Diagnostic approach to balanoposthitis in prepubertal boys

For management of specific types of balanoposthitis, refer to UpToDate topics on management of balanitis and balanoposthitis in children and adolescents. Patients with refractory balanoposthitis, recurrence, or scarring with phimosis warrant referral to a pediatric urologist.

STI: sexually transmitted infection; KOH: potassium hydroxide; GAS: group A streptococcal.
* Patients with urinary retention require prompt measures to facilitate voiding prior to diagnostic evaluation. Refer to UpToDate topics on management of balanoposthitis in children and adolescents.
¶ Refer to UpToDate topics on sexual abuse in children and adolescents.
Δ Medications commonly associated with fixed drug eruptions include antibacterial sulfonamides, tetracyclines, nonsteroidal antiinflammatory drugs, acetaminophen, phenolphthalein, barbiturates, and antimalarial drugs.

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Diagnostic approach to balanoposthitis in prepubertal boys