Conclusions Compared to the placebo or manual reduction method , the topical steroid therapy is more effective in the treatment of phimosis in children .
Although there is still controversy in the different type and dosage of steroid , this could be used against phimosis before circumcision
Abstract Purpose We evaluated a systematic review on the therapeutic efficacy of topical steroids in children with phimosis to provide data for the clinical options of pediatric phimosis .
Conservative treatment of phimosis with fluticasone proprionate 0.05%: a clinical study in 1185 boys.
OBJECTIVE Circumcision has been the traditional method of choice in the treatment of boys with phimosis . Recently , several published studies worldwide have focused their interest on more conservative approaches in management of this condition . These studies advocate the use of topical steroids in the phimotic foreskin . We aim ed to investigate the efficacy and safety of a medium potency corticosteroid in boys with different types of prepuce retractabilty . PATIENTS AND METHODS A prospect i ve study was performed involving boys referred to our hospital for possible phimosis between January 2004 and February 2008 . All were treated initially with fluticasone proprionate 0.05 % for a period of 4 - 8 weeks . Patients were reassessed after 6 months of follow up . RESULTS A total of 1185 boys with a diagnosis of phimosis were treated with fluticasone proprionate 0.05 % . Successful results were achieved in 1079 ( 91.1 % ) patients including boys with mild balanitis xerotica obliterans . No side effects were noticed . CONCLUSION Our results show that fluticasone proprionate 0.05 % , a mild potent corticosteroid , is effective and safe in the treatment of boys with different types of phimosis
Conclusions Compared to the placebo or manual reduction method , the topical steroid therapy is more effective in the treatment of phimosis in children .
Although there is still controversy in the different type and dosage of steroid , this could be used against phimosis before circumcision
Abstract Purpose We evaluated a systematic review on the therapeutic efficacy of topical steroids in children with phimosis to provide data for the clinical options of pediatric phimosis .