Synonym(s)
Balanitis gangraenosa phagedaenica; balanitis ulcerosa; Balanoposthitis gangraenosa
DefinitionThis section has been translated automatically.
Severe ulcerous, very painful, mostly feverish bacterial balanitis accompanied by considerable disturbance of the general condition with disturbed immune system.
EtiopathogenesisThis section has been translated automatically.
Especially in case of immunodeficiency caused by gram-negative germs or anaerobes. Balanitis erosiva circinata.
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Clinical featuresThis section has been translated automatically.
First according to the above mentioned balanitides. From this development of deep ulcerations up to penile gangrene. Severe pain, impairment of the general condition, swelling of lymph nodes, fever.
DiagnosisThis section has been translated automatically.
Microscopic and cultural pathogen detection.
General therapyThis section has been translated automatically.
Bed rest, penis or testicles up (testicular bench).
External therapyThis section has been translated automatically.
- Baths with synthetic tanning agents (e.g. Tannolact), 10% polyvidon iodine ointment (Betaisodona, R204 ) or gentamicin cream(e.g. Sulmycin) should be applied in thick layers. 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.
- In case of necrosis, dry antiseptic external therapy with polyvidon-iodine solution (e.g. Betaisodona solution, Rp.: povidone-iodine solution 10% ) or aqueous quinolinol solution(e.g. quinosol 1:1000), until demarcation, then surgical necrectomy.
Internal therapyThis section has been translated automatically.
High-dose systemic antibiotic therapy after antibiogram. For unknown pathogens, broad-spectrum antibiotics such as cefotaxime (e.g. claforan) 2 times daily 2 g i.v. or gyrase inhibitors such as ciprofloxacin (e.g. Ciprobay) 250-500 mg/day p.o. or ofloxacin (e.g. Tavanic) 200-400 mg/day p.o.
Antipyretic therapy with paracetamol (e.g. Ben-u-ron) 3 times/day 500-1000 mg. Additional conservative antipyretic measures with moist calf compresses or ice packs in the groin.
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Incoming links (10)
Balanitis, bacterial; Balanitis erosiva circinata; Balanitis gangraenosa phagedaenica; Balanitis ulcerosa; Balanocele; Balanoposthitis gangraenosa; Povidone-iodine ointment 10%, hydrophilic, soft (nrf 11.17.); Povidone-iodine solution 10%.; Quinolinol sulphate monohydrate solution 0,1 % (nrf 11.127.); Vulvitis gangraenosa;Outgoing links (6)
Antibiotics; Balanitis; Balanitis erosiva circinata; Gentamicin; Povidone-iodine ointment 10%, hydrophilic, soft (nrf 11.17.); Povidone-iodine solution 10%.;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer