糖尿病包皮龜頭炎

劉致毅^1,2、王巽玄^1,2

¹高雄市立小港醫院泌尿科；²高雄醫學大學附設中和紀念醫院 泌尿部

Diabetes balanoposthitis

Chih I Liu^1,2,Hsun Shuan Wang^1,2

Division of Urology,Kaohsiung Municipal Siaogang Hospital,Taiwan¹;

Department of Urology,Kaohsiung Medical University Hospital,Kaohsiung Medical University²

Present Illness:

A 38-year-old male patient presented at our clinic with symptoms of erythematous changes in the foreskin and scrotal skin, along with pain and swelling. He reported no engagement in vigorous sexual activity and denied experiencing dysuria, hematuria, fever. The patient had no previous history of sexually transmitted infections.

Lab and Physical examination:

His serum glucose level measured 525 mg/dL two hours after meal consumption, indicating hyperglycemia. Upon physical examination, multiple red plaque lesions with localized heat and tenderness were observed on the redundant foreskin, urethral glans, distal penile shaft, and scrotum skin. Notably, there was no discharge from the urethral meatus.

Treatment:

Oral antibiotics and a topical antibiotic cream were prescribed as part of the patient's treatment regimen. The disease resolved after several weeks of treatment. The patient was also referred to Endocrinology outpatient clinic for further treatment of his newly diagnosed Diabetes Mellitus.

Discussion:

Diabetic balanoposthitis represents a significant concern in individuals with diabetes, highlighting the intricate interplay between metabolic health and genitourinary complications. The elevated levels of glucose in the blood characteristic of diabetes create a favorable environment for bacterial and fungal overgrowth, leading to an increased susceptibility to infections in the genital region. Balanoposthitis, the inflammation of the glans and foreskin, becomes more prevalent and recurrent in diabetic individuals. Poorly controlled blood sugar levels further exacerbate this risk. Tight glycemic control, coupled with meticulous hygiene practices and prompt medical intervention when symptoms arise, becomes imperative in preventing and managing this condition. Moreover, healthcare providers play a crucial role in patient education, empowering individuals with diabetes to understand the links between their metabolic health and genitourinary well-being, fostering a proactive approach to overall health and diabetes care.

Conclusion:

Diabetic balanoposthitis is primarily attributed to bacterial or fungal infections. Common clinical manifestations include localized redness, swelling, pruritus, a burning sensation, and pain. Individuals with diabetes mellitus are at an increased risk of developing infections in such scenarios, especially ones with poor control serum glucose level.