Balanitis (glans) + Posthitis (foreskin) - an approach to Mx

If appearance is non-specific (e.g. no visitible warts or other lesions)
And Is not severe -> trial of Rx
--> Hydrozole (OTC) or Hydroform (S4) cream
= 1% hydrocortisone + antifungal (clotrimazole and clioquinol, respectively)

If no improvement after 3 days -> review and ?investigate

Consider primary skin disease, in particular

• psoriasis
• dermatitis (eczema; seborrhoeic dermatitis)
• lichen sclerosis

Consider Ix

• swabs for mcs and HSV PCR
• urine PCR for chlamydia and gonorrhoea
• ?formal STI screen
• including Ix sexual partner/s

?fasting BSL


General Mx for all cases

• foreskin hygiene
• low irritant products for washing and showering