Related Experiment Video

Updated: Jun 15, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
07:28

Microscopic Replantation of Penile Glans Amputation Due to Circumcision

Published on: June 3, 2022

Topical steroid is effective for the treatment of phimosis in young children

Paiboon Sookpotarom1, Suchat Porncharoenpong, Paisarn Vejchapipat

  • 1Department of Surgery, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University Nonthaburi, Thailand. sookpotarom@yahoo.com

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|March 4, 2010
PubMed

Insights

Topical steroid cream effectively treated phimosis in most young boys, offering a safe and inexpensive alternative to circumcision. This non-operative approach showed high satisfaction rates and no significant side effects.

Area of Science:

  • Pediatric Urology
  • Dermatology

Background:

  • Phimosis is a common condition in infants and young children.
  • Non-operative management is preferred when possible.

Purpose of the Study:

  • To evaluate the efficacy of topical steroid treatment for phimosis in pediatric patients.
  • To assess safety and patient satisfaction with this non-operative approach.

Main Methods:

  • A prospective study involving 92 boys with phimosis.
  • Application of 0.05% betamethasone valerate cream twice daily for 2 months.
  • Circumcision was offered for unsatisfactory results.

Main Results:

  • 85.9% of patients (79 out of 92) were satisfied with topical steroid treatment.
  • No systemic side effects or significant dermal atrophy were observed.
  • Histological examination of circumcised skin showed mild interstitial edema and increased vasculature.

Conclusions:

  • Topical steroid therapy is a successful, safe, and cost-effective treatment for pediatric phimosis.
  • This method provides a viable alternative to circumcision for many children.
  • High parental satisfaction rates support its use in clinical practice.
Abstract

More Related Videos

Surgical Correction for Pediatric Epiblepharon and Trichiasis03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis11:39

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Related Concept Videos

Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Local Anesthetics: Common Agents and Their Applications01:23

Local Anesthetics: Common Agents and Their Applications

Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids01:21

Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids

Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2 (COX-2),...
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids01:25

Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids

Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...