Posthitis is the inflammation of the foreskin, and it can be due to many different type of infections. Symptoms of inflammation are such as redness, pain, or even swelling.

In summary, Posthitis can be due to ordinary skin pathogens (for example bacteria or fungus), or due to sexually transmitted disease.

How Posthitis occurs?

The common accompanying sign and symptoms are such as:

  • Increased urinary frequency 
  • Painful urination 
  • Fever 
  • Redness over penile head 
  • Swollen inguinal lymph nodes
  • Redness or rash over penile head

Figure: inflammed foreskin

Our Recommendation

The treatment of Posthitis depends heavily on the cause. Please consult your healthcare provider before deciding a suitable treatment. 

In cases of recurrent Posthitis, circumcision may be advised.

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Skin Swab Test

To look for pathogen causing superficial skin infection

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STD Screening

STD test recommended will depend on symptoms

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Urine FEME, Culture and Sensitivity

To look for urinary infection if urinary symptoms are present

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General health screening

Health conditions such as Diabetes may cause recurrent posthitis

Treatment

Surgery

Circumcision

Principle of therapy:
Circumcision is a procedure that removes the foreskin from the human penis. In the most common form of the operation, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised.

Duration of Surgery:
45 minutes to 1 hour

Pre-procedure preparation: Advisable to come with a family member/friend. Prior topical anaesthesia will be given to be applied over penile shaft and base to reduce pain during surgery and nerve block injection.

Post-procedure care:
Minimal bleeding is normal post circumcision. Compression bandage and bed rest may be advised during first day post procedure. Wound would be bandaged for at least 3 days. Wound inspection would be done on day 3 after surgery, after which bandage would be removed and further follow up usually not required unless further complications should happen. Wound should be kept dry at all times after surgery. Make sure to dry/ blow dry with hair dryer after shower. Sutures used are usually absorbable suture – no need for removal.

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