European guideline for the management of balanoposthitis

Edwards, Sarah

doi:10.1258/0956462011923976

Cited by 32 publications

(44 citation statements)

References 12 publications

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“…Clotrimazole, miconazole, 7,16 and econazole 16 are the topical antifungal agents usually recommended, but, in our study, other azole agents, such as sertaconazole, were used, with a favorable outcome. Oral treatment with fluconazole (150 mg as a single dose) is recommended when symptoms are severe, 7 in recalcitrant cases, or with concomitant diabetes 16 . In our setting, some patients were treated with itraconazole (200 mg twice daily for 1 day), similar to the recommended regimen for vaginal candidosis.…”

Section: Discussionmentioning

confidence: 71%

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Infectious balanoposthitis: management, clinical and laboratory features

et al. 2009

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Background Balanitis is defined as inflammation of the glans penis, often involving the prepuce (balanoposthitis). It is a common condition due to a wide variety of causes with infection being the most frequent and several microorganisms reported. The clinical aspect is often non specific. The management of balanoposthitis remains a clinical challenge.Objective To evaluate the prevalence of infectious balanitis, its management, clinical features, laboratory procedures and treatment options. Subjects and methodsOne hundred eighteen patients with infectious balanitis were evaluated between 1995 and 2004 and laboratory data were collected.Results Balanitis was diagnosed in 219 (10.7%) of the men that have attended the sexually transmitted disease (STD) Clinic. One hundred eighteen (53.9%) had clinically been assumed to suffer from infectious balanitis. In 75 (63.6%) patients the diagnosis was confirmed by culture studies. Candida albicans was isolated from 24 patients. Staphylococcus spp. and groups B and D Streptococci were the most frequently isolated bacteria. All men were uncircumcised. Ninetyone (77.1%) of infectious balanitis patients were treated with antifungal agents. Twelve patients with infectious noncandida balanitis were treated with general antibiotic therapy. Fifty-five (46.6%) patients had a follow-up of 3 to 12 months during which recurrences were registered in 7 (12.7%) patients. ConclusionsInfectious balanitis was a common condition, affecting 53.9 % of male STD clinic patients in this study. Candida spp. were the most frequently isolated microorganisms. The clinical aspect is of little value in predicting the infectious agent associated with balanoposthitis.

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Section: Discussionmentioning

confidence: 71%

“…The guidelines for the treatment of candida balanitis have not yet been standardized 7,16 . Treatment options usually involve topical or oral azole agents.…”

Section: Discussionmentioning

confidence: 99%

Infectious balanoposthitis: management, clinical and laboratory features

et al. 2009

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“…SBF has to be considered in the differential diagnosis of balanitis and balanoposthitis, especially in times of resurgence of syphilis. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Especially multiple, painful and superficial erosions resembling more herpetic than syphilitic infections should raise suspicion. 18 To confirm the diagnosis, it is important to rule out other pathogens, by culture or/and by PCR, in particular, Candida albicans, streptococci, anaerobes and HSV.…”

Section: Discussionmentioning

confidence: 99%

The clinical spectrum of syphilitic balanitis of Follmann: report of five cases and a review of the literature

Mainetti

Scolari²,

Lautenschläger

2016

Acad Dermatol Venereol

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“…There are some evidences about a transitory efficacy of topical steroids, calcineurin inhibitors, mupirocin and imiquimod; ablative Erbium-YAG laser and circumcision have shown a permanent regression of the lesions. 11,12 The improvement after circumcision suggests a pathogenic role of poor genital hygiene and repeated local infections. 11 The aim of this case-control study was to examine the correlation between possible aetiological factors (smoking habits, incorrect personal hygiene and sexual behaviours) and the risk of being affected by ZB.…”

Section: Introductionmentioning

confidence: 99%

A case–control study of risk factors associated with Zoon balanitis in men

Piaserico

Orlando

Linder

et al. 2019

Acad Dermatol Venereol

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Background Zoon balanitis (ZB) is a chronic inflammatory benign mucositis. Its etiopathogenesis still remains hypothetical and speculative. Objectives To determine risk factors associated with genital ZB in men. Methods This is a case–control study including 30 patients diagnosed with ZB and 54 patients with dermatological diseases other than ZB enrolled in the Dermatological Clinic of the University of Padova, Italy, from September 2015 to June 2018. Univariate and multivariate logistic regression analyses were used for analysis of data collected. Results According to multivariate logistic regression analysis, risk factors for ZB were as follows: the mean daily cigarettes consumption (OR 1.065; 95% CI 1.8‐11.4; P = 0.006) and the number of weekly foreskin retractions (OR 0.847; 95% CI 5.5–24.1; P = 0.003). There were no statistically significant differences between cases and controls according to age, presence of circumcision as well in number of sexual partners. Conclusions To our knowledge, this is the first case–control study showing that smoking and poor genital hygiene are associated with being affected by ZB.

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European guideline for the management of balanoposthitis

Cited by 32 publications

References 12 publications

Infectious balanoposthitis: management, clinical and laboratory features

Infectious balanoposthitis: management, clinical and laboratory features

The clinical spectrum of syphilitic balanitis of Follmann: report of five cases and a review of the literature

A case–control study of risk factors associated with Zoon balanitis in men

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