Balanitis, balanoposthitis

Balanitis, balanoposthitis. Skin inflammation of the glans penis (balanitis) usually develops simultaneously with the inflammation of the inner leaf of the foreskin (fasted) and is called balanoposthitis. Etiology: irritation of the skin of the penis head and internal sheet foreskin accumulating in prepucialna bag with smegma or purulent discharge from the urethra during urethritis (see), the phimosis (see) as a result of inadequate toilet prepucialna bag. To the disease balanoposthitis predisposed patients with diabetes mellitus.
Form balanoposthitis. Simple balanoposthitis is the most common. Marked redness, maceration and swelling of the head and foreskin. Accompanied by itching, purulent discharge from prepucialna bag. Trichomonas balanitis and balanoposthitis called Trichomonas, often develop in combination with Trichomonas urethritis (see Trichomoniasis). Clinical picture: spotted redness head of the penis and the inner leaf of the foreskin (printing. Fig. 1), itchy, smelly frothy allocation white or yellow from prepucialna bag. Pustular - ulcer balanoposthitis characterized by the appearance on the head in the coronary grooves on the inner leaf foreskin multiple pustules with dark yellow content of the size of millet grain. The body temperature rises to 38 degrees and higher; General malaise, increased inguinal glands. Gangrenous balanoposthitis occurs as the previous form spontaneously, usually within 36 to 48 hours after sexual intercourse. On the skin of the head of the penis there are multiple different depths ulcers with gray-yellow tinge. Ulcers rounded, located on damaged base, their edges sharply defined, the bottom is uneven (printing. Fig. 2). The process could end gangrene and in perforation of the foreskin. This form of balanoposthitis is accompanied by inflammation of the inguinal lymph nodes. The swelling and infiltration of the foreskin may occur phimosis.
Treatment is aimed at eliminating the causes of the disease. In all forms of simple balanoposthitis apply: baths of warm solution (1 : 5000) potassium permanganate; then put a gauze pad dipped in vaseline oil , or 0.5-1% solution of nitrate of silver, after having washed by the same solution prepucialna bag; powders - kseroforma, bismuth. On remission of a process when phimosis the patient to perform surgery excision of the prepuce. When Trichomonas balanoposthitis treatment by flagellum (250 mg 2 times a day for 10 days). Local use 3% emulsion osarsola in glycerol or 1% solution of trichomonacidal. When pustular-and ulcerative pyoderma balanoposthitis specified therapy combined with the use of antibiotics, shown abundant irrigation 3% solution of hydrogen peroxide, diphenhydramine inside of 0.05 g 2 times a day. Treatment in a hospital.
Prevention: daily wash the head of the penis and the inner leaf of the foreskin, hygiene of sexual life.

Balanitis, balanopostit (balanitis, balanoposthitis; from the Greek. balanos - the head of the penis and posthe - foreskin) - skin inflammation of the glans penis (balanitis) and internal sheet foreskin (posthitis). Both lesions usually occur together, so this disease is correct to call the balanoposthitis.
There are balanoposthitis primary and secondary. In the etiology and pathogenesis of primary balanoposthitis leading role of local changes in prepucialna bag: accumulation of smegma, containing, in addition to the sticks of smegma, the remains of cells, cholesterol crystals and many bacteria; the accumulation of urine and delay small concrements in congenital phimosis. Secondary balanoposthitis may occur due to the spread of infection from the urethra in prepucialna bag for urethritis different etiology (gonorrhea, Trichomonas, and others), soft and hard chancre, tumors of the glans penis and the foreskin.
From common diseases development balanoposthitis may contribute to diabetes (diabetic balanoposthitis), diathesis (uric acid, develioglu, phosphate), allergic diseases (eczema, urticaria, and others).
In the clinical picture the following types of balanoposthitis: simple (or catarrhal), erosive krugovidnoe, gangrenous, pustular-ulcer. Depending on the etiology allocate balanoposthitis Trichomonas, yeast, allergic, gonorrhea, diabetic. The most common simple, gangrenous, pustular-ulcer, and Trichomonas balanoposthitis.

Balanitis and balanoposthitis

Inflammation of the glans penis - balanitis is usually develops simultaneously with the inflammation of the inner leaf of the foreskin (Postica) and is called balanoposthitis. The disease is the result of irritation of the skin head and internal sheet foreskin accumulating in prepucialna bag with smegma or discharge from the urethra during urethritis. Redness, maceration and swelling of the head and foreskin accompanied by itching, purulent discharge from prepucialna bag, sometimes the formation of superficial ulcers and erosions.
Balanoposthitis most often observed in the phimosis or as a result of inadequate toilet prepucialna bag.
To the disease balanites predisposed patients suffering from diabetes.
The balanoposthitis treatment is to wash the head and internal sheet foreskin warm water with soap, local baths of warm solution of potassium permanganate 1 :3000 followed a gauze pad, wetted with 0,5% solution of silver nitrate. If phimosis after remitting balanoposthitis producing operation circular excision of the prepuce.