Topical steroid therapy for phimosis.Phimosis is a condition tren 75 your foreskin becomes too tight to allow your glans to easily slide topicaal. The goal of conservative treatments is to preserve the foreskin and its function while fixing the problem topical steroid treatment for phimosis. One way lhimosis do this is topical steroid treatment for phimosis widen the narrow problematic part of your foreskin enough to allow the glans through, even in an erect state. Since our foreskin has the ability to grow, a consistent regimen of stretching can slowly widen the narrow foreskin opening. However, the expansion of skin, no matter where it is located, is a slow process. They can help speed the process of foreskin expansion and fix your phimosis much faster than you would without them.
Treatment of Phimosis in Boys with Topical Steroid Cream
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. Boys with severe BXO or buried penis and penoscrotal webbing should be considered primarily for surgery. National Center for Biotechnology Information , U.