Treatment of phimosis with a steroid creme in boys
p("UGESKRIFT FOR LAEGER (Denmark), Volume 163, Number 7: Pages 922-924. February 12, 2001.");
p("[Article in Danish]");
p("Klyver H, Mortensen SO, Klarskov OP, Christiansen P.");
p(elink("http://www.glostruphospital.dk/menu","Amtssygehuset i Glostrup") . ", urologisk sektion D1 og borneafdeling L.");
p("ABSTRACT: The current treatment of phimosis in
Denmark is surgical. Reports of success rates of 70-80% with
topical steroids have prompted us to carry out the present
study.");
p("METHODS: Parents of boys, who were referred because
of phimosis, volunteered to participate in an open trial of
topical clobetasol 0.05%, along with gentle mobilisation of
the foreskin once daily for 4-6 weeks. Fifty-five boys
completed the treatment. The results were recorded at
clinical follow-up four and six weeks later, and a long-term
follow-up was done by questionnaire sent after 9-11
months.");
p("RESULTS: At six weeks of treatment, 42 had a fully
retractable foreskin, 11 a partially retractable foreskin,
and two had unchanged phimosis. Ten patients had a
circumcision or plasty. At long- term follow-up, 12 had a
symptomatic recurrence. Four of these were given surgical
treatment and eight had a repeat topical treatment, which was
effective in six. The overall effect was independent of the
degree of phimosis. Four patients with obvious scarified
foreskin failed. Twelve patients had agglutinations, which
became apparent after the treatment for phimosis. We recorded
no systemic and very few local side effects. The patients and
parents found the treatment convenient and satisfactory.");
p("CONCLUSION: Topical clobetasol 0.05% once a day for
4-6 weeks can be recommended as primary treatment in phimosis
in boys without scarification of the foreskin. The treatment
may be repeated as necessary.");
hr();
Citation:
Klyver H, Mortensen SO, Klarskov OP, Christiansen P. [Treatment of phimosis with a steroid creme in boys]. Ugeskr Laeger 2001;163(7):922-4.
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