Balanitis, bacterial N48.1

Common form of balanitis occurring at any age, mostly caused by gram-positive germs. Rarer special forms of bacterial balanitis are:

• balanitis erosiva circinata
• Gram-negative balanitis
• Balanitis gangraenosa
• Balanitis nigricans.

Mostly Staphylococcus aureus, more rarely streptococci, gram-negative pathogens (gram-negative balanitis), anaerobic mixed infections (balanitis erosiva circinata).

Constricted foreskin ( phimosis) with congestion of smegma and urine drops, mechanical irritation (sexual intercourse), lack of hygiene, steroid pretreatment, anterior urethritis.

Redness and swelling of the glans penis and inner preputial leaf. Serous exudation. Frequent extensive erosions. Severe burning, possibly itching.

Swab: cultural evidence of the germs, urine status.

S.u. Balanitis.

Baths with diluted (light pink) potassium permanganate solution or synthetic tanning agents (e.g. Tannolact, Tannosynt). In addition, application of 10% Polyvidon Iodine Ointment R204 or other preparations containing Polyvidon Iodine (e.g. Betaisodona Ointment). Alternatively apply a thick layer of gentamicin cream (e.g. Sulmycin). Insert a strip of gauze into the foreskin area. Alternatively, gauze with antiseptic additives such as polyvidon iodine (e.g. Braunovidon ointment gauze) can be inserted into the foreskin area. Change regularly, especially after each urination. Only in severe cases additional internal antibiotic therapy after antibiogram.