Patients may report symptoms signifying sexual dysfunction or dyspareunia (itching, burning, pain, bleeding, tearing, splitting, hemorrhagic blisters), discomfort with urination, and narrowing of the urinary stream and/or concerns about the changing anatomy [online.epocrates.com]

Zoon plasma cell balanitis is usually asymptomatic, but pruritus may occur. It is seen much more frequently in men between the ages of 40 and 80. It is seen mostly in uncircumcised men and is associated with poor hygiene and chronic irritation. [visualdx.com]

[…] oral antihistamines allergic contact dermatitis allergen avoidance supportive measures topical corticosteroids with significant pruritus oral antihistamines severe with exudate/weeping wet soaks psoriasis topical corticosteroid or topical calcineurin [online.epocrates.com]

It was increased in size over 1 month associated with mild pruritus. Patient had no history of multiple sexual partners, no co-morbid illness, and no previous similar complaint. [urologyannals.com]

[…] complete resolution, one patient had a marked response but relapsed during the treatment and the last patient had a partial response due to the development of a side effect that precociously required to stop the treatment.One patient referred a slight pruritus [dermatologyadvisor.com]

Usually, the condition is asymptomatic, though pruritus may be present. The course tends to be chronic and may persist for months to years, and sometimes poorly responsive to topical treatment. [statpearls.com]

Most penile melanotic macules, angiokeratomas, fibromas and angiomas do not have to be treated; however, penile skin lesions may also be symptoms of other diseases, such as circinate balanitis in Reiter's syndrome and multiple angiokeratomas in Fabry's [readbyqxmd.com]

(scalp discoid lupus erythematosus, lichen planopilaris, frontal fibrosing alopecia and folliculitis decalvans), nonscarring alopecias (alopecia areata, trichotillomania, androgenetic alopecia and telogen effluvium) and scaling disorders of the scalp [readbyqxmd.com]

[…] hyperpigmented maculopapular diseases (pityriasis versicolor, lichen planus pigmentosus, Gougerot-Carteaud syndrome, Dowling-Degos disease, erythema ab igne, macular amyloidosis, lichen amyloidosus, friction melanosis, terra firma-forme dermatosis, urticaria [readbyqxmd.com]

Early symptoms include itching, burning, dysuria, painful intercourse, urethritis with or without discharge; late symptoms include phimosis or paraphimosis. A sclerotic white ring at the tip of the prepuce is diagnostic. [gponline.com]

Prognosis Prognosis is usually good with treatment. [10] Diagnosis History and symptoms Patients with Zoon's balanitis could present with asymptomatic or symptomatic lesions with: [11] Itching ( pruritis ) in the genitalia region Discomfort in urination ( dysuria [wikidoc.org]

Case Report A 71-year-old uncircumcised man presented with a 3-month history of extremely painful genital sores associated with swollen foreskin and dysuria, not preceded by any flu-like symptoms. [ncbi.nlm.nih.gov]

March 2016: Photodiagnosis and Photodynamic Therapy # 19 Jeremy M Hugh, Kendra Lesiak, Laura A Greene, Joseph C Pierson Zoon's balanitis, is typically found in older, uncircumcised males and can be asymptomatic, pruritic, or cause dysuria. [readbyqxmd.com]

Dysuria. Interference with urinary flow in severe cases. Obscuration of glans/external urethral meatus. Impotence or pain during coitus. Regional lymphadenopathy. Investigations Blood/urine testing for glucose if diabetes mellitus is possible. [patient.info]

CASE REPORT Case 1: Male, 37 years old, uncircumcised, was referred to the STD Clinic with a 1 year history of genital lesions and no prior treatment. [scielo.br]

Non-infectious inflammatory genital lesions. Clin Dermatol. 2014 Mar-Apr. 32(2):307-14. [Medline]. Pileggi Fde O, Nogueira PL, de Melo Coelho MF, da Silveira Orsi G, de Fatima Gali Sorita Tazima M, Vicente YA, et al. [emedicine.medscape.com]

Key words: Circumcision, lasers, nonvenereal disease, topical calcineurin inhibitors, Zoon balanitis INTRODUCTION All the genital lesions are not sexually transmitted. [ncbi.nlm.nih.gov]