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Surgery 2 - Third Year BHMS

Contents

Surgery 2 - Third Year BHMS

Contents

CoursesBHMSSurgery 2 - Third Year BHMSBALANOPOSTHITIS

BALANOPOSTHITIS

Content

BALANOPOSTHITIS

Definition of balanoposthitis

  • Balanoposthitis is an inflammatory condition affecting the glans penis and prepuce.
  • It is a form of sexually transmitted infection (STI) or a non-gonococcal urethritis.

Types of balanoposthitis

  • Gonococcal balanoposthitis β€’ Caused by Neisseria gonorrhoeae. β€’ Characterized by intense redness and swelling of the glans and prepuce. β€’ Typically accompanied by urethritis.
  • Non-gonococcal balanoposthitis β€’ Caused by bacteria such as Chlamydia trachomatis, Mycoplasma genitalium, or Trichomonas vaginalis. β€’ Often presents with a mild to moderate inflammatory response.

Clinical features of balanoposthitis

  • The condition typically presents with redness, swelling, and inflammation of the glans penis and prepuce.
  • A foul-smelling discharge may be present.
  • The patient may experience pain or discomfort during urination or ejaculation.
  • The condition can lead to complications such as phimosis, paraphimosis, or urethritis.

Homoeopathic therapeutics for balanoposthitis

  • Calcarea carbonica β€’ Indicated for cases of balanoposthitis with a history of recurrent infections. β€’ Helps to reduce inflammation and promote healing.
  • Sulphur β€’ Effective in cases of balanoposthitis with a strong, foul-smelling discharge. β€’ Helps to reduce the severity of symptoms and promote healing.
  • Arsenicum album β€’ Indicated for cases of balanoposthitis with a history of anxiety or restlessness. β€’ Helps to reduce stress and promote relaxation.
  • Graphites β€’ Effective in cases of balanoposthitis with a history of skin problems or eczema. β€’ Helps to reduce inflammation and promote healing.

Complications of balanoposthitis

  • Phimosis β€’ A condition where the prepuce is tightly adherent to the glans penis. β€’ May require surgical intervention to treat.
  • Paraphimosis β€’ A condition where the prepuce becomes constricted behind the glans penis. β€’ May require surgical intervention to treat.
  • Urethritis β€’ Inflammation of the urethra. β€’ May be caused by the same bacteria responsible for balanoposthitis.

Investigations for balanoposthitis

  • Physical examination β€’ Evaluation of the glans penis and prepuce for signs of inflammation or discharge. β€’ Assessment of the patient's overall health and medical history.
  • Laboratory tests β€’ Urine culture or PCR to detect the presence of bacteria. β€’ Blood tests to rule out systemic infections.

Management of balanoposthitis

  • Antibiotics β€’ Administered to treat bacterial infections. β€’ Choice of antibiotic depends on the type of bacteria causing the infection.
  • Topical creams or ointments β€’ Applied to reduce inflammation and promote healing. β€’ May contain ingredients such as lidocaine or hydrocortisone.
  • Education and counseling β€’ Importance of proper hygiene and safe sex practices emphasized. β€’ Patient educated on recognizing symptoms and seeking medical attention if necessary.

Treatment of balanoposthitis

  • Antibiotic therapy β€’ Administered to treat bacterial infections. β€’ Choice of antibiotic depends on the type of bacteria causing the infection.
  • Topical creams or ointments β€’ Applied to reduce inflammation and promote healing. β€’ May contain ingredients such as lidocaine or hydrocortisone.
  • Pain management β€’ Analgesics or pain relievers administered to reduce discomfort. β€’ May include medications such as acetaminophen or ibuprofen.

Prevention of balanoposthitis

  • Safe sex practices β€’ Use of condoms to reduce the risk of STIs. β€’ Avoidance of multiple sex partners.
  • Proper hygiene β€’ Regular washing of the genital area. β€’ Avoidance of tight-fitting clothing that may irritate the skin.
  • Regular health check-ups β€’ Evaluation of the patient's overall health and medical history. β€’ Early detection and treatment of any underlying conditions.