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Thursday, November 25, 2010

A Family Doctor's Tale - BALANITIS

DOC I HAVE BALANITIS

Balanitis is an infection of the glans and prepuce of the penis.

It can occur because of:
1. Sexually transmitted bacterial diseases such as gonorrhea, chlamydia, candidiasis.

2. Viral diseases like genital herpes

3. Parasitic infection such as trichomoniasis

4..drug allergy and eruptions

5.Contact dermatitis, psoriasis, lichen planus, seborrheic dermatitis

6.collagen disease (Reiter's syndrome)

7.phimosis

Diagnosis is by:
1. Itchiness of the glans and prepuce with scratch marks


2. Pain and burning sensation on passing urine

3. Subpreputial(below prepuce) discharge 2-3 after intercourse in venereal disease

4. Oedema of prepuce

5. Ulceration of the glans

6. Blisters or rashes in genital herpes

7. enlarged inguinal lymph nodes

Physical examination.
Blood tests for venereal disease and glucose
 

Urine for sugar and leucocytes

Treatment is by:
1.Antibiotic


2.Personal and sexual hygiene

3.Treat underlying cause.

4. circumcision

Prognosis is good.

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