Treatment Plan
Conservative:
• Hygiene measures
Medical:
• Nonspecific dermatitis: topical corticosteroids/imidazole (up to 14 days)
• Candida: topical imidazole/oral antifungals + topical corticosteroids, fluconazole
• Bacterial: oral penicillin/topical mupirocin + topical corticosteroids
• Allergic contact dermatitis: topical corticosteroids, regular emollients, trigger avoidance
Referral criteria:
• Diagnostic uncertainty
• Non-response to primary care treatment
• Associated phimosis
• Persistent allergic contact dermatitis
• Lichen sclerosis
• Zoon’s balanitis
• Suspected premalignant/malignant lesions