Topical steroid is effective for the treatment of phimosis in young children.
نویسندگان
چکیده
BACKGROUND AND OBJECTIVE The purpose of the present study was to evaluate the effects of non-operative treatment using topical steroids on phimosis in infants and young children. MATERIAL AND METHOD Between June 2003 and May 2005, the parents of the children with phimosis were instructed to apply and massage the phimotic skin with 0.05% betamethasone valerate cream twice daily for 2 months. During non-operative treatment, the patients whose parents were not satisfied with the results would undergo circumcision. RESULTS Ninety-two phimotic boys with an average age of 32.62 months (range, 1 to 144 months) were enrolled for steroid application. Of the 92 patients, 79 (85.9%) were satisfied with their results. The other 13 patients whose outcomes clinically improved but did not satisfy their parents finally underwent circumcision. Histologically, circumcised skins of patients initially receiving steroid therapy revealed markedly interstitial edema and slightly increased vasculature. There were no systemic side effects or significant dermal atrophy in the present study. CONCLUSION Topical steroid treatment for phimosis is successful in young children. This therapeutic approach is a safe, easy, and inexpensive alternative to circumcision.
منابع مشابه
Phimotic ring topical corticoid cream (0.1% mometasone furoate) treatment in children.
BACKGROUND/PURPOSE Phimosis, owing to the presence of a preputial fibrotic ring, is surgically treated in 1% of children. During the last decade, however, topical steroid treatment has been proposed for phimosis. METHODS We present a double-blind study comparing 0.1% mometasone furoate topical cream vs moisturizing cream (placebo) for the treatment of phimosis. Children aged from 2 to 13 year...
متن کاملPhimotic ring topical corticoid cream ( 0 . 1 % mometasone furoate ) treatment in children
Background/Purpose: Phimosis, owing to the presence of a preputial fibrotic ring, is surgically treated in 1% of children. During the last decade, however, topical steroid treatment has been proposed for phimosis. Methods: We present a double-blind study comparing 0.1% mometasone furoate topical cream vs moisturizing cream (placebo) for the treatment of phimosis. Children aged from 2 to 13 year...
متن کاملTopical Mometasone Furoate for Phimosis
Circumcision is traditionally performed for persistent phimosis in boys. Although there continues to be a considerable debate over the merits of circumcision, it is clear that preservation of the pediatric foreskin even in the presence of phimosis is a viable option. Prepuce spontaneously separates from the glans as the age increases and true phimosis is rare in children(1). Prepuce develops an...
متن کاملOutcome and recurrence in treatment of phimosis using topical betamethasone in children in Hong Kong.
AIM To study the efficacy of treating phimosis with topical steroid, and its long-term outcome and side effects. We also looked into the effect of daily retraction and cleansing of prepuce on preventing recurrence of phimsosis. METHODS This prospective study comprised 138 boys who were prescribed 0.05% betamethasone ointment (Diprocel) during 1 August 2001-31 July 2004. Five boys were exclude...
متن کاملTreatment of Phimosis with Topical Steroids as Alternative to Circumcision
Background: Topical steroids have been advocated as an effective economical alternative to circumcision in boys with phimosis. This study was aimed at evaluating the effectiveness of topical steroid therapy as primary treatment of phimosis. Methods: Between December 2003 and February 2005, 182 of the 231 boys aged 14 years or younger who were referred to us with phimosis, were treated with a si...
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ورودعنوان ژورنال:
- Journal of the Medical Association of Thailand = Chotmaihet thangphaet
دوره 93 1 شماره
صفحات -
تاریخ انتشار 2010