- Soreness and irritation of glans.
- Under the foreskin there may be a lumpy, thick discharge.
- Itchiness around the glans area.
- An unpleasant smell.
- Phimosis - the foreskin is tight and does not retract.
- Painful urination.
- The soreness, irritation and discharge under the foreskin typically occur two to three days after sexual intercourse.
- Urinalysis for glucose - appropriate in most cases but especially if Candidalinfection is suspected.
- Culture for Herpes simplex - if ulceration present.
- Dark ground examination for spirochetes and Syphilis serology - if an ulceris present.· Culture for Trichomonas vaginalis - particularly if a female partner has anundiagnosed vaginal discharge.
- Screening for other sexually transmitted infections (STIs) - particularlyscreening for Chlamydia trachomatis infection/Non specific urethritis if acircinate-type balanitis is present.
- Biopsy - if the diagnosis is uncertain and the condition persists.
- An anti-yeast cream or a course of anti-yeast tablets are a common treatment if the balanitis is caused by Candida.
- A mild steroid cream to reduce inflammation is useful for balanitis caused by allergies or irritants. Sometimes a steroid cream is used in addition to anti-yeast or antibiotic medication to reduce inflammation caused by infection.
- If you have recurring balanitis and have a phimosis, then your doctor will refer you for surgical options.
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