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Related Experiment Videos

Topical steroid therapy for phimosis.

Todd M Webster1, Michael P Leonard

  • 1Division of Urology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.

The Canadian Journal of Urology
|May 16, 2002
PubMed
Summary

Topical steroid cream offers a safe and effective non-surgical treatment for phimosis in boys, achieving an 82% success rate. This approach may help avoid circumcision, especially for those over three years old.

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Area of Science:

  • Pediatric Urology
  • Dermatology

Background:

  • Phimosis is traditionally treated with circumcision.
  • Topical steroid therapy has shown promising success rates (67%-95%) in recent medical management of phimosis.

Purpose of the Study:

  • To evaluate the efficacy of topical triamcinolone cream for treating phimosis in boys.
  • To determine success rates and identify factors influencing treatment outcomes.

Main Methods:

  • Retrospective review of 69 boys (age 3-13) with phimosis treated with topical triamcinolone cream for one month.
  • Success was defined as full, moderate, or partial foreskin retraction.
  • Statistical analysis using prop.test and ordinal logistic regression.

Main Results:

  • 82% of 61 evaluated boys achieved successful phimosis management (95% CI: 69%-90%).
  • Foreskin scarring was significantly associated with poorer outcomes (p=0.034).
  • Two cases of severe balanitis xerotica obliterans (BXO) and two with buried penis required surgery; no side effects were noted.

Conclusions:

  • Topical steroid cream is a safe and effective treatment option for phimosis in boys over three years old with a tight preputial ring.
  • It may help avert the need for circumcision.
  • Surgery is recommended for severe BXO or buried penis with penoscrotal webbing.

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