropical Sexually Transmitted Diseases ( STD’s), balanoposthitis is the common condition in uncircumcised male patients attending the STD clinic. Candidal balanoposthitis is a known feature of diabetes mellitus especially in Indian males who are predominantly uncircumcised as the crude prevalence rate of type II diabetes mellitus in India is 9%. In our hospital, 31% of the newly diagnosed diabetic patients were presented only with balanoposthitis. The common etiology for balanoposthitis is candida albicans, but it may be due to a variety of infective and non infective causes. The management of balanoposthitis is given in a simple and step by step approach for specific and non specific causes.

Management of balanitis/ balanoposthitis (European Guidelines) (Algorithm I ) Prepuce retractable Prepuce not retractable Ulceration + Erythema / SPD+, No Ulcer Prepuce scarred