Balanitis
What is it?
Redness, irritation and soreness of the head of the penis (the glans) is called balanitis. Some men also complain of a discharge under the foreskin which covers the penis. The foreskin may also be inflamed (called posthitis).
Is it common?
It is extremely common and is generally not serious though it can cause a great deal of concern to men and their partners.
Where does it come from?
There are a number of possible causes;
- Poor hygiene. The foreskin should be withdrawn and then the area can be gently washed. This should be done daily to stop matter building up which can cause inflammation.
- Over keen hygiene. Washing too hard under the foreskin or too frequently causes irritation.
- Dermatitis is when the sensitive skin of the glans and foreskin
becomes inflamed by the use of chemicals/products such as:
- perfumed soaps and cosmetics
- washing powders (biological) and fabric softeners
- chemicals on hands transferred to penis when touching it
- condoms or their spermicidal lubricant
- sweat/urine collecting under the foreskin
- Infection. Thrush (candida) is the most common cause here. This is a yeast germ that women often have though it is not easily passed on from women to men. The yeast germ however can collect under the foreskin. Other germs may also cause a balanitis.
- Reaction to infection. An infection in a partner (male or female) may cause a balanitis in a man.
Can it be treated successfully?
Yes if we can identify what is causing the problem.
- Check for infection by taking swabs and examine the skin. Treatment (such as hydrocortisone) may be given if needed. Partners may also be advised to attend if the balanitis is thought to be due to sexual activity.
- Care should be taken with hygiene. Hands should be washed before and after urinating.
- Avoid scented soaps and cosmetics
- Avoid biological powders/softeners for washing underwear.
- Use condoms without spermicidal lubricants. Non-oxynol-9 is usually the major culprit. Sensitol is better. Check with your local clinic sexual sexual health adviser on the more suitable brands available.
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More info
Medical Guidelines for Professionals: www.agum.org.uk