Signs & Symptoms
General:
• Discomfort
• Itching
• Urethral discharge
• Urinary symptoms
• Sexual dysfunction
• Redness/swelling of glans
• Pustules
• Fissuring
• Ulcerations
Specific presentations:
• Allergic contact dermatitis: itch
• Irritant contact dermatitis: burning sensation
• Seborrhoeic dermatitis: scaly surface
• Psoriasis: well-demarcated red plaques
• Lichen sclerosis: dry white patches
• Lichen planus: purple patches/plaques
• Zoon’s balanitis: orange-red, well-demarcated asymmetrical glossy lesions with pinpoint red spots
• Chlamydia: red-grey plaques with whitish margins
• Gonorrhoea: tender ulcers, pustules
• Syphilis: erosive lesions, non-tender lymphadenopathy
• Trichomonas: erosive/ulcerative lesions, urethritis, inguinal lymphadenopathy
• HPV: tender lesions on glans, anogenital warts, redness, itching, burning
• HSV: crusted ulcers, redness, swelling, discharge
• Bacterial: painful red glans, oedema, pustules
• Fungal: blotchy redness