What is the treatment for balanoposthitis?

• A. Oral and topical antifungals
• B. Oral antibiotics only
• C. Steroid creams only
• D. Surgical circumcision

Answer: (A)

Balanoposthitis is most often caused by a fungal infection, particularly Candida, especially in uncircumcised men or those with diabetes or poor hygiene. Treating this effectively requires antifungals that work both on the surface and systemically if needed. Topical antifungal creams (such as azoles) applied to the glans and prepuce are first-line, and if the infection is extensive or recurs, adding an oral antifungal like fluconazole helps reach deeper or more widespread infection. Steroid creams, while they may reduce itching or inflammation, do not eradicate the fungus and can worsen fungal overgrowth if used alone. Antibiotics alone target bacteria and won’t resolve a fungal balanoposthitis, though they may be indicated if a bacterial superinfection is present. Circumcision is not a first-line treatment; it’s considered only for recurrent infections or persistent symptoms despite medical therapy, or when anatomical issues like phimosis contribute to the problem. Emphasize good hygiene, keep the area dry, and assess for diabetes or other risk factors as part of the overall care.