PA Boards 101: Balanitis - A Clinical Review

Medgeeks Clinical Review Podcast

Medgeeks

Physician, Pance, Health & Fitness, Review, Family, Education, Medicine, Assistant, Board, Podcast

4.7 • 989 Ratings

🗓️ 4 November 2016

⏱️ 11 minutes

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Summary

We are going to discuss the multiple etiologies, signs, symptoms, labs, and treatment options for balanitis. It's important to know the etiologies because it's not always due to fungal infections and sometimes a more serious etiology can masquerade as Balanitis.

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Transcript

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0:00.0	Today's topic is going to be on ballatitis. Now ballinitis means we have
0:04.6	inflammation of the glands penis. A couple of other quick definitions
0:08.8	before we jump into this topic. Postitis means we have inflammation of the prepus and
0:15.0	ballinoprostitis means we have inflammation of the glands and of the
0:20.1	prepose. Now, postitis and ballinopositis is only going to be seen in uncircumsized males.
0:26.3	Balinitis can be seen in both uncircumcised and in circumcised males.
0:31.1	For the most part in clinical practice everything is
0:34.8	kind of clumped together into the term ballinitis which means we have
0:38.8	inflammation of the glands and of the foreskin. Now we have to keep in mind and we have to remember the normal physiology of the child.
0:47.0	If the child is uncircumsized, it's very normal to have a physiological phymosis.
0:54.0	Phymosis means that we can't retract the foreskin
0:57.0	back over the glands.
0:59.0	This is normal.
1:00.0	We have adhesions that attach the foreskin to the glands early in life.
1:05.0	For the most part, this is going to separate naturally by 11 years of age.
1:09.7	However, it's still considered normal to have this attachment by 17 years of age and so long as the
1:15.2	patient can urinate properly we don't need to do anything about this whatsoever. Now moving on to the etiology of ballinitis. Now the inflammation can either be
1:27.1	due to infectious causes or non-infectious causes. The infectious causes are really going
1:32.3	to include anaerobic infection, Canada,
1:35.6	gonorrhea, herpes simplex virus which is considered rare,
1:38.9	HPV again is considered rare and finally strap infection
1:42.8	the strap infection can be group A and it can be group B.
	...

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