Trends in pediatric circumcision in Belgium and the Brussels University Hospital from



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Balanoposthitis


Balanitis is an inflammation of the glans penis alone and phosthitis refers to inflammation of the foreskin alone. Balanoposthitis is inflammation of the glans penis and the prepuce in uncircumcised male. It is characterized by erythema and oedema of the foreskin and, pathognomonically, by a purulent discharge from the preputial orifice.14 A Japanese study showed that 1.5% of uncircumcised boys had balanoposthitis on routine examination and most cases occurred in toddlers.44 Balanoposthitis in boys can be due to poor hygiene or, on the contrary, it can be due to excessive cleansing of the foreskin with soap, causing a disruption of the natural barrier and encouraging the growth of pathogenic organisms. Balanitis is more common in uncircumcised males, possibly as a result of irritation by smegma, poorer hygiene and insufficient aeration.45,46

If the patient suffers from recurrent troublesome episodes of balanoposthitis, a circumcision can be considered. If the symptoms are mild and transient, an operative measure is not indicated.14





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