Diagnosis of Balanoposthitis

balanoposthitis is realitively easy to diagnose with a medical history and examination. Further tests are not usually performed and the diagnosis of balanoposthitis is made clinically.

    medical_history

    The doctor should ask about symptoms and signs of balanoposthitis

  • Medical history
  • The doctor should ask about symptoms and signs of balanoposthitis. The doctor should also ask how regularly the area under the foreskin is cleaned and what soap is used to clean the area. The patient should also tell the doctor if he is spraying any deodorants or using any scented creams on the penis. The doctor should also enquire about the patient’s sexual history and condom use. Other conditions and treatments are important because they may predispose the patient to develop balanoposthitis.
     

    genital_exam

    The medical professional should perform a basic general medical exam and genital examination

  • Medical examination
  • The medical professional should perform a basic general medical exam which includes measuring blood pressure, pulse, glucose and temperature as well as an overall systemic examination. The genital examination is important. The glans of the penis and the foreskin should be examined to see if any type of rash or discharge is present. The rash may appear as raised red dots or bumps. It may also appear more white and scaley. The doctor should examine if phimosis is present. This is done by retracting the foreskin. If there is any difficulty retracting the foreskin or if it is impossible for the foreskin to be pulled over the penis, the patient has a phimosis which is probably the cause (or at least the predisposing factor) of his balanoposthitis. Most signs of balanoposthisis are visible so the diagnosis should be a relatively easy one.

  • Swab
  • A swab may be taken of the discharge to determine the organism responsible. The swab is either examined under a microscope or sent to a lab for microscopy, culture and sensitivity testing.

  • Skin Scraping
  • If no discharge is present and the cause of the balanoposthitis is unknown a skin scraping may be taken and sent to the lab to determine a cause.

    skin biopsy punches

    A skin biopsy is where a small piece of affected skin is removed with biopsy punches under local anaesthesia

  • Skin Biopsy
  • In cases of recurrent balanoposthitis or if the condition is not responding to treatment, a general practitioner may refer the patient to a dermatologist for a skin biopsy. A skin biopsy is where a small piece of affected skin is removed under local anaesthesia. The piece of skin is sent to the microbiology lab very special examination.
     
     
     
     
     

  • Urine Dipstick and Culture
  • The patient’s urine should be tested to determine if he has a concurrent bladder infection. The bladder infection usually responds to antibiotics used for balanoposthitis but not always.