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Data from meta-analyses showed that circumcised males have a 68% lower prevalence of balanitis than uncircumcised males and that balanitis is accompanied by a 3.8-fold increase in risk of penile cancer.

coli, Proteus spp., and Klebsiella spp., were the most common bacteria. albicans, but no other fungi, was found in 3.5% of 200 Iranian infants before circumcision.

After circumcision, bacterial cultures were negative in 66%. Most bacteria were multidrug resistant and included species capable of causing urinary tract infections. The fungal species were as follows: Malassezia globosa, Malassezia furfur, Malassezia slooffiae, C.

Penile inflammation is responsible for significant morbidity, including acquired phimosis, balanoposthitis, and lichen sclerosus.

Medical treatment can be challenging and a cost burden to the health system. While topical antifungal creams can be used, usually accompanied by advice on hygiene, the definitive treatment is circumcision.

A major predisposing factor in boys is lack of circumcision, especially in those whose foreskin is partly or completely nonretractable. Newer pyrosequencing methods (see subsection below) are needed to confirm and expand on findings in boys.

A study in India of 124 boys aged 6 weeks to 8 years swabbed before circumcision found that E.

Int J Prev Med [serial online] 2017 [cited 2018 Apr 8];. 2017/8/1/32/205695 They are painful and can be associated with penile bleeding, lichen sclerosus (LS), and complications such as phimosis and paraphimosis.

Fungal infections are usually responsible, most commonly involving the yeast, Candida albicans, potentially associated with polymicrobial flora.

Balanitis Clinical presentation and causes Balanitis presents with mild burning, pruritis, itching, swelling, erythematous patches, and plaques or bullae involving the glans penis, satellite eroded pustules and moist curd-like accumulations Poor hygiene is the most common cause.

Irritant balanitis can result from exposure to medications, such as some common antibiotics, and to allergens, including latex condoms, propylene glycol in lubricants, some spermicides, and corticosteroids.

Overgrowth of yeasts as well as other microorganisms that favor development of balanitis can follow antibiotic treatment.

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