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[Treatment for phimosis with an estrogen-containing ointment in children]
Naoki Mori1, Koichi Tsutahara, Shinichiro Fukuhara
1Department of Urology, Ikeda Municipal Hospital.
Insights
Topical estrogen ointment effectively treated phimosis in 82% of pediatric patients over 4 weeks. This safe and viable alternative offers a non-surgical option for childhood phimosis management.
Area of Science:
- Pediatric Urology
- Dermatology
- Endocrinology
Context:
- Phimosis, a common condition in young boys, often requires intervention.
- Current treatments for phimosis can be invasive or have potential side effects.
- Estrogen therapy has been explored for its potential in tissue remodeling.
Purpose:
- To evaluate the efficacy and safety of a 0.1% estrogen ointment for treating phimosis in children.
- To determine the success rate of topical estrogen therapy in a pediatric cohort.
- To assess for any adverse effects associated with this treatment.
Summary:
- A study included 50 boys aged 1-12 years with phimosis.
- Participants received a 0.1% estrogen ointment applied twice daily for 4 weeks.
- An 82% success rate was observed with no reported side effects.
Impact:
- Topical estrogen ointment presents a safe and effective non-surgical treatment option for pediatric phimosis.
- This approach may reduce the need for more invasive procedures.
- The findings support estrogen therapy as a viable alternative in managing phimosis.
Abstract:
We evaluated the effectiveness of topical application of an ointment containing 0.1% estrogen for phimosis in children. Fifty children 1 to 12 years old (average age 4 years) presenting to our department with phimosis were enrolled in this study and treated with an estrogen-containing ointment for 4 weeks. The ointment was applied on the narrow preputed skin twice a day by the child's parents. The success rate was 82%. There were no side effects. The application of an estrogen containing ointment is a viable alternative for treating phimosis in children.
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