PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of genitmedLink to Publisher's site
 
Genitourin Med. 1993 October; 69(5): 400–403.
PMCID: PMC1195128

Clinical features and management of recurrent balanitis; association with atopy and genital washing.

Abstract

OBJECTIVE--To evaluate clinical features and diagnostic investigations in patients with recurrent or unresponsive balanitis in order to institute rational management. DESIGN--Forty-three patients presenting to a genitourinary medicine clinic with recurrent or persistent balanitis were studied. All patients were asked whether they had a history of atopic illness and about their practice of genital washing. All patients were investigated by taking a swab specimen from the preputial area for bacterial and viral culture and 30 underwent biopsy of the affected skin. Follow-up was between three and six months. SETTING--Outpatient genitourinary medicine clinic, St Mary's Hospital, London, UK. RESULTS--In 31 (72%) of the patients a diagnosis of irritant dermatitis was made. In comparison with the remaining patients, they had a greater lifetime incidence of atopic illness and more frequent daily genital washing with soap. For 28 (90%) of these patients, use of emollient creams and restriction of soap washing alone controlled symptoms satisfactorily. For the remaining 12 patients, a variety of diagnoses were made. Biopsy proved a well tolerated and diagnostic investigation, but the isolation of microbial pathogens from preputial swabs was irrelevant to management. CONCLUSION--A history of atopic illness and of the practice of penile washing are important aspects in the evaluation of patients with recurrent balanitis. Biopsy is an important investigation in the condition when it does not seem to be caused by irritant dermatitis.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (727K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Vohra S, Badlani G. Balanitis and balanoposthitis. Urol Clin North Am. 1992 Feb;19(1):143–147. [PubMed]
  • Hillman RJ, Walker MM, Harris JR, Taylor-Robinson D. Penile dermatoses: a clinical and histopathological study. Genitourin Med. 1992 Jun;68(3):166–169. [PMC free article] [PubMed]
  • Arumainayagam JT, Sumathipala AH. Value of performing biopsies in genitourinary clinics. Genitourin Med. 1990 Oct;66(5):407–407. [PMC free article] [PubMed]
  • McFadden ER, Jr, Gilbert IA. Asthma. N Engl J Med. 1992 Dec 31;327(27):1928–1937. [PubMed]
  • Fisher AA. Reactions of the mucous membrane to contactants. Clin Dermatol. 1987 Apr-Jun;5(2):123–136. [PubMed]
  • Sonnex C. Sexual hypersensitivity. Br J Hosp Med. 1988 Jan;39(1):40–48. [PubMed]
  • Abdullah AN, Drake SM, Wade AA, Walzman M. Balanitis (balanoposthitis) in patients attending a department of genitourinary medicine. Int J STD AIDS. 1992 Mar-Apr;3(2):128–129. [PubMed]
  • Kyriazi NC, Costenbader CL. Group A beta-hemolytic streptococcal balanitis: it may be more common than you think. Pediatrics. 1991 Jul;88(1):154–156. [PubMed]
  • Fakjian N, Hunter S, Cole GW, Miller J. An argument for circumcision. Prevention of balanitis in the adult. Arch Dermatol. 1990 Aug;126(8):1046–1047. [PubMed]

Articles from Genitourinary Medicine are provided here courtesy of BMJ Group