Dit plaatje symboliseert een omgevingsagens(Site not responding. Last check: 2007-10-14)
Balanoposthitis is a general term implying inflammatory involvement of the glans penis and prepuce.
This slide shows a relatively mild form of balanoposthitis, in which the patient complained only of the penile eruption, although there were typical psoriatic plaques on the torso and extensor surfaces of the extremities.
Balanoposthitis may be the result of accumulation of secretions, poor personal hygiene, erythroplasia of Queyrat, and may even be the presenting sign of leukemia.
eMedicine - Balanoposthitis : Article Excerpt by: Vladimir O Osipov, MD (via CobWeb/3.1 planetlab2.cs.unc.edu)(Site not responding. Last check: 2007-10-14)
Background: Defined as the inflammation of the foreskin and glans in uncircumcised males, balanoposthitis occurs over a wide age range and may have any of multiple bacterial or fungal origins or be caused by contact dermatitides.
Balanoposthitis should not be confused with balanitis, which is inflammation of the glans penis or the clitoris.
The multicausal origin of balanoposthitis has been emphasized by Fornasa et al, who identified infectious, mechanical/traumatic, or contact dermatitides in 67% of his patients with balanoposthitis.
Candida balanoposthitis(Site not responding. Last check: 2007-10-14)
Candida balanoposthitis: A patient presented with fever and new-onset diabetes.
During the insertion of a Foley catheter, multiple small erosions and pustules were seen on the glans penis (balanitis) and the prepuce (posthitis).
Balanoposthitis is an inflammation of the opposing surfaces of the glans penis (balanitis) and the prepuce (posthitis) and occurs most commonly in uncircumcised diabetic males.
In balanoposthitis, the glans (tip) of the penis becomes irritated and inflamed as a result of bacterial or fungal infection, irritation from chemicals in clothing, or an unknown cause.
One must be aware of the real possibility that balanitis and balanoposthitis can be harbingers of other, more serious diseases and therefore cannot be dismissed as simple local unhygienic inflammations, especially if they become chronic or persistent.
In almost every instance balanitis results from the presence of a foreskin, which may be redundant and phimotic, thereby predisposing to infections.
Balanoposthitis(Site not responding. Last check: 2007-10-14)
Balanoposthitis is the medical term used to describe inflammation of the penis and prepuce (the sheath of skin on the belly of the dog that covers the penis).
There are a variety of causes of balanoposthitis, including injuries, bacterial infections, phimosis (constriction of the prepuce opening so that the prepuce cannot be drawn back to expose the penis), and tumors.
Balanoposthitis is one of the more common problems to affect the prepuce, and occurs more frequently in intact (non-neutered) male dogs.
In this study anaerobes were isolated in only 21% of healthy controls, but in 76% with balanoposthitis and 67% with NSU, whilst in those with both NSU and balanitis 95% had anaerobic bacteria, bacteroides species being the most common.
in a study of 104 patients with balanoposthitis, anaerobes were isolated in 29 cases.
The prevalence of Gardnerella vaginalis in non-candidal balanoposthitis is 31% and concomitant anaerobic infection is common (75% co-isolation of bacteroides spp by Kinghorn et al
eMedicine - Balanoposthitis : Article by Vladimir O Osipov, MD (via CobWeb/3.1 planetlab2.cs.unc.edu)(Site not responding. Last check: 2007-10-14)
Such coexisting lesions may be diagnosed based on the clinical history and a culture of fungus or bacteria from the ulcer.
Ulceration and deep erosion have been seen in patients with advanced disease, often in association with fungal infections and in individuals who are immunocompromised.
The most common malignancy that mimics balanoposthitis is erythroplasia of Queyrat, although Bowen disease may have some clinical overlap.
Balanitis and posthitis generally occur together as balanoposthitis: inflammation of both the glans and foreskin.
Boys who are not circumcised as newborns may later have circumcision for the treatment of phimosis, paraphimosis, or balanoposthitis.
Circumcision prevents phimosis (the inability to retract the foreskin at an age when it should normally be retractable), paraphimosis (the painful inability to return the foreskin to its original location) and balanoposthitis (inflammation of the glans and foreskin).
Fornasa CV, Calabro A, Miglietta A, et al: Mild balanoposthitis.
www.emedicine.com /derm/topic615.htm (2306 words)
UrologyHealth.org - Circumcision(Site not responding. Last check: 2007-10-14)
Properly performed neonatal circumcision prevents phimosis, paraphimosis and balanoposthitis, and is associated with a decreased incidence of cancer of the penis among U.S. males.
Evidence associating circumcision with reduced incidence of sexually transmitted diseases is conflicting.
Circumcision may be required in a small number of uncircumcised boys when phimosis, paraphimosis or recurrent balanoposthitis occur and may be requested for ethnic and cultural reasons after the newborn period.
It has been known for over 100 years that circumcised men almost never get invasive penile cancer, a devastating disease which is more deadly than breast cancer (higher 5 year mortality rate).
Local foreskin infections (balanoposthitis) can occur at any age in uncircumcised males, but is most common at age 2-5 years, an age when the foreskin has often not yet completely separated, and cannot be fully retracted, and genital cleanliness is more difficult to accomplish.
In addition between 0.5% and 1% of boys will never be able to retract their foreskin due to a pinpoint opening at the end (phimosis) and will have to be circumcised at a later date when the procedure is more complex and difficult, and about 10 times as expensive.
Balanoposthitis: In the uncircumcised male, balanitis (inflammation of the glans, the rounded head of the penis) and posthitis (inflammation of the foreskin) usually occur together as balanoposthitis: inflammation of both the glans and foreskin.
Without a foreskin, there can of course be no posthitis and hence no balanoposthitis.
An uncircumcised boy should be taught to clean his penis with care to prevent infection and inflammation of the foreskin and the glans penis.
