HPV: human papillomavirus; HSV: herpes simplex virus.
* If improvement is noted, offer Candida testing or empiric treatment to female sexual partners.
¶ STIs known to cause balanitis include trichomonas, HSV, syphilis, HPV, gonorrhea, chlamydia, and Mycoplasma genitalium.
Δ Antimicrobial options: If anaerobes suspected (foul-smelling discharge) use topical metronidazole 0.75% cream twice daily for 7 days; if gram positives suspected, use mupirocin 2% cream 3 times daily for 7 to 14 days. Tailor based on response to therapy and culture results. For severe infection, refer to UpToDate topics on balanitis for approach to systemic antimicrobial therapy.Do you want to add Medilib to your home screen?