Nonspecific balanitis in Adult
Balanitis is common, affecting 11% of men presenting to urology clinics. Uncircumcised men with poor personal hygiene are most often affected.
Common infectious triggers include Candida, Gardnerella vaginalis, Trichomonas vaginalis, Neisseria gonorrhoeae, and Streptococcus. Smegma retention, trauma from intercourse, spermicides, and deodorants are other triggers. In older males, diabetes mellitus may be a factor. Other common causes are fixed drug eruption, malignancy, and allergic contact dermatitis (eg, sensitization to an allergen within a condom). Complications include phimosis, fissuring, meatal stenosis, and involvement of the urethra requiring surgery.
N48.1 – Balanitis
44882003 – Balanitis
Differential Diagnosis & Pitfalls
- If pustules are present, consider candidiasis, scabies, or psoriasis.
- Squamous cell carcinoma
- Extramammary Paget disease
- Drug eruption (including fixed drug eruption, which may be erosive)
- Zoon plasma cell balanitis
- Circinate balanitis (Reiter syndrome)
- Contact dermatitis (eg, exposure to skin cleansers, topical medications, condoms)
- Lichen sclerosus
- Lichen planus
- Pemphigus vulgaris
- Genital herpes simplex virus (HSV)
Drug Reaction Data