Medical expert of the article
New publications
Chronic balanoposthitis
Last reviewed: 04.07.2025

All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Causes chronic balanoposthitis
The main causes of chronic balanoposthitis:
- An infectious disease that does not respond to treatment with antibacterial agents. As a rule, this concerns improper treatment of acute balanoposthitis, which most often takes the form of chronic. Due to the incorrect treatment regimen and drug intake, the microflora becomes resistant to the action of antibiotics.
- Regular mechanical damage to the foreskin by allergens and chemicals. Chronic balanoposthitis may occur due to systematic masturbation, extreme and rough sex, which creates increased friction and damage to the foreskin. Synthetic and tight underwear, intimate hygiene products and other allergens are another cause of chronic inflammation.
- Systematic infection – due to regular promiscuous sexual intercourse, unprotected sex with a partner who has vaginal dysbiosis, sexually transmitted diseases, oral and anal sex, attempts to independently expand the foreskin in case of phimosis – causes acute balanoposthitis, which over time takes a chronic form.
- Psoriasis, Reiter's syndrome, diabetes mellitus, herpes virus, HPV are also causes of chronic balanoposthitis.
Symptoms chronic balanoposthitis
As for the symptoms of chronic balanoposthitis, during periods of exacerbation, they are practically no different from the symptoms of other forms of inflammatory lesions. Patients complain of pain when urinating, the appearance of spots and redness of the head of the penis, the appearance of copious discharge. During remission, chronic balanoposthitis causes dystrophy and atrophy of the foreskin on the head of the penis. The disease can degenerate into oncology, lead to the appearance of scars, the acquisition of secondary or primary phimosis and a change in the shape of the penis.
[ 10 ]
Forms
Recurrent balanoposthitis
Recurrent balanoposthitis is an advanced form of an infectious and inflammatory disease. There are many factors that cause relapses of balanoposthitis. These can be infectious agents, sexually transmitted diseases, failure to observe the rules of intimate hygiene, and others. The peculiarity of recurrent balanoposthitis is that each occurrence of the disease is manifested by painful symptoms, which are aggravated by the duration of the inflammatory process. The most common causes of recurrent balanoposthitis.
- Failure to comply with the rules and terms of treatment - very often, when treating primary balanoposthitis and any other diseases of the genitals, patients stop treatment as soon as the painful symptoms disappear. It is the untreated disease that causes relapses and complications.
- The presence of chronic diseases - many factors can provoke the appearance of balanoposthitis. Inflammation can appear due to a weakened immune system, infection during unprotected sexual intercourse, due to endocrine and hormonal disorders.
- Insufficient hygiene and abuse of hygienic detergents. Due to the refusal to observe basic hygiene rules, smegma with pathogenic microorganisms begins to accumulate, which causes relapses of the disease. And excessive use of hyena products can cause allergies, which leads to allergic balanoposthitis or relapses of other forms of this disease.
To protect yourself from recurrent balanoposthitis, you must strictly follow your doctor’s instructions, adhere to treatment regimens, and adhere to hygiene rules.
Who to contact?
Treatment chronic balanoposthitis
The process of treating chronic balanoposthitis is long. The first thing to do is to eliminate the causes of the disease. The patient must strictly observe personal hygiene and engage in only protected sex. In particularly advanced cases, the only treatment method is surgical excision of the foreskin, i.e. circumcision. This eliminates the conditions for the accumulation of infections.
Treatment of chronic balanoposthitis begins with diagnosis of the disease and identification of the causes of damage to the genital organ. Chronic inflammation refers to urological diseases, the symptoms of which are manifested as inflammation of the head and foreskin of the penis. The cause of chronic inflammation can be an infection. The head of the penis becomes inflamed due to non-specific microbial flora - anaerobic cocci, streptococci. In the presence of a pathogen, the disease is transmitted sexually.
Treatment of chronic balanoposthitis should be started at the first symptoms of the disease, i.e. when itching, burning, pain in the groin area, swelling of the genitals and hyperemia of the skin appear. In some cases, the penis is covered with a dirty white coating, and small blistering rashes appear. Mild forms of chronic balanoposthitis are treated with antiseptic solutions used for baths or washings of the genitals (hydrogen peroxide, potassium permanganate, Furacilin). In the acute form of chronic inflammation, the urologist prescribes serious antibacterial therapy. If the chronic form is caused by phimosis, circumcision is performed, i.e. excision of the foreskin.
Chronic balanoposthitis can last for years, causing exacerbations and periods of remission. Note that without proper treatment, any form of balanoposthitis can become chronic.