Outcome and recurrence in treatment of phimosis using topical betamethasone in children in Hong Kong.

Abstract:

AIM:To study the efficacy of treating phimosis with topical steroid, and its long-term outcome and side effects. We also looked into the effect of daily retraction and cleansing of prepuce on preventing recurrence of phimsosis. METHODS:This prospective study comprised 138 boys who were prescribed 0.05% betamethasone ointment (Diprocel) during 1 August 2001-31 July 2004. Five boys were excluded because of non-compliance. Of the remaining 133 boys, 108 were followed-up and assessed. Age ranged from 0.03 to 12.9 years (mean=3.38, SD=2.79). The number of treatment course received, short-term and long-term outcome, side effects and the effect of daily foreskin retraction were studied. RESULTS:The success rate of first treatment course was 81.5%, and 60.2% of boys remained free from phimosis upon latest assessment. The follow-up period ranged from 0.4 to 4.4 years (mean=2.45, SD=0.90). There were no side effects noted. We found a significant and linear relationship between daily foreskin retraction and sustained resolution of phimosis. CONCLUSION:Topical steroid is an effective and safe treatment for phimosis, especially when combined with a good hygiene practice of the foreskin with daily cleansing and retraction. A trial of topical steroid treatment should be offered upon considering circumcision.

authors

Ku WH,Chiu BS,Huen KF

doi

10.1111/j.1440-1754.2007.01006.x

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

74-9

issue

1-2

eissn

1034-4810

issn

1440-1754

pii

JPC1006

journal_volume

43

pub_type

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