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Topical triamcinolone for persistent phimosis.

Julien Letendre1, Diego Barrieras, Julie Franc-Guimond

  • 1Department of Surgery, Division of Pediatric Urology, Centre Hospitalier Universitaire Sainte-Justine, Université de Montreal, Montreal, Quebec, Canada.

The Journal of Urology
|August 21, 2009
PubMed
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Topical triamcinolone effectively treats phimosis in boys short-term. Long-term success rates show frequent recurrence, potentially requiring re-treatment or circumcision for persistent phimosis.

Area of Science:

  • Pediatric Urology
  • Dermatology

Background:

  • Phimosis affects 2-5% of uncircumcised boys, with circumcision as the traditional treatment.
  • Topical corticosteroids are emerging as a popular alternative medical treatment for phimosis.

Purpose of the Study:

  • To evaluate the efficacy of topical triamcinolone versus emollient cream for phimosis treatment.
  • To assess the long-term success rates of these interventions.

Main Methods:

  • A double-blind, randomized, placebo-controlled study compared 0.1% triamcinolone cream to emollient cream over 2 months in boys aged 3-12.
  • Success was defined as complete and easy foreskin retraction at 4 and 12 months post-treatment.

Main Results:

  • Triamcinolone group showed a significantly higher success rate (76%) compared to the placebo group (39%) at 4 and 12 months (p=0.0086).

Related Experiment Videos

Last Updated: Jun 20, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

  • Recurrence was noted, with some patients requiring re-treatment or circumcision, though overall circumcision rates were low (11.6%).

    • Conclusions:

    • Topical triamcinolone is a safe and effective short-term treatment for phimosis.
    • Long-term follow-up indicates frequent recurrence, necessitating potential re-treatment or surgical intervention.