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Balanoposthitis describes inflammation of the glans penis and prepuce and is caused by a range of disparate conditions including infection, dermatoses and premalignancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The main objectives of this guideline are to aid recognition of the symptoms and signs and complications of penile skin conditions and to offer recommendations on the diagnostic tests and treatment for a selected group of these conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The previous guideline was updated following a literature review and priority was given to randomized controlled trial and systematic review evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The updated guideline includes amended management for infective balanitis to provide clear guidance for Group A streptococcal infections, management of on going Lichen sclerosus (to include circumcision and supportive management to reduce the recurrence of genital herpes and warts), additional regimens for Zoonoid change, use of calcineurin inhibitors in management and risk of premalignancy and change of nomenclaturefrom Premalignant conditions to Penile Intraepithelial neoplasia (PeIN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Balanoposthitis has a widerange of causes high quality evidence specific to the management of penile disease is not available for all the conditions described.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.18954","type":"journal-article","created":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T09:13:58Z","timestamp":1679390038000},"page":"1104-1117","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["2022 European guideline for the management of balanoposthitis"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9533-3961","authenticated-orcid":false,"given":"Sarah K.","family":"Edwards","sequence":"first","affiliation":[{"name":"iCasH Suffolk Abbey View Clinic  Bury St Edmunds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6693-7483","authenticated-orcid":false,"given":"Christopher B.","family":"Bunker","sequence":"additional","affiliation":[{"name":"Department of Dermatology University College London Hospitals  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric M.","family":"van der Snoek","sequence":"additional","affiliation":[{"name":"Department of Dermatology Central Military Hospital  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem I.","family":"van der Meijden","sequence":"additional","affiliation":[{"name":"Department of Dermatology Betsi Cadwaladr University Health Board (BCUHB)  Bangor UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956462414552695"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijpvm.IJPVM_377_16"},{"key":"e_1_2_11_4_1","first-page":"35","volume-title":"ABC of sexually transmitted infections","author":"Edwards S","year":"2011"},{"key":"e_1_2_11_5_1","volume-title":"Male genital skin disease","author":"Bunker CB","year":"2019"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.136.3.350"},{"key":"e_1_2_11_7_1","article-title":"Balanoposthitis","author":"Chan I","year":"2021","journal-title":"BMJ Best Practice"},{"key":"e_1_2_11_8_1","first-page":"111","volume-title":"Rook's textbook of dermatology","author":"Bunker CB","year":"2016"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2011.011072"},{"key":"e_1_2_11_10_1","unstructured":"International Union Against Sexually Transmitted Infections.European sexually transmitted infection (STI) guidelines: protocol for production and revision April 2020. 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