Balanitis involving the foreskin or prepuce is termed balanoposthitis. The most common complication of balanitis is phimosis, or inability to retract the foreskin from the glans penis. Uncircumcised men with poor personal hygiene are most affected by balanitis. Lack of aeration and irritation because of smegma and discharge surrounding the glans penis causes inflammation and edema. No mortality is associated with balanitis.
Morbidity is associated with the complications of phimosis.
Retract the foreskin daily and soak in warm water to clean penis and foreskin. Apply topical clotrimazole for adult men with probable candidal balanitis. Obtain a culture of discharge in unusual cases, then treat the infection with appropriate antibiotics. If the glans penis is adherent to the foreskin, the procedure may be contraindicated. Dilate the foreskin opening.