Con il nome di balanite è definita una condizione infiammatoria del glande, che spesso coinvolge anche il prepuzio (balanopostite).
Si tratta di una condizione comune, legata a diverse cause, più frequentemente infezione da numerosi microrganismi.
L’aspetto clinico è spesso non specifica. La gestione delle balanopostiti costituisce un problema dal punto di vista clinico.
L’aspetto clinico è di scarso valore nel predire l’agente infettivo causa della balanopostite.
In questo studio nel 53,9% dei pazienti veniva riscontrata balanite infettiva.
Più frequentemente isolati erano batteri Staphylococcus spp. e dei gruppi B e D Streptococchi e Candida albicans
La balanite infettiva era trattata con farmaci antifungini o terapia antibiotica. Nel follow-up di 3-12 mesi sono state registrate recidive nel12,7% dei pazienti.
Int J Dermatol. 2009 Feb;48(2):121-4.
Infectious balanoposthitis: management, clinical and laboratory features.
Lisboa C, Ferreira A, Resende C, Rodrigues AG.
BACKGROUND: Balanitis is defined as inflammation of the glans penis, often involving the prepuce (balanoposthitis). It is a common condition due to a wide variety of causes with infection being the most frequent and several microorganisms reported. The clinical aspect is often non specific. The management of balanoposthitis remains a clinical challenge.
OBJECTIVE: To evaluate the prevalence of infectious balanitis, its management, clinical features, laboratory procedures and treatment options.
SUBJECTS AND METHODS: One hundred eighteen patients with infectious balanitis were evaluated between 1995 and 2004 and laboratory data were collected.
RESULTS: Balanitis was diagnosed in 219 (10.7%) of the men that have attended the sexually transmitted disease (STD) Clinic. One hundred eighteen (53.9%) had clinically been assumed to suffer from infectious balanitis. In 75 (63.6%) patients the diagnosis was confirmed by culture studies. Candida albicans was isolated from 24 patients. Staphylococcus spp. and groups B and D Streptococci were the most frequently isolated bacteria. All men were uncircumcised. Ninety-one (77.1%) of infectious balanitis patients were treated with antifungal agents. Twelve patients with infectious noncandida balanitis were treated with general antibiotic therapy. Fifty-five (46.6%) patients had a follow-up of 3 to 12 months during which recurrences were registered in 7 (12.7%) patients.
CONCLUSIONS: 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.
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