This protocol addresses balanoposthitis arising from aerobic bacterial infection of the glans penis and prepuce. Aerobic organisms — including streptococcal and staphylococcal species — are associated with this presentation, and Group A Streptococci have been specifically implicated as a causative pathogen with potential for sexual transmission.
Streptococcus spp (including Groups B and D) and Staphylococcus aureus may be isolated from affected men, though their presence does not always imply causality. Group A Streptococci are the aerobic organisms most directly linked to balanitis and carry a risk of sexual transmission via the vaginal or oral route.
Management involves oral antibiotic therapy chosen to cover the likely aerobic bacterial pathogens, with particular attention to Group A Streptococcal infection when clinically indicated. The choice of agent and the duration of treatment depend on clinical severity — the complete structured regimen is behind the link below.
DOI: 10.1111/jdv.18954