What Is Balanitis?

Inflammation Affecting the Head of the Penis and Foreskin

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Balanitis is an inflammation that affects the head of the penis (glans penis). When the foreskin (prepuce) is affected, it is referred to as balanoposthitis. Balanitis and balanoposthitis occur primarily in uncircumcised men. 

Most common in men over 40 years old, though it can affect males of any age, balanitis is a condition affecting about 11 percent of adult men and 3 percent of children. Balanitis is typically characterized by a shiny red or reddish orange area, but can also show up as a yellow patch with pinpoint spotting.

Signs and Symptoms of Balanitis

Occurring only in uncircumcised men, balanitis can cause the following symptoms:

  • Redness of the glans penis
  • Swelling and tenderness of the penile head
  • Discharge from the penis (called smegma that may be foul-smelling)
  • Impotence
  • Painful urination
  • Difficulty passing urine
  • Inability to retract the foreskin (phimosis)
  • Inability to return the foreskin over the glans penis (paraphimosis)

Causes of Balanitis

The exact causes of balanitis are not known for certain. Poor hygiene may lead to an accumulation of smegma (a buildup of dead cells and body oils on the genitals) that reduces aeration and irritates the skin of the penile head, ultimately causing inflammation and swelling.

Possible contributors to balanitis include: 

  • Poor hygiene in an uncircumcised male (the most common cause)
  • Diabetes (an underlying cause of balantis that is common)
  • Overwashing
  • Friction
  • Response to infection
  • Lubricants and spermicides in condoms
  • Scented soaps or shower gels
  • Detergents and fabric softeners
  • Not properly rinsing soap when bathing
  • Allergic reactions to some medicines
  • Penile cancer (a rare cause of balantis)

Infections and Balanitis

Infections, whether viral, bacterial or fungal can cause balanitis to develop.


A common fungal infection that can cause balanitis is candida, which also causes thrush

Other viruses and organisms that may cause balanitis include HPV (human papilloma virus), strep, gonorrhea, chlamydia and syphilis.

HPV and Balanitis

Some studies have raised a question regarding a possible link between the human papilloma virus (HPV) and chronic balanitis and balanoposthitis, though HPV has not conclusively been shown as a cause and more study is necessary.

Complications of Balanitis

Though rare, the most common serious complication of balanitis is phimosis (the inability to retract the foreskin from the glans penis) or paraphimosis (the inability to return the foreskin to cover the glans penis). Other rare complications can may develop with balanitis and balanoposthitis include:

  • Cellulitis, a bacterial infection of the deeper layers of the skin
  • Buried penis syndrome, a condition where the penis is buried beneath folds of skin (usually associated with obesity)
  • Meatal stenosis, an abnormal narrowing of the opening at the tip of the penis
  • Balanitis xerotica obliterans, a chronic dermatitis of the glans penis and foreskin
  • Scarring
  • Reduced blood flow to the glans penis
  • Increased risk of penile cancer

Treatments for Balanitis

If you experience the signs and symptoms of balanitis, you should seek medical attention. Depending on potential causes of the balanitis, such as bacterial or fungal infection, your doctor may prescribe antibiotic pills or creams, or anti-fungal cream.

In cases of other skin disease, your doctor may prescribe a steroid cream.

For most cases, balanitis and balanoposthitis and be controlled with medication. In rare and severe cases, circumcision may be recommended, such as with phimosis or paraphimosis. 


Edwards, Sarah. Balanitis and balanoposthitis: a review. Genitourinary Medicine. June 1996. 72(3): 155-9.

Wikström A, von Krogh G, Hedblad MA, Syrjänen S. Papillomavirus-associated balanoposthitis. Genitourin Medicine. June 1994. 70(3): 175-81.

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