When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Balanoposthitis

Última revisión: 20 Aug 2025
Última actualización: 01 Feb 2024

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • uncircumcised state
Todos los datos

Otros factores de diagnóstico

  • multiple sexual partners or high-risk sexual behaviors
  • postinflammatory hypo- or hyperpigmentation
  • pruritus
  • red scaly patches
  • erosions
  • personal/family history of atopy (eczema, hay fever, asthma, type I allergies)
  • personal/family history of psoriasis
  • urinary dribbling
  • hypopigmentation
  • purpura
  • red plaques
  • blisters
  • papules or micropapules
  • pustules
Todos los datos

Factores de riesgo

  • congenital or acquired dysfunctional foreskin
  • uncircumcised state
  • poor hygiene; urinary dribbling or leakage
  • overwashing
  • human papillomavirus (HPV) infection
  • inflammatory skin diseases
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • swab for microbiology (Gram stain and culture) and Nucleic acid amplification test (NAAT)
  • swab for virology
  • dark-field microscopy
Todos los datos

Pruebas diagnósticas que deben considerarse

  • skin biopsy
  • patch testing
Todos los datos

Pruebas emergentes

  • dermoscopy

Algoritmo de tratamiento

Agudo

atopic eczema

seborrheic dermatitis

irritant contact dermatitis

allergic contact dermatitis

psoriasis

reactive arthritis (Reiter disease)

lichen sclerosus

gonorrhea

candidiasis

nonspecific balanoposthitis

Zoon balanitis

carcinoma in situ/penile intraepithelial neoplasia (PeIN)

Colaboradores

Autores

Ien Chan, MD, FRCP

Consultant Dermatologist

Chelsea and Westminster Hospital

London

UK

Divulgaciones

IC declares that he has no competing interests.

David Hawkins, FRCP

Consultant Genitourinary Physician

Chelsea and Westminster Hospital

London

UK

Divulgaciones

DH declares that he has no competing interests.

Christopher B. Bunker, MA, MD, FRCP

Consultant Dermatologist

Honorary Professor of Dermatology

University College London

Chelsea & Westminster Hospitals

London

UK

Divulgaciones

CBB is the owner and CEO of Bruce Shrink Ltd., the publisher of Male Genital Skin Disease, an e-book authored by CBB. He has done consultancy work for the British Skin Foundation. The fee for this work is usually paid to the British Skin Foundation. He is the honorary secretary of the British Skin Foundation, the senior Medical Trustee. CBB has provided advice to MC2, with a pipeline lichens sclerosis product, for which he has not received payment. CBB does a dedicated weekly male genital clinic at University College London Hospitals from which his employer receives income. CBB has a private practice and patients with male genital skin disorders consult him, for which he is remunerated. CBB is a frequent speaker at meetings on male genital dermatology (occasionally, his travel and accommodation are subsidised and he received honoraria) and is in receipt of a grant from a private donor, administered by the British Skin Foundation, to investigate the relationship of lichen sclerosus to penis cancer. He has been appointed to lead the 2024 reiterate of the British Association of Dermatology Guidelines on lichen sclerosus; he has previously been contributor. Occasionally, CBB provides expert advice medical litigation, for which he receives remuneration. He is an author of a number of references cited in this topic.

Revisores por pares

Jesse Mills, MD

Professor of Urology

Director of the Men's Clinic at UCLA

University of California Los Angeles

Los Angeles

CA

Divulgaciones

JM declares that he has no competing interests.

Colm O'Mahony, MD, FRCP, BSc, DIPVen

Consultant in Sexual Health

Department of Sexual Health

Countess of Chester Hospital NHS Foundation Trust

Chester

UK

Divulgaciones

CO declares that he has no competing interests.

Sarah Edwards, MD

Consultant

Department of GU Medicine

West Suffolk Hospital

Suffolk

UK

Divulgaciones

SE declares that she has no competing interests.

David Paige, MD

Consultant Dermatologist and Honorary Senior Lecturer

Dermatology Department

The Royal London Hospital

London

UK

Divulgaciones

DP declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Edwards SK, Bunker CB, van der Snoek EM, et al. 2022 European guideline for the management of balanoposthitis. J Eur Acad Dermatol Venereol. 2023 Jun;37(6):1104-17.Texto completo  Resumen

Bunker CB, Watchorn RE. Dermatoses of the male genitalia. In: Griffiths C, Barker J, Bleiker T, et al. Rook's textbook of dermatology. 10th ed. Oxford: Wiley; 2024 (in press).

Lewis FM, Tatnall FM, Velangi SS, et al. British Association of Dermatologists guidelines for the management of lichen sclerosus 2018. Br J Dermatol 2018;178:839-53.Texto completo

Centers for Disease Control and Prevention. Sexually transmitted infections treatment guidelines. Jul 2021 [internet publication].Texto completo

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Diferenciales

    • Eczema and dermatitis
    • Atopic dermatitis
    • Seborrheic dermatitis
    Más Diferenciales
  • Guidelines

    • European guideline for the management of balanoposthitis​
    • European guideline for the management of balanoposthitis​
    Más Guías de práctica clínica
  • padlock-lockedLog in or subscribe to access all of BMJ Best Practice

Use of this content is subject to our disclaimer