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 .
Phimosis: stretching methods with or without application of topical steroids?
Phimosis has been defined as unretractable foreskin without adherences or a circular b and of tight prepuce preventing full retraction . We suggested a new treatment protocol combining betamethasone with stretching exercises to reduce the number of patients requiring surgery for phimosis . Between January 2003 and September 2004 , 247 boys aged 4 to 14 years ( mean 7.6 ) were included in this consecutive , prospect i ve , open study . Patients were treated with 0.05 % betamethasone cream applied to the distal aspect of the prepuce twice daily for the first 15 days , then once daily for 15 more days . Preputial gymnastics started 1 week after topical application of betamethasone . Ninety-six percent of patients receiving 1 or more cycles of betamethasone showed complete resolution of phimosis . There was a significant difference ( P < .001 ) in response rate between the study and control groups . Only 10 boys in the study group had no response to steroid and stretching . Treatment with topical steroids , combined with stretching exercises , is a suitable alternative to surgical correction ( preputial plasty/circumcision )
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 .