Publication: Topical steroid is effective for the treatment of phimosis in young children
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Issued Date
2010
Resource Type
File Type
application/pdf
ISSN
1252208
Other identifier(s)
2-s2.0-77249122612
Rights Holder(s)
Scopus
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol 93, No.1 (2010), p.77-83
Suggested Citation
Sookpotarom P., Porncharoenpong S., Vejchapipat P. Topical steroid is effective for the treatment of phimosis in young children. Journal of the Medical Association of Thailand. Vol 93, No.1 (2010), p.77-83. Retrieved from: https://hdl.handle.net/20.500.14740/7664
Author(s)
Abstract
Background and Objective: The purpose of the present study was to evaluate the effects of non-operative treatment using topical steroids on phimosis in infants and young children. Material and Method: Between June 2003 and May 2005, the parents of the children with phimosis were instructed to apply and massage the phimotic skin with 0.05% betamethasone valerate cream twice daily for 2 months. During non-operative treatment, the patients whose parents were not satisfied with the results would undergo circumcision. Results: Ninety-two phimotic boys with an average age of 32.62 months (range, 1 to 144 months) were enrolled for steroid application. Of the 92 patients, 79 (85.9%) were satisfied with their results. The other 13 patients whose outcomes clinically improved but did not satisfy their parents finally underwent circumcision. Histologically, circumcised skins of patients initially receiving steroid therapy revealed markedly interstitial edema and slightly increased vasculature. There were no systemic side effects or significant dermal atrophy in the present study. Conclusion: Topical steroid treatment for phimosis is successful in young children. This therapeutic approach is a safe, easy, and inexpensive alternative to circumcision.
Subject(s)
Betamethasone valerate
Article
Child
Circumcision
Cream
Drug effect
Drug safety
Histology
Human
Human tissue
Infant
Major clinical study
Male
Outcome assessment
Parent
Patient satisfaction
Phimosis
Skin edema
Treatment duration
Vascularization
Administration, Topical
Analysis of Variance
Anti-Inflammatory Agents
Betamethasone
Child
Child, Preschool
Humans
Infant
Male
Phimosis
Treatment Outcome
Article
Child
Circumcision
Cream
Drug effect
Drug safety
Histology
Human
Human tissue
Infant
Major clinical study
Male
Outcome assessment
Parent
Patient satisfaction
Phimosis
Skin edema
Treatment duration
Vascularization
Administration, Topical
Analysis of Variance
Anti-Inflammatory Agents
Betamethasone
Child
Child, Preschool
Humans
Infant
Male
Phimosis
Treatment Outcome