Balanitis diabetica N48.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

balanoposthitis diabetica

Definition
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Chronic balanitis in diabetics, often resistant to therapy.

Etiopathogenesis
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Multifactorial causes: maceration due to sugary urine (fermentation process), infection by yeasts or bacteria, poor hygiene.

Clinical features
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Diffuse redness and swelling of the glans penis and the orifice urethrae, later velvety surface and dark red color of the glans. Secretion of a foul smelling secretion ( candidiasis, bacterial balanitis).

Diagnosis
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Daily blood sugar profile, urine status, examination for fungi and bacteria.

Therapy
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Optimal adjustment of diabetes mellitus. Otherwise balanitis candidamycetica, bacterial balanitis (depending on pathogen detection).

Circumcision is recommended for chronicity and therapy resistance of penile inflammation (Morris BJ et al. 2017).

Literature
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  1. Morris BJ et al (2017) Penile Inflammatory Skin Disorders and the Preventive Role of Circumcision. Int J Prev Med 8:32.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020