Diagnostic evaluation and management of balanitis

* Hygiene measures include retraction of the foreskin and twice-daily bathing of the affected areas with saline solution.
¶ Nystatin cream 100,000 units/g can be used in patients allergic to imidazoles. For patients with severe symptoms, options include a single dose of oral fluconazole 150 mg or the combination a topical imidazole and hydrocortisone 1% cream.