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 .
Highly potent and moderately potent topical steroids are effective in treating phimosis: a prospective randomized study.
PURPOSE We report a prospect i ve r and omized study comparing the effects of highly potent and moderately potent topical steroids in treating pediatric phimosis . MATERIAL S AND METHODS A total of 70 boys 1 to 12 years old with phimosis were r and omly assigned to receive topical application of either betamethasone valerate 0.06 % ( a highly potent steroid ) or clobetasone butyrate 0.05 % ( a moderately potent steroid ) . Parents of the boys were instructed to retract the foreskin gently without causing pain , and to apply the topical steroids over the stenotic opening of the prepuce twice daily for 4 weeks , then for another 4 weeks if no improvement was achieved . Retractibility of the prepuce was grade d from 0 to 5 . Response to treatment was arbitrarily defined as improvement in the retractibility score of more than 2 points . RESULTS Mean treatment and followup periods were 4.3 and 19.1 weeks , respectively . The response rates in boys treated with betamethasone valerate and clobetasone butyrate were 81.3 % and 77.4 % , respectively ( p = 0.63 ) . Mean retractibility score decreased from 3.9 + /- 1.0 to 1.7 + /- 1.1 , and 4.2 + /- 1.0 to 1.9 + /- 1.0 in the betamethasone and clobetasone groups , respectively . Both steroids were effective in all age groups . Pretreatment retractibility score did not affect treatment outcomes . No adverse effect was encountered . CONCLUSIONS Highly potent and moderately potent topical steroids are of comparable effectiveness in treating phimosis . A less potent steroid may be considered first to decrease the risk of the potential adverse effects
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 .