Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Balanitis is the medical term for inflammation of the glans penis, which commonly affects the prepuce as well (known as balanoposthitis). This is a prevalent disorder caused by a diverse range of factors, with infection being the most common cause and various bacteria being implicated. The clinical presentation is frequently nonspecific. Balanoposthitis care continues to provide a clinical difficulty. To evaluate the prevalence of infectious balanitis, its management, clinical features, laboratory procedures and treatment options. The Prospective Study consists of 65 cases of Balanoposthitis attending OPD skin and STD clinic NMCH Patna, during a period extending from December 2017 to May 2019. Written informed consent was taken from each patient enrolled into the study. Those cases which have history of redness of glans or mucous surface of prepuce, Ulcer of glans or mucosal surface of prepuce with or without discharge, Fissuring of foreskin of penis was selected for the study. Those cases with inflammatory lesions involving both prepuce (foreskin) and glans were included in this study while Children below 15 yrs, Adults above 50 yrs and patients not willing to give consent were excluded. This study included 65 balanoposthitis cases from the NMCH Patna Department of Skin and STD STD clinic. This study found 13.54% of 480 new STD cases at an STD clinic during 18 months had balanoposthitis. This study indicated that most patients were between 20 and 40 years old, middle‐income, urban, 80% married and 20% unmarried. Total 57 patients (87.69%) were uncircumcised, 43.07 % had a history of STD risk before lesions, and 56.93 % had no history. 50.77 percent had the lesion for less than three weeks. Most patients have had similar issues before. The patient most often complained of itching (69.23%), erythema (52.3%), erosions (58.46%) and inflammation (73.84%). Ulcers (13.84%), phimosis (13.84%) and urethral discharge (12.3%). In 40 patients (61.53%) candid sp. caused balanoposthitis. Bacteria caused 21 (32.3%) and herpes progenitalis 2 (3.07%). Two scabies cases (3.07%). The VDRL is reactive in 6 (9.23%) of 65 balanoposthitis cases, non‐reactive in 52 (80%) and not done in 7 (10.76%). Four instances (6.25%) were positive for HIV antibodies, while 61 (93.84%) tested negative. Diabetes mellitus 47, Lichen planus 3, Psoriasis 2, and Tinea cruris 9 were associated with balanoposthitis. Infectious balanitis was a common condition, affecting 53.9 % of male STD clinic patients in this study. Candida spp. were the most frequently isolated microorganisms. The clinical aspect is of little value in predicting the infectious agent associated with balanoposthitis.
How to cite this article:
Ranjeet Kumar, Yogesh Kumar Kasediya, Naveen Kumar and Akshat Pathak. A Prospective Study‐Management, Clinical and Laboratory Characteristics of Infectious Balanoposthitis.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.1.8
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.1.8