By Apollo 24|7, Published on- 07 November 2022 & Updated on -
Symptoms: Irritation around penile glans, soreness and pain in the penis, tight and stretchy foreskin, itching on glans' skin, odd discharge, sores on penis head, thick white discharge or smegma, foul penile odour, difficulty in urination, fever, inflammation
Causes: Bacterial or fungal infections, improper hygiene including overwashing penis, sexually transmitted infections, skin conditions like dermatitis, chemical irritants
Risk Factors: Diabetes, phimosis, uprotected intercourse, age, obesity, sensitivity to chemicals, allergy to condoms and spermicides, injuries at the penis' tip, scabies
Severity: Mild to moderate
Which doctor to consult: Urologist and General Surgeon
Balanitis is a condition causing painful inflammation and redness of the penile head, usually occurring in an uncircumcised penis.
Balanitis is caused by infection from bacteria or fungus. It usually occurs in boys of age less than four, but it can also happen in adults. Due to the presence of excess foreskin around the penis, moisture, sweat and debris get trapped inside the skin, providing a breeding ground for bacteria and fungus to fester.
Depending on the cause of the occurrence, balanitis is divided into three types, ie. Zoon's Balanitis, Circinate Balanitis and Balanitis Pseudoepitheliomatous Keratotic and Micaceous. The condition exhibits symptoms like sores on the head of the penis, inflammation, itching and irritation during urination, unusual discharge and so on.
A general surgeon recommends the diagnosis of balanitis through physical testing, urinalysis, swab examination and blood assessment. Depending on the tests results, the experts suggest treatments which include antifungal creams, pain and itch relieving medications.
In some cases, doctors also recommend surgical circumcision of the foreskin if balanitis recurs frequently.
If left untreated for a long, balantis can result in chronic inflammation and itching, and increase the risk of developing penile cancer. Persistent inflammation can cause balanoposthitis. Additionally, complications such as balanitis xerotica obliterans or lichen sclerosis are also seen in a few patients. In this disease, white and hard patches form on the skin and interfere with the passing of semen and urine through the urethra.
The most efficient way to prevent the occurrence of the disease is by ensuring proper hygiene. Washing and drying the penis carefully with skin-friendly products can reduce the risk of balanitis. However, excessive washing can lead to trapped moisture in the uncircumcised skin's penis, which can lead to infection and aggravation of the condition.
On symptoms: The right time to consult a doctor is as soon as the symptoms start appearing. Any appearance of redness or swelling, itching, irritation during urination, unusual discharge with a foul odour and penile sores must be treated with immediate assistance.
Delay in seeking treatment might lead to debris building up around the skin of the penis, causing smegma. Additionally, chronic balanitis can result in obstruction in the urethra, causing pain with semen passage or urination. It can also inhibit penis erection or result in a painful erection.
Failure of treatment: After the initial diagnosis, doctors may recommend over-the-counter medicine to treat itchiness and inflammation. Generally, the patients respond to treatment within 3-5 days.
However, if the infection has spread beyond the surface, you must consult your doctor again. In the progressed stages, the patients face fever, inflammation and draining pus from the penile region, which requires urgent medical help.
Patients with phimosis: If you're suffering from phimosis, i.e. tighter foreskin, you must keep a check on the health of your penis with regular checkups. Individuals dealing with phimosis, are more likely to develop balanitis.
Physical examination: An urologist conducts a physical examination of the penis to analyse the root cause. In this assessment, the doctor checks for the inflammation and redness of the organ to see if there's any infection festering. As the symptoms are already visible, physical examination confirms the presence of balanitis in the patient.
Swab testing: To conclude the type of infection and offer the appropriate treatment, a urologist can recommend a swab testing of penile discharge. In this method, a sample from the urethral opening is checked for microorganism culture propagating inside the body.
It is also helpful in understanding if the inflammation is happening due to conditions other than balanitis, such as STIs. Moreover, the culture discharge acquired through swabs enables urologists to detect the kind of candida yeast causing the disease.
Urinalysis: Urinalysis is the method doctors use if the adult patient exhibits signs of high sugar. On the basis of the presence of glucose levels in the urine, a doctor starts the treatment for the underlying issue while helping with symptom alleviation.
Blood tests: For understanding the overall status of balanitis in the body, urologists might also recommend a blood test. In this analysis, the expert aims to check for infection occurrence through a serum glucose test.
Biopsy: In rare cases, urologists will ask for a biopsy on the inflamed part. In this method, a skin sample is taken from the affected region and sent to a lab for testing mites and cancerous growths. This method is useful for checking scabies when all other diagnosis techniques do not provide a conclusive result.
Medications: Typically, urologists recommend topical therapy with a range of ointments and creams to alleviate symptoms. Additionally, the prescription will also include antifungal or antibacterial lotion to relieve the impact of infection. The patient will have to use the cream on the infected area to see the results.
Additionally, the doctors also recommend medications, including antibiotics. Generally, these medicines help with the relief from STIs. But, in severe balanitis infection, antibiotics like amoxicillin also form a part of the treatment.
Surgery: For patients suffering from recurrent balanitis infections, urologists recommend circumcision (removal of foreskin) to reduce the risks of future infections. Generally, patients are advised to undergo surgery in the cases of BXO. Balanitis Xerotica Obliterans progresses into severe and more complicated forms affecting the urinary and sexual capacity of individuals. It can lead to urethral stenosis and phimosis, which obstruct the urethra and cause painful symptoms.
Lifestyle changes: Since the most common cause of balanitis is improper hygiene habits, doctors recommend ensuring proper cleanliness in the penile region. It can include regular washing with mild soap. However, patients are also cautioned not to overindulge in cleanliness which can cause further irritation to the sensitive penis.
That being said, for patients suffering from chemical-induced balanitis, it's important to consider the washing agent for hygiene.
Balanitis is also a form of a symptom of penile infection. Some sexually communicable infections can lead to balanitis. These include:
Generally, balanitis infection responds to the prescribed course of treatment within 3-5 days. In the meantime, the patients can take the assistance of home remedies to relieve symptoms, such as:
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Is balanitis sexually communicable?
No, balanitis in itself is not a sexually transmittable infection. However, STD microorganisms can get transferred from one person to another.
How does phimosis cause balanitis?
Balanitis can also occur because of the tighter foreskin causing an inability to retract it. Phimosis can occur in many male children, but it becomes a condition after symptoms like inflammation and redness are seen that further lead to balanitis.
Does candidiasis infection in a partner increase the chances of balanitis?
Balanitis, or male yeast infection, occurs due to the overgrowth of the candida fungus. Having unprotected sex with a person with candidiasis can transfer the fungus to the male partner. In the presence of a moist environment in the penile region of the male partner, balanitis can easily grow and cause painful symptoms.