Hello everyone!

At our clinic, we have extensive experience in treating diabetic balanoposthitis.

We primarily aim for complete recovery in a single surgical procedure.

If there are no major complications, the treatment process requires only two visits:

1. Surgery Day
2. Suture Removal (~2 weeks later)
   (After suture removal, follow-up is usually done via online consultation.)

Today, we will introduce our diabetic balanoposthitis treatment at Hashimoto Clinic!

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What is Balanoposthitis?

Balanoposthitis is a condition in which the foreskin becomes inflamed due to minor injuries caused by physical irritation, followed by a bacterial infection.

Many patients experience severe pain, which can interfere with sexual activity and significantly impact their quality of life.

While balanoposthitis is rare in healthy individuals, those with diabetes and compromised immune or wound-healing functions often experience recurrent infections from minor injuries or bacterial exposure.

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The Link Between Diabetes and Balanoposthitis

As diabetes progresses, it can cause poor blood circulation in the extremities (such as the fingers and genital area), leading to nutritional deficiencies in peripheral tissues.

This results in delayed wound healing, making even minor injuries prone to infection.

Additionally, certain diabetes medications called SGLT2 inhibitors (Suglat, Lusefi, Forxiga, Debelza, Canaglu, Jardiance) lower blood sugar levels by excreting glucose through urine.

From a balanoposthitis perspective, the presence of glucose in urine promotes bacterial growth, increasing the risk of recurrent infections.

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Treatment for Diabetic Balanoposthitis

The treatment involves complete removal of the damaged foreskin and replacement with healthy skin.

At Hashimoto Clinic, we originally specialized in cosmetic phimosis surgery, which we have adapted for diabetic balanoposthitis to ensure both functional and aesthetic results.

As a cosmetic surgery clinic, we provide a natural, scar-minimizing finish.

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Benefits of Surgery for Diabetic Balanoposthitis

✅ Reduced Risk of Recurrence

• Removing the damaged foreskin and replacing it with thicker, healthier skin prevents recurrent infections.
• Sexual activity can resume after one month.

✅ Minimally Noticeable Scarring

• Our cosmetic surgeons specialize in meticulous surgical suturing, making scars barely noticeable.
• This is ideal for patients who are concerned about aesthetic appearance.

✅ Improved Hygiene & Lower Infection Risk

• Circumcision-like effects make hygiene maintenance easier.
• This significantly reduces the risk of infections associated with diabetes.

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Surgical Procedure for Diabetic Balanoposthitis

1️⃣ Consultation & Examination

• We assess the severity of balanoposthitis and determine whether surgery is necessary.
• We also check diabetes management, suture type, anesthesia, and antibiotic use.

2️⃣ Local Anesthesia & Allergy Testing

• Local anesthesia is applied at the base of the penis to minimize pain.
• We perform an antibiotic allergy test before the procedure.

3️⃣ Sterilization & Disinfection

• Antibiotics are administered in advance to prevent infection.
• The affected area is washed with sterile water and disinfected with iodine.
• The surgical field is carefully maintained under sterile conditions.

4️⃣ Foreskin Removal & Suturing

• Damaged foreskin is removed while ensuring the skin is not overly tight.
• The foreskin is cut according to a pre-designed pattern.
• Suturing is performed using infection-resistant sutures for optimal healing.
• Regenerative therapy is combined to accelerate healing.

5️⃣ Post-Surgery Care & Follow-Up

• Ointment & bandages are applied for stability.
• Medication instructions (antibiotics & pain relievers) are provided.
• Patients are advised to rest for about a week and follow post-operative care for faster recovery.

6️⃣ Suture Removal (~2 Weeks Later)

• Sutures are removed approximately two weeks after surgery.
• If there are no issues, the treatment is complete.

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Key Considerations for Surgery

For patients with recurrent diabetic balanoposthitis, this surgery is not just for cosmetic purposes but also plays a critical role in reducing infection risks and improving quality of life.

Since diabetic patients require specialized post-surgical management, we ensure:

1️⃣ Comprehensive Infection Control Measures

• Diabetes compromises immune function, leading to slower wound healing and higher infection risks.
• Our clinic implements advanced infection prevention strategies, including:
  ✅ Strict sterilization protocols (hygienic surgical environment, aseptic techniques, and sterile surgical instruments)
  ✅ Pre- & post-operative antibiotic management
  ✅ Extended follow-up for 3 months (in-person or online)

These measures significantly reduce post-surgical complications.

2️⃣ Specialized Suturing & Regenerative Therapy for Faster Healing

• Diabetic wounds heal more slowly, requiring advanced suturing techniques to prevent wound dehiscence or scarring.
• We use:
  ✅ Ultra-fine, infection-resistant sutures to reduce stress on the wound
  ✅ Minimally invasive suturing to minimize swelling
  ✅ Regenerative therapy to improve blood circulation and wound healing

This ensures both safety and aesthetic excellence.

3️⃣ Extended Post-Operative Follow-Up

• Unlike standard phimosis surgery, diabetic patients require longer recovery periods.
• We provide:
  ✅ Regular check-ups for 1–3 months (in-person or online)
  ✅ Additional monitoring for wound healing & recurrence prevention
  ✅ Dedicated support for post-surgical concerns

These services ensure a safe and worry-free recovery.

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Comparison: Standard vs. Diabetic Balanoposthitis Surgery

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Treatment Cost

💰 Diabetic Balanoposthitis Surgery Package
(Includes pre-op exam, anesthesia, medications, and 3-year follow-up)
➡ 528,000 JPY (tax included)

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Final Thoughts

For patients experiencing recurrent diabetic balanoposthitis, this surgery is not just a cosmetic procedure—it’s a medical necessity to reduce infection risks and improve quality of life.

Due to the advanced techniques, enhanced safety measures, and personalized care required, the procedure is more costly than standard phimosis surgery.

If you’re worried about undergoing surgery due to diabetes, rest assured that our experienced specialists will provide expert care.

📞 Free Consultation Available!
Feel free to call or book an online consultation today!

🔽 Contact Us Here
[Clinic Website]

We hope this information helps those struggling with diabetic balanoposthitis!