Balanitis is swelling (inflammation) of the foreskin and head of the penis.
Balanitis is usually caused by poor hygiene in uncircumcised men. Other possible causes include:
Your health care provider may be able to diagnose your balanitis by examination alone. However, you may need skin tests for viruses, fungi, or bacteria. Sometimes, a skin biopsy is needed.
Treatment depends on the cause of the balanitis. For example, balanitis that is caused by bacteria may be treated with antibiotic pills or creams. Balanitis that occurs with skin diseases may respond to steroid creams.
In severe cases, circumcision may be the best option. If you cannot pull back (retract) the foreskin to clean it, you may need to be circumcised.
Most cases of balanitis can be controlled with medicated creams and good hygiene. Surgery is not usually needed.
Long-term inflammation or infection can:
Tell your health care provider if you have any signs of balanitis, including swelling of the foreskin or pain.
Good hygiene can prevent most cases of balanitis. When you bathe, pull back (retract) the foreskin to clean and dry the area under it.
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Ferry FF. Diseases and disorders. In: Ferri FF, ed. Ferri's Clinical Advisor 2012. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2011:section 1.
Jordan GH, Schlossberg SM. Surgery of the penis and urethra. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed.Philadelphia, Pa: Saunders Elsevier; 2007:chap 33.