Creating Waves of Awareness
Balanitis and Homoeopathy
© Dr. Rajneesh Kumar Sharma MD (Homoeopathy)
Dr. Swati Vishnoi BHMS
Dr. Preetika Lakhera BHMS
For well formatted and illustrated article, please see attached file-
Corpus cavernosum.. 3
Corpus spongiosum.. 3
Predisposing factors. 3
Signs and symptoms. 3
Cutaneous / mucocutaneous diseases. 4
Unprotected sex. 5
Metabolic disorders. 5
Organ malfunctions. 5
Fixed drug eruptions ….. 7
Traumatic . 7
Other causes . 7
Balanitis xerotica obliterans. 8
Zoon balanitis. 9
Circinate Balanitis. 9
Pseudoepitheliomatous micaceous and Keratotic balanitis of Civatte (PMKB). 9
Atrophic Balanitis. 9
Chronic benign circumscribed plasma cell balanitis. 10
Follman’s Balanitis of Syphilis. 10
Psoriatic Balanitis. 10
Differential Diagnosis. 11
Laboratory Studies. 11
Imaging Studies. 11
Homoeopathic treatment. 12
Common remedies for Balanitis. 12
Short repertory of Balanitis. 12
The penis is the male sex as well as excretory organ. It has following parts-
It is head of the penis and covered with pink, moist tissue called mucosa. Covering the glans is the foreskin or prepuce. In circumcised men, the foreskin is surgically removed and the mucosa on the glans transforms into dry skin.
These are two columns of tissue running along the sides of the penis. Blood fills this tissue to cause an erection.
It is a column of sponge-like tissue running along the front of the penis and ending at the glans penis. It fills with blood during an erection, keeping the urethra open.
The urethra runs through the corpus spongiosum, conducting urine out of the body.
These include poor hygiene and over washing, use of over-the-counter medications, and nonretraction of the foreskin.
Uncircumcised men with poor personal hygiene (Causa occasionalis) are most affected by balanitis. Lack of aeration and irritation because of smegma and discharge surrounding the glans penis causes inflammation and edema (Causa occasionalis).
Though uncommon, complications of balanitis include phimosis (Psora/ Syphilis) and cellulitis (Psora). Meatal stenosis (Psora) with urinary retention may rarely accompany balanitis. In very few cases, balanitis may lead to the buried penis syndrome (Psora/ Syphilis).
Balanitis can occur in males at any age. Etiologies differ depending on age.
Patient may present with following main complaints-
These may include-
Old sweat, urine and other substances may accumulate under the foreskin, causing irritation and allowing germs to multiply. (Psora/ Syphilis)
If the female partner has vaginal thrush, the male may become infected, increasing the risk of developing balanitis. Genital herpes, Chlamydia and syphilis may also cause balanitis. (Psora/ Syphilis)
Vesicles / Bullae with Erosions (Contact dermatitis / Fixed Drug Eruptions)
Frenal tears / Edema
This is also called as lichen sclerosus and is a chronic dermatosis identified by whitish plaques involving the glans and foreskin.
It is a reddish velvety lesion on the glans.
It is often seen in Reiter disease and consists of circinate and eroding lesions on the glans with painless, serpiginous, geographic dermatitis of Glans (uncircumcised) and Hyperkeratotic plaques.
Pseudoepitheliomatous, keratotic, and micaceous balanitis is a rare condition characterized by verrucous excrescences with scaling. It is common after circumcision for phimosis in adult life.
It is chronic inflammation followed by atrophic sclerosis, depigmentation, induration, phimosis and urethral Stricture.
It is characterized by shiny red velvety plaques with cayenne pepper stippling.
It is marked by erosive indurated painless chancre over prepuce with phimosis with doughy infiltrate, nodular or diffuse infiltrate.
Multiple painful shallow non-indurated ulcers with undermined edges over prepuce / glans +/- Phimosis (Chancroid)
It has bright red micaceous scaly annular plaques with cutaneous / nail / joint involvement (Penile Psoriasis).
Deterrence or prevention of balanitis includes the following measures-
Gentle retraction of the foreskin daily and soaking in warm water to clean penis and foreskin is essential part of treatment. Patients presenting to the erectile dysfunction (ED) with phimosis and severe urinary obstruction as a complication of balanitis may need help of surgery. Circumcision may be indicated. Circumcision is not a preventive treatment of balanitis in those younger than 3 years.
Acon. alum. ALUMN. antip. APIS arg-met. Arg-n. arn. ars. aur-ar. aur-s. Aur. bell. bry. CALAD. CALC. Calen. Cann-s. Canth. carbn-s. caust. chin. CINNB. coc-c. con. Cop. Cor-r. crot-t. CUB. cupr. DIG. elaps Gels. graph. ham. hep. iris JAC-C. Jac-g. KALI-CHL. kali-p. KALI-S. kreos. LACH. led. Lyc. lys. lyss. m-aust. MERC-C. MERC. MEZ. mur-ac. nat-ar. NAT-C. Nat-m. nat-sil. Nit-ac. NUX-V. ol-sant. ozone petr. ph-ac. PSOR. puls. RHOD. rhus-t. ros-d. sabin. sars. SEP. sil. staph. Sulph. Sumb. syc. THUJ. viol-t.
Male - BALANITIS, penis, glans - pus, under prepuce- jac-c.
Male - BALANITIS, penis, glans- Acon. alum. Alumn. antip. Apis Arg-n. arn. ars. aur-ar. aur-s. Aur. bry. Calad. Calc. Calen. cann-s. canth. carbn-s. caust. chin. CINNB. Cop. Cor-r. Cub. cupr. Dig. Gels. graph. ham. iris Jac-c. KALI-CHL. kali-p. Kali-s. lach. led. Lyc. lyss. Merc-c. Merc. mez. nat-ar. Nat-c. Nat-m. nat-sil. Nit-ac. nux-v. ozone petr. ph-ac. Psor. Rhod. rhus-t. sabin. sars. sep. sil. staph. Sulph. Thuj.
MALE - INFLAMMATION - penis - glans, balanitis – gonorrheal- alum. cann-s. canth. caust. chin. cinnb. COR-R. lach. lyc. MERC. mez. nat-c. nat-m. NIT-AC. NUX-V. petr. SEP. staph. SULPH. THUJ.
MALE - INFLAMMATION - Penis - glans, balanitis- Acon. alum. Alumn. antip. Apis Arg-n. arn. ars. aur-ar. aur-s. Aur. bry. Calad. Calc. Calen. cann-s. canth. carbn-s. caust. chin. CINNB. Cop. Cor-r. Cub. cupr. Dig. Gels. graph. ham. iris Jac-c. KALI-CHL. kali-p. Kali-s. lach. led. Lyc. lys. Merc-c. Merc. mez. nat-ar. Nat-c. Nat-m. nat-sil. Nit-ac. nux-v. ozone petr. ph-ac. Psor. Rhod. rhus-t. sabin. sars. sep. sil. staph. Sulph. Thuj.
MALE - INFLAMMATION - Penis - prepuce, balanitis – erysipelatous- Apis ARS. LACH. Puls. RHUS-T.
MALE - INFLAMMATION - Penis - prepuce, balanitis – frenum- Calc. Nit-ac. sumb. thuj.
MALE - INFLAMMATION - Penis - prepuce, balanitis - glands of- thuj.
MALE - INFLAMMATION - Penis - prepuce, balanitis - inner surface- crot-t. merc. Nit-ac.
MALE - INFLAMMATION - Penis - prepuce, balanitis – margin- jac-c.
MALE - INFLAMMATION - Penis - prepuce, balanitis- Acon. Apis arn. Ars. aur. bell. calad. Calc. cann-s. Canth. CINNB. coc-c. con. cor-r. crot-t. dig. elaps Gels. graph. hep. Jac-c. Jac-g. kreos. lach. lyc. merc-c. MERC. mez. mur-ac. nat-ar. Nat-c. Nit-ac. ol-sant. puls. Rhus-t. sabin. sep. sil. staph. Sulph. Sumb. syc. Thuj. viol-t.
MALE SEXUAL SYSTEM - Prepuce – Inflammation- Acon. apis calad. Cann-s. Canth. Cinnb. coc-c. con. crot-t. dig. Gels. Jac-c. lyc. merc-c. Merc. Nit-ac. ol-sant. Rhus-t. sulph. Thuj. viol-t.
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