Balanitis

Summary: Urological referral not normally indicated

Advice: Patients with inflammation of the penis & foreskin do not usually require urological referral but can be managed in primary care with simple antibiotics & local cleaning. Failure of resolution and phimosis are the main indications for referral.
Refer To: Any adult urologist (for adults) or paediatric surgeon (for children)

Contents:

• Clinical advice
• Fast-Track referral forms (medical staff only)
• Useful links

Clinical advice

• Consider referral to GenitoMedical Clinic (Clinic 1A) or to Dermatologists for recurrent balanitis in the absence of phimosis.
• Consider urological referral only if circumcision is needed or if there is any suggestion of penile malignancy in adults.
• Adults with suspected penile cancer should be referred on the “fast track” system.
• If there is clinical doubt about the need for circumcision in children, contact the Paediatric Urologists.

PLEASE NOTE: Neonatal circumcision is not performed by the adult urologists.

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Fast-Track referral forms (medical staff only)

• Urology Fast-Track referral form (Standard)
• Urology Fast-Track referral form (EMIS LV)
• Urology Fast-Track referral form (EMIS PCS)
• Urology Fast-Track referral form (SystmOne)

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Useful Links

• Balanitis (National Library for Health)

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