There are two groups who are particularly vulnerable: You’re also more likely to get the infection if you're overweight or have a condition that makes your body retain water, such as heart, liver, or kidney disease. Diagnostic testing Culture is the usual definitive means of establishing the cause of balanitis; the cut-off being >10 colonies (OR = 9. Uptodate, you probably already know the telltale symptoms of a vaginal yeast infection, which include intense itching, inflammation, and a thick, white discharge (and if you need a refresher, here's a rundown of yeast infection symptoms). Got a yeast infection? try these easy home remedies. )You may also have pain or discomfort when passing urine.

Candida can cause vaginal thrush in women; therefore balanitis in men is sometimes called thrush.

To our knowledge, the presence and simultaneous presence of bacteria, Candida and Malassezia in patients with balanoposthitis have not been described. Infection of the skin (such as the armpits and groin) is called cutaneous candidiasis. One somewhat distinguishing histologic feature is that the older lesions of keratoderma blenorrhagica may have a considerably thickened stratum corneum, corresponding to the markedly hyperkeratotic papules seen grossly. Latex condoms, spermicides, lubricants used when having sex and the lubricant in condoms can all irritate the glans. The condition most commonly occurs in men who have a foreskin (have not been circumcised). Not every man who comes in contact with vaginal thrush will be affected by thrush himself; as thrush is not a sexually transmitted infection. However, treatment depends on cause, so smears can be taken from the discharge to identify common sexually transmitted diseases. Treatment of vulvovaginal candidiasis in patients with diabetes, rarely, people with diabetes erupt in blisters. Brown thrush posing for pictures, "\/ee\/contributor\/206040342\/phanasitti? Lesions that are initially similar to the small erythematous papules and pustules of the genital region may develop on the palms and, particularly, the soles of the patient.

  • The frequency of Malassezia was similar in the balanoposthitis and control groups.
  • Balanitis often can be avoided with good personal hygiene and controlling other medical disorders that can increase the risk of inflammation.
  • Balanitis is often associated with sexually transmitted diseases and as such can be prevented by using a condom during sexual intercourse and avoiding multiple sexual partners.
  • 9 ICD-10-CM Diagnosis Code B37.
  • And men older than 60 years were more likely to have Candida colonization.
  • Further fluid analysis by polymerase chain reaction (PCR) to rule out co-infection with Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT) and Herpes simplex virus (HSV) was negative.
  • You can use a moisturising cream or ointment (an emollient) to clean instead of soap.


Our findings and the results of other investigators suggest that patients with balanoposthitis are vulnerable to colonization with microbes in the area of the prepuce and glans penis. If a sexually transmitted disease is the cause of your symptoms, your provider will treat the infection with antibiotics. Vagina hygiene myths you should stop believing, they may examine the area and run tests for medical issues or sexually transmitted infections. After peeing, dry underneath the foreskin gently.

Erythematous, scaly plaques indistinguishable from psoriasis may appear elsewhere on the skin, including the scalp, elbows, and knees. 8) Group C streptococci 0 0 0 0 Genital skin flora* 2 (7. If you are an adult with a recurring problem and have a condition where the foreskin does not pull back (retract) over the glans (a phimosis), an option is to be circumcised to remove the foreskin. 7) 6 (23) 17 (65) 25 (96) Total 2 (7. Specifically, the colonies on Lemming-Notman agar were counted and the isolates then purified on Sabouraud dextrose agar in 32ºC and modified Dixon agar in 38ºC. Seborrhoeic dermatitis and Pityrosporum ovale: If you do not wash under your foreskin, old skin, urine, sweat and other debris can collect there.

Professional organizations and societies(for example, Royal Colleges). However, he was non-compliant with medications prescribed by his treating physician. β-haemolytic group C streptococci were found in 3 patients (3. )In the subgroup with Malassezia species 44% of patients reported seborrhoeic dermatitis and had clinical signs in 16% of cases.

Topical Imidazoles

7% and Malassezia in 23% of patients. However, there is no documented medical evidence that circumcision is more effective than proper penile care - which includes leaving a boy's foreskin alone, and avoidance of irritants, such as excessive washing, especially with soap. Frequently the most useful treatment is a combination of the following: We were unable to test the remaining three partners because they were out of the country. There was a tendency towards a higher incidence of seborrhoeic dermatitis in those patients who had balanoposthitis and Malassezia, but the difference was not statistically significant. Treating balanitis Most cases of balanitis are easily treated with good hygiene and creams and ointments recommended by your GP. Sometimes a dermatologic cause (e. Is yeast overgrowth destroying your health? Essential for bread, terrible for your body. )

Other Animals

If glucose is present in urine, some of it may remain on the foreskin. Read more about preventing balanitis. In the following, the different microbes will be presented separately.

We report here the frequency and distribution of microbes, including Malassezia species, in a group of patients with balanoposthitis. Another study, by Retamar and colleagues, found that 40 percent of those treated with CO laser relapsed. Bacterial cultures were sent to the hospital department of bacteriology according to standard procedure. Candida cleanse instructions, still motivated, but I had a horrible headache starting (what happens when you cut out sugar & caffeine cold turkey!). If the foreskin is also inflamed, the correct term is balanoposthitis, although balanitis is commonly used to refer to both. If your doctor is not sure about the cause, or the balanitis does not clear with treatment, one or more of the following tests may be suggested: Consultation with a wide range of stakeholders provides quality assurance of the topic in terms of:

The most important risk factor is diabetes mellitus. A majority of patients in the control group came for routine STI check-up or genital warts. 2020 Dec;22(4): A referral for biopsy may be required. What causes balanitis? Courtesy of Wilford Hall Medical Center Slide collection. Chemical or physical irritation of glans.

Treatment to reduce levels of Malassezia has been shown to yield a parallel reduction of symptoms in seborrhoeic dermatitis (23).

Latest News

Balanitis is defined as inflammation of the glans penis, which often involves the prepuce (Balanoposthitis). Infections, whether viral, bacterial or fungal, can cause balanitis to develop. Bhargava RK, Thin RNT.

What are the complications of balanitis? For additional information, see Medscape's Urology Resource Center. Br J Vener Dis 1982; 58: Previously, conflicting data on the frequency of Malassezia in other dermatological disorders, such as seborrhoeic dermatitis and atopic dermatitis, have been presented. The doctor will often prescribe: About one in 25 boys and about one in 30 uncircumcised men are affected with balanitis at some time in their lives. Diabetes mellitus.

Evidence-based Guidelines

This can include trichomonas, candidiasis, herpes simplex and syphilis. It's worth getting these symptoms checked out. Herein, we present a candida balanitis with atypical features that clinically mimicked herpes genitalis. (pdf) vaginal yeast infections during pregnancy, vaginal yeast infection should not be mistaken for the typical discharges down there. Yeast infections in men are common because the fungus that causes yeast infections (candida) is usually present on the body and skin.


After going to the toilet, drops of urine which contain sugar may remain behind the foreskin and allow germs to multiply easily. Yes, men can get yeast infections, too, which can lead to a condition known as balanitis — inflammation of the head of the penis. It may warrant specialty referral to a dermatologist for a biopsy or urologist. Men get yeast infections, too! These include vaginal inflammation, burning or itching; a fresh, bread-like smell or other unpleasant odor; and a thick, white, cottage-cheese-like discharge. It can range from a small patch of redness confined to part of the skin surface of the glans, to the whole glans becoming red, swollen and painful. In the genital area, suprainfection with Candida may occur, and concurrent therapy with a topical or systemic anticandidal medication may be necessary on occasion. The importance of Malassezia in atopic dermatitis has been investigated (for review see 9, 10) and a link between psoriasis and Malassezia has been suggested (for review see 11).

Interference with urinary flow in severe cases. Over-washing or scrubbing may also irritate the delicate skin of the glans. Wash with warm water; do not use soap as this may irritate the area. 42 is applicable to male patients. Although yeast infections are not usually considered sexually transmitted diseases (STDs), a male can acquire Candida balanitis through sexual intercourse with an infected female. One in 10 men who attend a sexual health or genito-urinary (GUM) clinic have balanitis.

A few days later, the condition worsened significantly to the extent that the patient could not sleep, and the lesions were far more discrete than before. A similar result was reached by Abdennader et al. Inflammation is visible. Deterrence/prevention of balanitis includes the following measures: Treatments A single 150mg dose or oral fluconazole is generally adequate.


In cases of other skin diseases, your doctor may prescribe a steroid cream. Balanitis caused by group B β-hemolytic streptococci. Subpreputial carriage of aerobic micro-organisms and balanitis. Tests for STD's and specific bacteria and viruses can help distinguish balanitis from other diseases that may mimic balanitis like herpes and gonorrhea. Yeast infections is often thought of as a female health problem, but men aren’t safe from these infections, either. Gupta AK, Kohli Y, Summerbell R C, Faergeman J. In addition, Candida balanitis can be caused by STDs such as Syphilis and Gonorrhea. In our hospital, 31% of the newly diagnosed diabetic patients were presented only with balanoposthitis.

The aim of this investigation was to examine balanoposthitis from this point of view and compare our findings with that of a control group in order to determine the role of these microbes in the pathogenesis of balanoposthitis. Metronidazole vaginal: medlineplus drug information, research has not indicated that a single 150-mg dose of fluconazole can cause this effect, but taking it for longer periods or at a higher dosage carries this risk. Don't use soap, bubble bath, shampoo or any other potential irritant. If you and your partner both have symptoms of a yeast infection, it's important that you both be treated to avoid reinfecting each other. Balanitis is a skin irritation on the head of the penis that can affect men and boys. Same infection of the penis – which is inflammation of the head of the penis – is also called candidal (or candida) balanitis, or balanitis thrush. This is most common in men with weakened immune systems or who wait to receive treatment until the infection has spread beyond the penis.

We suggest that the primary therapeutic target in mild to moderate cases of balanoposthitis should be to decrease inflammation with a mild corticosteroid cream. Accuracy of implementation of national guidance (in particular NICE guidelines). Bergbrant IM, Faergemann J. Is it painful? Several bacteria (Staphylococcus spp. )Thrush is curable. The best probiotics for boosting your vaginal health, they are done so that researchers can study a particular treatment that may not have a lot of data on its safety or effectiveness yet. Blood and metabolic panels were within normal limits.

6,8,9,13 Identification of the cause is essential for successful treatment.

Patient Engagement

An odorous discharge can accompany these symptoms. Pustules were noted in only 5 of our patients, 2 of whom presented with C. Skin irritation is the most common cause of balanitis in boys. The pruritus subsided and the eruptions were greatly diminished. 6,8,13 Biopsy may be necessary for proper diagnosis. This may occur if you have not washed for a couple of days, or sometimes after sexual activity (vaginal, oral or anal with or without a condom).

Men should never use perfumed shower gels or soaps on their genitals. Symptoms include erythema of the glans penis (balanitis) and prepuce (balanoposthitis), often accompanied by papules, pustules, scaling, white membranes, transudation or fissures. ICD-10-CM Codes Adjacent To B37. The initial management of balanitis should involve careful evaluation for the presence of an immunocompromising medical condition such as diabetes or an HIV infection. How can you cure balanitis?

If a dermatological cause is suspected then treat the underlying cause with advice from dermatology/GUM/urology. In rare and severe cases, such as with phimosis or paraphimosis, circumcision may be recommended. At the time of presentation, the patient also had a groin rash (consistent with Tinea Cruris infection), but was not taking any prescription or OTC medications. Br J Dermatol 1998; 139: A similar mechanism can be proposed for S. What are the complications of a penile yeast infection? In total, moderate to heavy growth of C. Depending on potential causes of the balanitis, such as bacterial or fungal infection, your doctor may prescribe antibiotic pills or creams, or anti-fungal cream.

Skin and Rheumatic Diseases

If they do not declare whether or not they have competing interests, their comments will not be considered. In fungal cultures the only Candida species detected was C. You may find the Balanitis article more useful, or one of our other health articles. Zoon’s balanitis is a disease of older men who are uncircumcised. Is oral thrush contagious: dare i kiss? 37-39, 68-69, 71. Under normal circumstances, smegma aids in the lubricating movement of the foreskin; without it friction and irritation results.

Get Involved

Balanitis is also seen in individuals with Bowen's disease, psoriasis, leukoplakia and seborrheic dermatitis. Both may have superficial ulceration present as a result of inflammation. A dog with this condition behaves normally, with the exception of excessive licking at the prepuce, and a yellow green, pus-like discharge is usually present. Patients with balanoposthitis had positive cultures in 59% (59/100) of cases, whereas positive cultures were found in only 35% (9/26) of cases in the control group (p < 0. )For patients with S. Can men get yeast infections? Every effort has been taken to ensure that the information in this pamphlet is correct at the time of printing.

When the foreskin (prepuce) is affected, it is referred to as balanoposthitis. Symptoms of Cystitis : If untreated, balanitis can cause swollen and painful glands, as well as weakness and fatigue. Certain soaps and disinfectants that you may use to clean the penis. Uptodate, as a result, people may sometimes mistake one condition for another. Sometimes yeast infections return after they appear to be cured.

Int J STD AIDS 1992; 3: The approach to treatment of skin lesions is similar to that for psoriasis, particularly in cases in which the lesions are persistent. Non-retractile foreskin/phimosis.

Who Should Declare Competing Interests?

Barrisford GW. This is common in young boys. Surgical referral for consideration of circumcision if balanitis is recurrent or pathological phimosis is present. Lucks DA, Venezio FR, Lakin CM.

(05) (Table II). Damage around the urethra – chemical irritants such as perfumed soap. Fungal culture and polymerase chain reaction (PCR) study were revealed as Candida albicans. However, an infection of the glans is more likely to develop if you: Balanitis xerotica obliterans (BXO): The symptoms and signs of balanitis are variable.