Medical management of phimosis in children: our experience with topical steroids
p("JOURNAL OF UROLOGY, Volume 162, Number 3, Part 2: Pages 1162-1164, September 1999.");
p("Monsour MA, Rabinovitch HH, Dean GE");
p("Department of Urology,
" . elink("http://www.health.temple.edu/tuh/","Temple
University Hospital") . ",
Philadelphia, Pennsylvania,
USA.");
p("PURPOSE: Circumcision has traditionally been
regarded as primary therapy for persistent phimosis in boys.
Recently groups in Europe and Australia have advocated the
use of topical steroids as conservative treatment in
children. We report our experience with this approach.");
p("MATERIALS AND METHODS: Between July 1997 and
February 1998, 25 boys with a mean age of 8.3 years who
presented to our clinic with phimosis were started on a
topical steroid. After counseling the family regarding
treatment options we prescribed a 1-month course of 0.05%
betamethasone cream applied twice daily.");
p("RESULTS: Of the 25 patients 24 completed the
treatment and were evaluated. A total of 16 boys (67%) had a
normal appearing foreskin that was easily retracted, while in
the remaining 8 the outcome was unsuccessful and circumcision
was scheduled.");
p("CONCLUSIONS:Our study
demonstrates that the application of topical steroids is a
viable alternative for treating phimosis in children.
Appropriate candidates for this therapy include boys older
than 3 years who have persistent phimosis and no evidence of
infection.");
hr();
Citation:
Monsour MA, Rabinovitch HH, Dean GE. Medical management of phimosis in children: our experience with topical steroids. J Urol 1999;162(3 Pt 2):1162-4.
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