Balanoposthitis (inflammation of the glans and the foreskin) is a frequent condition seen in the clinic. Usually caused by external irritation from soaps, antiseptic washing solutions or repeated retraction of foreskin. The presentation is usually with pain, redness, swelling, dysuria and sometimes discharge. Child is often reluctant to urinate.
Irritation and inflammation may be relieved with Sitz baths. Encourage such children to urinate into warm water-bath. Application of a low-potency steroid cream and/or a short course of oral first-generation cephalosporin may be given. Discourage forced retraction of the foreskin.
Rarely, circumcision is required for recurrent balanoposthitis.
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