{"id":2104,"date":"2020-12-18T08:00:00","date_gmt":"2020-12-18T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=2104"},"modified":"2026-08-30T03:57:16","modified_gmt":"2026-08-29T20:57:16","slug":"%e4%ba%80%e9%a0%ad%e5%8c%85%e7%9a%ae%e7%82%8e-%e9%99%b0%e8%8c%8e%e6%84%9f%e6%9f%93%e7%97%87","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ja\/2020\/12\/18\/balanoposthitis-penile-infection\/","title":{"rendered":"\u4e80\u982d\u5305\u76ae\u708e\uff1a\u4e00\u822c\u7684\u306a\u9670\u830e\u76ae\u819a\u611f\u67d3\u75c7"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" 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2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">Inflammation of the penile skin \u2014 <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537143\/\">balanoposthitis<\/a> \u2014 is one of the commonest reasons men come to see a urologist, and one of the most distressing to live with. It is uncomfortable, it is embarrassing to talk about, and because of where it is, most men worry far more than the condition warrants. The good news is that it is straightforward to treat once the cause is identified.<\/p>\n\n\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is balanoposthitis?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Balanoposthitis is inflammation affecting both the glans (head) of the penis (balanitis) and the preputial skin or foreskin (posthitis). It is one of the most common penile skin infections seen in urology clinics, affecting both children and adults.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What causes balanoposthitis?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Balanoposthitis is caused by moisture substances such as sweat, urine, and smegma becoming trapped under the penile skin, creating ideal conditions for bacterial growth. In children, it is commonly associated with physiologic phimosis and poor hygiene. In adults, it is often associated with being uncircumcised and having diabetes mellitus.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How common is balanoposthitis?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Balanoposthitis affects all age groups. Approximately 12\u201320% of cases are primarily caused by poor genital hygiene. Both boys and adults can be affected.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the symptoms of balanoposthitis?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Common symptoms of balanoposthitis include penile pain, itching, rashes, and redness of the glans and foreskin. In more severe cases, a foul-smelling discharge may also be present.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How is balanoposthitis treated?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Treatment requires a full medical history and physical examination to confirm the diagnosis and identify the cause. For bacterial infections, antiseptic ointment and oral antibiotics are recommended. Improving genital hygiene is essential to prevent recurrence.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Does circumcision help prevent balanoposthitis?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Yes. Circumcision is an optional procedure that has been confirmed to reduce the recurrence rate of balanoposthitis by approximately 68%. It eliminates the moist environment under the foreskin where bacteria tend to accumulate.\"\r\n      }\r\n    }\r\n  ]\r\n}\r\n<\/script>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a> <a href=\"tel:02-310-3009\">02-310-3009<\/a> <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi <a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"387\" height=\"285\" data-attachment-id=\"2115\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/2020\/12\/18\/balanoposthitis-penile-infection\/balanoposthitis-picture\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Balanoposthitis-picture.jpg?fit=387%2C285&amp;ssl=1\" data-orig-size=\"387,285\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Example of Balanoposthitis lesion Ref: www.lucianoschiazza.it\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Example of Balanoposthitis lesion Ref: www.lucianoschiazza.it&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Balanoposthitis-picture.jpg?fit=387%2C285&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Balanoposthitis-picture.jpg?resize=387%2C285&#038;ssl=1\" alt=\"Redness and inflammation of the glans and foreskin, typical of balanoposthitis\" class=\"wp-image-2115\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Balanoposthitis-picture.jpg?w=387&amp;ssl=1 387w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Balanoposthitis-picture.jpg?resize=300%2C221&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Balanoposthitis-picture.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 387px) 100vw, 387px\" \/><figcaption class=\"wp-element-caption\">Redness and inflammation of the glans and foreskin \u2014 the typical appearance.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">What the word means<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Balanoposthitis combines two terms: <strong>balanitis<\/strong>, inflammation of the glans, and <strong>posthitis<\/strong>, inflammation of the foreskin. Together they describe inflammation affecting both.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who it affects, and why<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">It occurs at every age, and around 12\u201320% of cases are precipitated by poor hygiene. The typical picture differs by age group: in children it is usually physiological phimosis combined with hygiene difficulties, while in adults the common combination is an uncircumcised foreskin together with diabetes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The mechanism is the same in each case. Moisture \u2014 sweat, urine and smegma \u2014 becomes trapped between the layers of penile skin, and that warm, damp, enclosed space is an ideal environment for bacteria and yeast to multiply.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"467\" data-attachment-id=\"2114\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/2020\/12\/18\/balanoposthitis-penile-infection\/pile-of-flour-in-wood-scoop-isolated-on-white-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?fit=1200%2C701&amp;ssl=1\" data-orig-size=\"1200,701\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;16&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS R&quot;,&quot;caption&quot;:&quot;Pile of flour in wood scoop isolated on white background.&quot;,&quot;created_timestamp&quot;:&quot;1564905413&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;100&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Pile of flour in wood scoop isolated on white background.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Smegma is flour-like appearance lies beneath the penile skin. Foul smell is unique characteristic.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Smegma is flour-like appearance lies beneath the penile skin. Foul smell is unique characteristic.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?fit=800%2C467&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?resize=800%2C467&#038;ssl=1\" alt=\"Smegma accumulation beneath the foreskin, a contributing factor in balanoposthitis\" class=\"wp-image-2114\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?resize=300%2C175&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?resize=1024%2C598&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?resize=768%2C449&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Smegma.jpg?resize=16%2C9&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Smegma is a pale, flour-like substance beneath the foreskin with a characteristic odour.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Symptoms and treatment<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Patients typically present with pain, itching, rash and redness, and in more severe cases a foul-smelling discharge. Treatment depends on what is growing: bacterial cases are managed with antiseptic ointment and, where infection is confirmed, oral antibiotics, while fungal (Candida) cases need an antifungal cream instead. In every case, changing the hygiene routine is what prevents it returning \u2014 gently retracting the foreskin and cleaning with warm water daily.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two practical points about that hygiene advice, because both are commonly got wrong and both cause harm.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Warm water means warm water.<\/strong> Soap, antiseptic washes and scrubbing are a frequent reason inflammation persists rather than settles \u2014 the skin under the foreskin is delicate, and stripping it of its natural oils keeps it irritated. If you have been washing harder and more often because it is not getting better, that may be part of why.<\/li>\n\n\n\n<li><strong>Always return the foreskin to its normal position afterwards<\/strong>, and never force it back if it is tight. A retracted foreskin left back on an already swollen penis can trap and constrict the glans \u2014 a condition called paraphimosis \u2014 and that is an emergency. Retract gently, only as far as it moves easily, clean, dry, and push it forward again.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"2113\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ja\/2020\/12\/18\/balanoposthitis-penile-infection\/man-is-applying-cream-ointment-on-the-swell-skin\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Allergic reaction, itch, dermatitis, dry skin. Man is applying cream\/ointment on the swell skin against mosquito bites, isolated on white background, close up.&quot;,&quot;created_timestamp&quot;:&quot;1576197817&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Man is applying cream\/ointment on the swell skin&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Antiseptic ointment is first-line management for Balanoposthitis issue.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Antiseptic ointment is first-line management for Balanoposthitis issue.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Topical antiseptic ointment applied as first-line treatment for balanoposthitis\" class=\"wp-image-2113\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/12\/Ointment.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Antiseptic ointment is first-line management for bacterial balanoposthitis.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Where episodes keep recurring, circumcision is an option worth discussing \u2014 it has been shown to reduce recurrence by around 68%. It is not needed for a first episode, and it is a decision to weigh up rather than a default.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One point deserves emphasis for adult men: recurrent balanoposthitis can be the first sign of undiagnosed or poorly controlled diabetes. If it keeps coming back, a blood sugar check belongs in the workup.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">When it is not simply an infection<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Most cases are exactly what this article describes and clear up with the right cream and a change of routine. But not every red, sore glans is an infection, and it matters because the wrong assumption leads to months of repeating a treatment that was never going to work.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Skin conditions can look identical to infection here \u2014 irritant reactions to soaps or latex, eczema, psoriasis, and the scarring condition sometimes called lichen sclerosus, which produces a pale, firm, tight ring at the tip of the foreskin and does not respond to antibiotics or antifungals. Some sexually transmitted infections also present this way, so an STI screen is worth considering depending on the history. And rarely, a persistent red patch on the glans that keeps being treated as infection and never quite clears can be an early skin cancer, which is diagnosed with a small biopsy rather than another course of cream.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical rule is simple: <strong>if it has not cleared after a proper course of treatment, the answer is a review and possibly a swab or a biopsy \u2014 not another cream.<\/strong> Repeating treatment for a diagnosis that was never confirmed is the commonest way these cases get delayed.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">When to be seen the same day<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This condition is usually a nuisance rather than a danger. These are the exceptions. <strong>Go to an emergency department the same day \u2014 in Thailand you can call 1669:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pain far out of proportion to how the skin looks<\/strong>, redness or swelling that is spreading over hours rather than days, any purple, grey or black discolouration of the skin, a crackling feeling under the skin, or fever with feeling very unwell. Deep, rapidly spreading infection of the genital and perineal skin is uncommon, but it is life-threatening, it moves fast, and <strong>men with diabetes are the group most at risk<\/strong> \u2014 which is the same group this article has been describing throughout. It is far better to be sent home reassured than to wait on this one.<\/li>\n\n\n\n<li><strong>A foreskin that has been pulled back and will not go forward again<\/strong>, with the head of the penis swelling or darkening.<\/li>\n\n\n\n<li><strong>Inability to pass urine<\/strong>, or fever with pain in the back or lower abdomen.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q1: What is balanoposthitis and what causes it?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Balanoposthitis is inflammation of both the glans (head) of the penis and the foreskin (prepuce). It is caused by moisture and secretions such as sweat, urine, and smegma becoming trapped under the foreskin, creating conditions favorable for bacterial or fungal growth. Common risk factors include poor penile hygiene, uncircumcised status, phimosis (tight foreskin), and diabetes mellitus, which impairs immune defense and promotes yeast overgrowth.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: What are the symptoms of balanoposthitis?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Common symptoms include redness, swelling, itching, and pain of the penile glans and foreskin. In more severe cases, patients may notice a foul-smelling discharge, skin rashes, or ulceration. The condition can also make it difficult or painful to retract the foreskin. Early recognition and treatment prevent the condition from worsening or becoming recurrent.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: How is balanoposthitis treated?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment depends on the underlying cause. Bacterial balanoposthitis is treated with antiseptic ointment and oral antibiotics. Fungal cases are treated with antifungal creams. In all cases, improved penile hygiene is essential. The foreskin should be gently retracted and the area cleaned with warm water daily \u2014 warm water rather than soap or antiseptic washes, which frequently keep the skin irritated \u2014 and always returned to its normal position afterwards. If balanoposthitis recurs frequently, circumcision may be recommended as it has been shown to reduce the recurrence rate by approximately 68%.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q4: I have been treating it and it is not clearing. What now?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Go back rather than repeating the treatment. Not every red, sore glans is an infection: irritant reactions to soaps or latex, eczema, psoriasis, and the scarring condition lichen sclerosus can all look the same and none of them respond to antibiotics or antifungals. Some sexually transmitted infections present this way too. Rarely, a persistent patch that never quite clears can be an early skin cancer, diagnosed with a small biopsy. Over-washing with soap is itself a common reason inflammation persists. If a proper course of treatment has not worked, the next step is a review, and possibly a swab or biopsy, rather than another cream.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q5: Can diabetes cause balanoposthitis?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Diabetes mellitus is one of the most significant risk factors for balanoposthitis in adult men. High blood sugar levels impair immune function and promote yeast (Candida) overgrowth in warm moist areas such as under the foreskin. Men with poorly controlled diabetes are particularly susceptible to recurrent balanoposthitis. Controlling blood sugar is an important part of long-term prevention, and men with diabetes should also take the emergency signs below seriously, since they are the group most at risk of the rare deep infection described there.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q6: When does this need emergency care?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Go to an emergency department the same day, or call 1669 in Thailand, for pain that is far out of proportion to how the skin looks, redness or swelling spreading over hours rather than days, purple, grey or black discolouration, a crackling feeling under the skin, or fever with feeling very unwell. Deep, rapidly spreading infection of the genital and perineal skin is uncommon but life-threatening and moves quickly, and men with diabetes are most at risk. Also go the same day if the foreskin has been pulled back and will not go forward again with the glans swelling or darkening, or if you cannot pass urine.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q7: Does balanoposthitis require circumcision?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Circumcision is not required for a first episode of balanoposthitis, which is typically managed with medication and hygiene improvement. However, for men who experience recurrent balanoposthitis, circumcision is a proven and effective preventive measure that reduces recurrence by approximately 68%. Your urologist can advise whether circumcision is appropriate based on the frequency and severity of your episodes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q8: Does my partner need treating too?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sometimes. Balanoposthitis is not usually a sexually transmitted condition, and in most cases a partner needs nothing. But where thrush is the cause it can pass back and forth between partners, so if your partner has symptoms they should be treated at the same time \u2014 otherwise the problem returns as soon as yours settles. Where the history raises the possibility of a sexually transmitted infection, testing is worth doing rather than assuming, and that is a conversation to have openly at the appointment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q9: Can this be discussed by video consultation?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Partly, and it is a reasonable first step for a condition many men delay seeking help for out of embarrassment. Bangkok Hospital Headquarters offers a Telemedicine service, arranged in advance by email to the Urology department at bhquro@bdms.co.th, and it suits reviewing a known diagnosis, discussing recurrence and deciding whether circumcision is worth considering. A first episode, and anything that has failed to clear with treatment, needs an in-person look, because distinguishing infection from a skin condition is done by examining it. Samitivej Sriracha is in-person only, booked through the Urology department line 088-022-1445.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing symptoms of penile skin infection or recurrent balanoposthitis, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. Children are seen from the age of 3 upward; infants and children under 3 are referred to a paediatric urologist. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>. Questions about the cost of consultation or treatment should go to the hospital directly \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Reference<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Balanoposthitis. StatPearls, National Center for Biotechnology Information. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537143\/\" target=\"_blank\" rel=\"noreferrer noopener\">NCBI Bookshelf NBK537143<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice, and it cannot substitute for examining the skin in question. No medical advice, diagnosis or prescription is provided through personal messaging channels or social media. Always consult a qualified healthcare professional before starting any medical treatment. In an emergency, attend the nearest emergency department \u2014 in Thailand the emergency number is 1669.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/18\/balanoposthitis-penile-infection\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/18\/balanoposthitis-penile-infection\/\",\n      \"name\": \"Balanoposthitis: Common penile skin infection\",\n      \"description\": \"What causes inflammation of the glans and foreskin, how bacterial and fungal cases are treated differently, why over-washing with soap keeps it going, what to do when treatment does not clear it, why recurrent episodes in adult men should prompt a blood sugar check, when circumcision is worth considering, and the signs that need same-day emergency care.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2020-12-18\",\n      \"dateModified\": \"2026-08-30\",\n      \"lastReviewed\": \"2026-08-30\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"medicalAudience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"disambiguatingDescription\": \"Dr. Soarawee Weerasopone sees children from the age of 3 upward as a general urologist and is not a paediatric urology subspecialist; infants and children under 3 are referred to a paediatric urologist.\",\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/18\/balanoposthitis-penile-infection\/#balanoposthitis\" }\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/18\/balanoposthitis-penile-infection\/#balanoposthitis\",\n      \"name\": \"Balanoposthitis\",\n      \"alternateName\": \"Inflammation of the glans and foreskin\",\n      \"description\": \"Inflammation affecting both the glans (balanitis) and the foreskin (posthitis). Moisture from sweat, urine and smegma becomes trapped between the layers of penile skin, and that warm enclosed space allows bacteria and yeast to multiply. It occurs at every age; in children it is usually physiological phimosis with hygiene difficulty, and in adults the common combination is an uncircumcised foreskin together with diabetes. Not every case is infective, and failure to clear after an adequate course of treatment should prompt review, swab or biopsy rather than repeat empirical therapy.\",\n      \"signOrSymptom\": [\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Redness and swelling of the glans and foreskin\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Itching and pain\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Foul-smelling discharge in more severe cases\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Difficulty or pain retracting the foreskin\"}\n      ],\n      \"riskFactor\": [\n        {\"@type\": \"MedicalRiskFactor\", \"name\": \"Poor penile hygiene, which precipitates roughly 12-20% of cases\"},\n        {\"@type\": \"MedicalRiskFactor\", \"name\": \"Over-washing with soap or antiseptic preparations, which strips the delicate preputial skin and perpetuates inflammation\"},\n        {\"@type\": \"MedicalRiskFactor\", \"name\": \"Uncircumcised foreskin\"},\n        {\"@type\": \"MedicalRiskFactor\", \"name\": \"Phimosis (tight foreskin)\"},\n        {\"@type\": \"MedicalRiskFactor\", \"name\": \"Diabetes mellitus, particularly when poorly controlled\"}\n      ],\n      \"differentialDiagnosis\": [\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Irritant or contact dermatitis\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Persisting inflammation in a patient washing frequently with soap or antiseptic, or exposed to latex; improves on withdrawal of the irritant rather than with antimicrobials\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Lichen sclerosus (balanitis xerotica obliterans)\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Pale, firm, scarred ring at the tip of the foreskin; does not respond to antibacterial or antifungal treatment\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Penile intraepithelial neoplasia or early penile carcinoma\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"A persistent red patch on the glans repeatedly treated as infection that never fully clears; requires biopsy rather than further empirical treatment\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Sexually transmitted infection\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Suggestive sexual history, urethral discharge or ulceration; screening indicated rather than presumed\"}\n        }\n      ],\n      \"possibleComplication\": [\n        {\"@type\": \"MedicalEntity\", \"name\": \"Necrotising infection of the genital and perineal soft tissues: pain out of proportion to appearance, erythema or swelling advancing over hours, purple, grey or black skin discolouration, subcutaneous crepitus, fever and systemic illness. Uncommon but life-threatening and rapidly progressive, with diabetes the principal risk factor. Requires immediate emergency assessment; in Thailand the emergency number is 1669\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Paraphimosis: a retracted foreskin that cannot be returned, constricting the glans, which is why the foreskin must always be replaced after cleaning and never forced back if tight\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Urinary retention\"}\n      ],\n      \"possibleTreatment\": [\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Antiseptic ointment and, where infection is confirmed, oral antibiotics\", \"description\": \"First-line management of bacterial balanoposthitis.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Antifungal cream\", \"description\": \"Used instead of antibacterial treatment where Candida is the cause, which is why identifying the organism matters. Where thrush is the cause and a partner is symptomatic, treating both prevents reinfection.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Hygiene routine\", \"description\": \"Gently retracting the foreskin and cleaning with warm water daily, without soap or antiseptic washes, and always returning the foreskin to its normal position afterwards. Never force a tight foreskin back. This is what prevents recurrence in every case.\"},\n        {\"@type\": \"MedicalProcedure\", \"name\": \"Circumcision\", \"description\": \"Considered for recurrent episodes rather than a first one; reported to reduce recurrence by around 68%.\"}\n      ],\n      \"associatedAnatomy\": {\n        \"@type\": \"AnatomicalStructure\",\n        \"name\": \"Glans penis and prepuce\"\n      }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/18\/balanoposthitis-penile-infection\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/12\/18\/balanoposthitis-penile-infection\/#webpage\" },\n      \"mainEntity\": [\n        {\"@type\": \"Question\", \"name\": \"What is balanoposthitis and what causes it?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Balanoposthitis is inflammation of both the glans of the penis and the foreskin. It is caused by moisture and secretions such as sweat, urine and smegma becoming trapped under the foreskin, creating conditions favourable to bacterial or fungal growth. Risk factors include poor hygiene, uncircumcised status, phimosis and diabetes mellitus.\"}},\n        {\"@type\": \"Question\", \"name\": \"What are the symptoms of balanoposthitis?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Redness, swelling, itching and pain of the glans and foreskin. In more severe cases there may be foul-smelling discharge, rash or ulceration, and retracting the foreskin can become difficult or painful. Early treatment prevents it worsening or recurring.\"}},\n        {\"@type\": \"Question\", \"name\": \"How is balanoposthitis treated?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Treatment depends on the cause. Bacterial cases are treated with antiseptic ointment and oral antibiotics; fungal cases with antifungal cream. Improved hygiene is essential in all cases: gently retracting the foreskin and cleaning with warm water daily, using warm water rather than soap or antiseptic washes, and always returning the foreskin to its normal position afterwards. For frequent recurrence, circumcision reduces the recurrence rate by approximately 68%.\"}},\n        {\"@type\": \"Question\", \"name\": \"I have been treating it and it is not clearing. What now?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Go back rather than repeating the treatment. Not every red, sore glans is an infection: irritant reactions to soaps or latex, eczema, psoriasis and lichen sclerosus can all look the same and none respond to antibiotics or antifungals. Some sexually transmitted infections present this way too. Rarely, a persistent patch that never quite clears can be an early skin cancer, diagnosed with a small biopsy. Over-washing with soap is itself a common reason inflammation persists. If a proper course of treatment has not worked, the next step is review, and possibly a swab or biopsy, rather than another cream.\"}},\n        {\"@type\": \"Question\", \"name\": \"Can diabetes cause balanoposthitis?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. Diabetes is one of the most significant risk factors in adult men. High blood sugar impairs immune function and promotes Candida overgrowth in warm moist areas such as under the foreskin. Recurrent balanoposthitis can be the first sign of undiagnosed or poorly controlled diabetes, so a blood sugar check belongs in the workup when it keeps coming back. Men with diabetes are also the group most at risk of the rare deep, rapidly spreading genital infection that requires emergency care.\"}},\n        {\"@type\": \"Question\", \"name\": \"When does this need emergency care?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Go to an emergency department the same day for pain far out of proportion to how the skin looks, redness or swelling spreading over hours rather than days, purple, grey or black discolouration, a crackling feeling under the skin, or fever with feeling very unwell. Deep, rapidly spreading infection of the genital and perineal skin is uncommon but life-threatening and moves quickly, and men with diabetes are most at risk. Also go the same day if the foreskin has been pulled back and will not go forward again with the glans swelling or darkening, or if you cannot pass urine.\"}},\n        {\"@type\": \"Question\", \"name\": \"Does balanoposthitis require circumcision?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Not for a first episode, which is usually managed with medication and better hygiene. For men with recurrent balanoposthitis, circumcision is a proven preventive measure reducing recurrence by approximately 68%. Suitability depends on the frequency and severity of episodes.\"}},\n        {\"@type\": \"Question\", \"name\": \"Does my partner need treating too?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Sometimes. Balanoposthitis is not usually a sexually transmitted condition and in most cases a partner needs nothing. Where thrush is the cause it can pass back and forth between partners, so a symptomatic partner should be treated at the same time to prevent the problem returning. Where the history raises the possibility of a sexually transmitted infection, testing is worth doing rather than assuming.\"}},\n        {\"@type\": \"Question\", \"name\": \"Can this be discussed by video consultation?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Partly, and it is a reasonable first step for a condition many men delay seeking help for out of embarrassment. Bangkok Hospital Headquarters offers a Telemedicine service, arranged in advance by email to the Urology department at bhquro@bdms.co.th, suitable for reviewing a known diagnosis, discussing recurrence and deciding whether circumcision is worth considering. A first episode, and anything that has failed to clear with treatment, needs an in-person look, because distinguishing infection from a skin condition is done by examining it. Samitivej Sriracha is in-person only, booked through the Urology department line 088-022-1445.\"}}\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>A red, swollen, itchy glans and foreskin is one of the commonest reasons men come to a urology clinic \u2014 and one of the most treatable. Dr. Soarawee Weerasopone explains what causes balanoposthitis, why diabetes matters, and when circumcision is worth considering.<\/p>","protected":false},"author":185281453,"featured_media":10020,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Balanoposthitis: what causes a red, swollen, itchy glans and foreskin, how bacterial and fungal cases differ in treatment, and when circumcision helps. 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