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Out of total 178 STI patients, the commonest STI were balanoposthitis (36.5%, n= 65) followed by genital scabies (17.4%, n=31), genital herpes (10.7%, n= 19), venereal warts (8.4%, n= 15), nongonococcal urethritis (7.9%, n= 14) and chancroid (6.7%, n= 12).
All males with balanoposthitis must be screened for diabetes.
Most common STI in males was candidial balanoposthitis, and in females was vaginal/cervical discharge (candidial) followed by viral infections like genital herpes and genital warts.
Balanoposthitis had an incidence of 0.86%; this was slightly lower than the prevalence reported for ulcerative balanoposthitis in feral male goats (1.1%) [7].
3 patients were diagnosed as having chancroid and 1 patient presented with donovanosis; 5 patients presented with candidal balanoposthitis and three presented with genital scabies.
Balanoposthitis is due to a wide variety of causes, both infectious and non-infectious, with infection being the most frequent and several microorganisms reported.
An earlier study done in Manipur by Brajachand et al (12) has shown balanoposthitis (27.4%) to be the commonest STD followed by NGU (14.5%) and genital warts (13.5%).
Of the nonherpetic genital ulcers, most of the cases were due to candidal balanoposthitis (43.69%) followed by syphilis (36.13%), chancroid (8.40%), granuloma inguinale (2.52%), lymphogranuloma venereum (1.68%) and mixed infection (15.12%).
Genital examination revealed herpetic lesions and balanoposthitis. Fig: 1, 2.
The various candidial infections observed were, candidial vulvovaginitis in 1 patient and Candidial balanoposthitis in 1 patient.
balanoposthitis), repeated catheterization or forceful foreskin retraction.
(Table 5) Among the fungal infections, candidiasis was the most common with 65(43.33%) patients affected by it, of which oral candidiasis accounted for 50(33.33%) patients followed by genital(vulvovaginal and balanoposthitis)affecting 14 patients (9.33%) and 1 patient of candidal paronychia.