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Nonspecific balanitis - Anogenital in
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Nonspecific balanitis - Anogenital in

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Contributors: Noah Craft MD, PhD, Lindy P. Fox MD, Lowell A. Goldsmith MD, MPH
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Synopsis

Balanitis, or inflammation of the glans penis, can be triggered by a number of different infections and factors. The term "nonspecific balanitis" refers to those cases where an exact etiology for this penile inflammation cannot be found (a common occurrence). Patients may experience a burning sensation, itching, pain, or tenderness. Periurethral involvement may have associated pain with urination. Balanoposthitis refers to inflammation of both the glans and of the foreskin in uncircumcised males.

Balanitis is common, affecting 11% of men presenting to urology clinics. Uncircumcised men with poor personal hygiene are most often affected.

Common infectious triggers include Candida, Gardnerella vaginalis, Trichomonas vaginalis, Neisseria gonorrhoeae, and Streptococcus. Smegma retention, trauma from intercourse, spermicides, and deodorants are other triggers. In older males, diabetes mellitus may be a factor. Other common causes are fixed drug eruption, malignancy, and allergic contact dermatitis (eg, sensitization to an allergen within a condom). Complications include phimosis, fissuring, meatal stenosis, and involvement of the urethra requiring surgery.

Codes

ICD10CM:
N48.1 – Balanitis

SNOMEDCT:
44882003 – Balanitis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 10/04/2017
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Nonspecific balanitis - Anogenital in
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Nonspecific balanitis : Glans of penis, Skin erosion, Blanching patch
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