Sweet urine, bitter outcome: Empagliflozin and balanoposthitis

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In print

Sexual health

Sweet urine, bitter outcome: Empagliflozin and balanoposthitis

14 February 2024

By Massimo Giola

Wednesday 14 February 2024, 12:35 AM

Urine loaded with sugar offers an excellent growth medium for fungi and bacteria [Image: Mikhail Nilov on Pexels]

Sexual health specialist Massimo Giola continues his series of short, mostly clinical case-based sexual health articles. This year, he has in mind a mix of transgender medicine and sexology topics, but he starts with a genital dermatology issue he has seen a few times recently

Key points, Sodium-glucose cotransporter-2 inhibitors (dapagliflozin and empagliflozin) work by causing glycosuria. Urinary tract infections and genital fungal , Pract Green w Pale Yellow

Sexual Health

Medicines and Therapies

Dermatology

Genitourinary

Men's Health

References

1. Johnsson KM, Ptaszynska A, Schmitz B, et al. Vulvovaginitis and balanitis in patients with diabetes treated with dapagliflozin. J Diabetes Complications 2013;27(5):479–84.

2. Nyirjesy P, Sobel JD, Fung A, et al. Genital mycotic infections with canagliflozin, a sodium glucose co-transporter 2 inhibitor, in patients with type 2 diabetes mellitus: a pooled analysis of clinical studies. Curr Med Res Opin 2014;30(6):1109–19.

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