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Generally, dermatologists feel that balanitis, posthitis and balanoposthitis are probably more commonly due to inflammatory and pre-cancerous dermatoses than genitourinary physicians who teach that most cases are due to infection with candida. Balanitis, posthitis and inflammatory dermatosesīalanitis describes inflammation of the glans penis posthitis, inflammation of the prepuce. Such a situation is prone to all the complications and dermatoses found in the uncircumcised state.
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In older circumcised men, obesity and the vanishing penis can result in the phenomenon of the ‘pseudo-foreskin’ where the skin of the penile shaft partially or totally envelopes the glans penis (see Appendix 1 in the supplementary data on the journal's website). Circumcision can be a contentious issue but is indispensable in the management of disease of the penis and foreskin, including dermatological conditions. Data from our clinic suggest that circumcision protects against inflammatory genital dermatoses including psoriasis, seborrhoeic dermatitis, lichen planus and lichen sclerosus about 50% of men attending general clinics were uncircumcised, whereas uncircumcised men were in the majority in the penis clinic. It has been estimated that globally 25% of men have been circumcised. The protection it affords is both physical and immunological. The prepuce is a specialised protective and erogenous structure. Genital dermatoses, foreskin, circumcision, squamous cell carcinoma of the penis, elderly The foreskin in health and disease