Topical corticosteroids for treating phimosis in boysCircumcision has been the traditional treatment for phimosis. We present our results with topical steroid therapy for treatment of phimosis. Retrospective review of 69 phimosis treatment topical steroids between the age of 3 and 13 years average 7. Boys without a distal preputial ring were excluded. Six weeks after treatment initiation patients were reassessed.
Topical steroid therapy for phimosis. - PubMed - NCBI
Circumcision has been the traditional treatment for phimosis. We present our results with topical steroid therapy for treatment of phimosis. Retrospective review of 69 boys between the age of 3 and 13 years average 7. Boys without a distal preputial ring were excluded. Six weeks after treatment initiation patients were reassessed. Results were classified as follows: Full retraction FR -entire glans and coronal margin seen, Moderate retraction MR -proximal glans seen, residual preputial adhesions, Partial retraction PR -distal glans and meatus seen, and Failure F -no change.
Statistical analysis was performed with Splus software using the prop. Follow-up ranged from months, and 8 patients were lost to follow-up. Two boys with severe balanitis xerotica obliterans BXO and two boys with buried penis and penoscrotal webbing failed treatment and required surgery.
There was an association noted between older age and poorer outcome but this was not statistically significant. There were no local or systemic side effects noted. Local application of steroid cream to the phimotic foreskin may allow some degree of retraction and avert the need for circumcision. Although the length of follow-up is insufficient to decree ultimate success, topical steroid appears to be a safe and effective treatment for boys over three years of age with evidence of a tight preputial ring.