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Circinate Balanitis - Symptoms, Diagnosis & Treatment

Circinate balanitis is a result of reactive arthritis. In addition to discoloration and inflammation, circinate balanitis causes small lesions on the head of the penis.You can get the best treatment for circinate balanitis at Pristyn Care, with top-notch medical technologies and equipment. To get rid of all penis foreskin issues like circinate balanitis, book your FREE consultation today with Pristyn Care.

Circinate balanitis is a result of reactive arthritis. In addition to discoloration and ... Read More

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  • What Is Circinate Balanitis?

    Circinate balanitis is one of the most common types of balanitis which is a result of reactive arthritis. Reactive arthritis is a kind of arthritis that develops in response to an infection in the body. In circinate balanitis, the skin around the shaft and tip of the penis gets inflamed. This inflammation around the penis can be treated using cortisone creams like topicort.

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    What Are The Symptoms Of Circinate Balanitis?

    In the beginning, men with circinate balanitis experience pin-sized dots with a white plaque on them which grow into flat, red areas hardly covered by white plaque. Despite the visible symptoms of circinate balanitis, patients in nearly all cases do not experience any burning or itching, nor there is any strange smell. Due to its analogy to a fungal skin infection, circinate balanitis is often misdiagnosed as mycosis – specifically in cases where patients have no other symptoms of reactive arthritis.

    Are you going through any of these symptoms?

    Diagnosis and Treatment of Circinate Balanitis

    Diagnosis of Circinate Balanitis

    A doctor makes the diagnosis of circinate balanitis after carefully examining the skin. A small skin sample is taken from the skin of the penis and inspected under the microscope to confirm the presence of circinate balanitis. 

    Treatment of Circinate Balanitis

    Cortisone creams are the most commonly used treatment for circinate balanitis. Since reactive arthritis cannot be healed as such, patients are advised to follow a continuous topical treatment – otherwise, they might notice the symptoms again after 3-4 days of the treatment. 

    Circinate balanitis, if recurrent, requires circumcision. Circumcision is the surgical removal of the foreskin covering the tip of the penis. In the absence of the foreskin, there is no longer an environment for an infection or inflammation that can result in circinate balanitis. Hence, an effective treatment for circinate balanitis can be open, laser circumcision and stapler circumcision

    What Are The Possible Complications Of Circinate Balanitis?

    Prolonged circinate balanitis can have certain risks and complications, if left untreated. Some of the complications of circinate balanitis include:

    1. Phimosis: Phimosis is a urological condition defined as the inability to retract the foreskin that covers the head of the penis. Phimosis may emerge as a tight ring of the foreskin, which circles the tip of the penis that prevents full retraction.
    2. Paraphimosis: Paraphimosis is a urologic emergency that happens in uncircumcised males when the foreskin gets trapped behind the corona of the glans penis. It can lead to strangulation of the glans, distal venous engorgement, and even necrosis.
    3. Ulcerative lesions: Circinate balanitis, if left untreated, can also lead to painful sores that bleed and ultimately cause scarring.
    4. Risk of Cancer: Chronic circinate balanitis increases the risk of various types of cancer. Quick treatment of circinate balanitis can significantly reduce the risk of complications.

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    Risks Involved In Circinate Balanitis Surgery

    Circumcision is the surgical procedure to treat prolonged circinate balanitis. The possibility of risks and complications of circumcision is relatively low. However, it does not mean it cannot result in complications. Therefore, listed below are some of the complications linked with circumcision surgery for circinate balanitis:

    • Bleeding: Some patients can experience bleeding from the incision after circumcision. Therefore, it is recommended to consult a doctor immediately if it does not subside independently.
    • Infection: The incision risks getting infected, which may stretch the recovery period of circinate balanitis.
    • Necrosis of the Penis- Necrosis is a rare complication of circinate balanitis surgery. Still, it has been reported as a complication of circumcision to treat circinate balanitis.
    • Balanitis xerotica obliterans (BXO)- BXO happens when the skin on the glans stiffens and turns white. The hard tissue can make it difficult for urine and semen to flow through the urethra. 

    Postoperative Care After Circinate Balanitis Surgery

    Postoperative care is important after circumcision surgery for circinate balanitis. Listed below are some post-surgery care tips that you must follow:

     

    • You might experience pain after circumcision. Your urologist will prescribe medicines for pain management, and ensure you take all the medicines as instructed by the doctor.
    • Only wear loose-fitting clothes after the surgery and wear supportive underwear that would keep the penis protected.
    • Do not overexert yourself, and avoid strenuous physical activities for some time after the surgery.
    • Avoid harsh soaps or lotions that can irritate the skin.
    • Avoid having sex for at least 4 weeks after circumcision.

    When To Seek Medical Attention For Circinate Balanitis?

    It is always recommended to seek medical attention from an experienced urologist as soon as you experience symptoms of circinate balanitis. Your urologist will evaluate the root cause of the medical condition and then suggest suitable treatment options to treat circinate balanitis. If your medical condition does not improve using topical treatments and the problem persists, your urologist may suggest circumcision.

    Circinate Balanitis Surgery Cost & Insurance coverage

    The cost of circinate balanitis surgery in India ranges between Rs. to Rs. . However, the final cost of circinate balanitis surgery is calculated after assessing numerous factors, including the city and hospital where the surgery takes place, the type of surgery, the experience of the surgeon, etc.

    Like most surgeries, circinate balanitis surgery is also covered under insurance. Pristyn Care offers complete insurance assistance and has a dedicated team that helps patients throughout the insurance claim process. To know more about the insurance coverage of circinate balanitis, get in touch with our care coordinators.

    Common FAQs Around Circinate Balanitis

    What are the different types of balanitis?

    There are three main types of balanitis: Zoon balanitis, which is the most common kind of balanitis, circinate balanitis, which is a result of reactive arthritis, and pseudoepitheliomatous keratotic and micaceous balanitis, which results in wart-like growths.

    Is circinate balanitis hereditary?

    No, circinate balanitis is not hereditary.

    Is circinate balanitis painful?

    Circinate balanitis is a urological condition that causes small lesions on the head of the penis. Despite the visible symptoms of circinate balanitis, patients in nearly all cases do not experience any pain.

    Can circinate balanitis go away on its own?

    Although circinate balanitis usually does not need treatment, it can serve as a salient marker of underlying genitourinary infections, which requires treatment to prevent relapses.

    Is there a permanent cure for circinate balanitis?

    Circumcision offers a permanent cure for circinate balanitis by eliminating an environment for an infection or inflammation. The foreskin that covers the tip of the penis is surgically removed during circumcision.

    Can coconut oil cure circinate balanitis?

    Caprylic acid and lauric acid present in coconut oil are very useful in soothing irritated skin. Therefore, coconut oil is one of the best remedies to get fast relief from circinate balanitis.

    How to prevent circinate balanitis from getting worse?

    Circinate balanitis is manageable in most cases but it’s better to follow certain tips to prevent it from turning serious:

    • Wash your penis every day
    • Gently pull back the foreskin and wash the area with water
    • Dry gently after washing
    • Only use condoms that are made for sensitive skin
    • Wash your hands before touching your penis
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    Content Reviewed By
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    Dr Ankit Kumar
    13 Years Experience Overall
    Last Updated : August 9, 2024

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