Format

Send to

Choose Destination
Eur Urol. 2001 Aug;40(2):196-9; discussion 200.

A conservative treatment of phimosis in boys.

Author information

1
Department of Urology, Atrium Medical Centre, Heerlen, The Netherlands.

Abstract

OBJECTIVE:

The aim of this study was to evaluate the efficacy of topical applications of clobetasol propionate cream in the treatment of phimosis in boys and a comparison of the results presented with an overview of the current studies.

METHODS:

In a prospective study, 94 boys (mean age 5.5 years) were treated with topical applications of 0.05% clobetasol propionate cream twice daily. The prepuce was treated for 1 month, with an attempt at prepuce retraction after 14 days. The boys were evaluated after 1 month of treatment and every 3 months during follow-up.

RESULTS:

Of the 94 boys, 91 were available for follow-up, of whom 42 boys (46.1%) achieved complete retraction of the prepuce, 24 (26.4%) had only preputial adhesions and 4 (4.4%) had partial retraction. Twenty-one boys (23.1%) had no response. The treatment was continued in 13 boys with good results eventually. Seven boys (7.7%) had recurrence after a mean follow-up of 4.3 months (range 2-7). No side effects were noted. Circumcision was necessary in 24 of the 91 boys (26.4%). The mean follow-up was 11.0 months (range 3-18).

CONCLUSIONS:

Local application of clobetasol propionate cream is a simple, safe and effective treatment for phimosis in boys and avoids circumcision and its associated risks. It should be offered first instead of circumcision.

PMID:
11528198
DOI:
10.1159/000049772
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center