Re: balanitis and diabetes

Written by RS on 10. September 1999 at 01:38:11:

In Reply to: Adult circumsicion written by Miguel on 06. September 1999 at 19:31:47:

Hello Miguel
You`ve got a tricky one there - I can answer questions about anatomy with competence, but with questions about infections and in a case where maybe the diabetes would have some special effect - all I can really do is send you a lot of varied info and let you evaluate it ...

Diabetes and phimosis have certain connections, but it seems if you`ve already got diabetes, then it wont lead to phimosis - see Chopra.

And I have copied out a previous answer on balanitis,

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I was trying to learn about diabetes because at sometime someone with phimosis will want to know a few simple symptoms, ... I believe it works like this: could you confirm or add

The pancreas goes kaput, doesn't produce insulin, - insulin balances out the blood sugar - so excess sugar gets into the blood stream causing the kidneys to work overtime to clean up the system - dry mouth and dizzy spells are apparently the first symptoms - because of the dry mouth the afflicted person must drink lots and lots and then they urinate a lot and then often go to the doctor complaining of constant visits to the toilet. At which point diabetes is diagnosed ... and maybe also phimosis
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anyway good luck with all
Robin

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Url: /messages/44.htm

OK so BXO Balanitis xerotica obliterans, is just one of a row of balanitis variations, and balanitis and LSA are much the same thing, one medical text I found discussed whether to call it balanitis or LSA and so etc.

so for a collection of ideas please read
https://www.male-initiation.net/balanitis.html
https://www.male-initiation.net/lsa.html

Full circumcision is the SAFEST method of treating infections ... Do you understand the principle?: the area must dry out - infections love the dark humid conditions presented by the enclosed area under the foreskin.

To my mind alternative treatment depends very much on individual case, what degree of infection (are there merely white spots on the glans or is there a festering mass of goo?), do you have an experimental attitude to life, ... or would prefer the tried and tested solution, ... want to keep the foreskin at all costs, ... age?

To what extent has the general deterioration of skin tissue led to phimosis (a phimotic ring)?

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By wearing the foreskin retracted, one could also dry out the area, ... (this would depend, is the infection on foreskin glans or both?)

What I found very interesting is the homeopathic cure, but the guy started this treatment early before any ring had developed, and he has an attitude to life which suits the whole body approach of homeopathy ...

Geoffrey T. Falk (anti-circ) also has a page about balanitis on line linked with
http://www.cirp.org/library/treatment/

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Chopra R Fisher RD Fencl R

Phimosis and Diabetes Mellitus.

J Urol 1982 Jun;127(6):1101-2

Abstract: The incidence of diabetes mellitus is
significantly higher in men with phimosis of
recent onset. All patients with phimosis of
recent onset should be screened for diabetes
mellitus.

Materials and Methods
... There were 110 patients who had undergone
circumcision for phimosis, which was defined as
the inability to retract the foreskin behind the
corona of the glans penis. The phimosis was
classified as of recent onset (<2 years) or of
known long duration (>2 years). ....

Results
There were 72 patients with phimosis of recent
onset, 26 of whom were diabetic, for an
incidence of 36.1 per cent. Of the 26 patients
with diabetes 7 had not been diagnosed
previously. All 7 patients were <60 years old,
which appears to be the most likely age at
presentation ...

Discussion
... until 1973 no case of phimosis and diabetes
was reported in the urologic literature. ... Cates
and associates ... reported a 31.8 per cent
incidence of diabetes mellitus in patients
presenting with phimosis of recent onset, ...

With few exceptions, the histological study of
tissues removed at circumcision were either
unremarkable, or showed mild, chronic,
inflammatory changes with or without
lymphotic infiltration. No description of the
histologic examinations of phimotic foreskins
was found in the literature.

From our study it appears that there is a 36.1
per cent chance of diabetes mellitus in patients
between 17 and 59 years old who have phimosis
of recent onset. It is suggested that all men
presenting with phimosis of recent onset should
be evaluated for diabetes mellitus.