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[Phimosis: when does it require surgical intervention?]
M Marzaro1, G Carmignola, F Zoppellaro
1Divisione Clinicizzata di Chirurgia Pediatrica, Azienda USSL n. 9, Treviso.
Insights
Topical corticosteroid treatment effectively resolves phimosis in children, offering a less invasive alternative to traditional methods. This approach provides a good outcome for the majority of young patients experiencing this common condition.
Area of Science:
- Pediatric Urology
- Dermatology
Background:
- Phimosis is a common pediatric concern, often underestimated and leading to parental anxiety.
- Current treatments range from ancient practices like circumcision to potentially painful maneuvers.
- Physiological phimosis is normal in infants and toddlers up to three years of age.
Purpose of the Study:
- To evaluate the efficacy of topical corticosteroid treatment for phimosis in pediatric patients.
- To offer a less invasive and discomforting therapeutic option for phimosis.
Main Methods:
- A cohort of 83 pediatric patients aged 1-14 years with phimosis was treated.
- Topical corticosteroids were administered as the primary therapeutic intervention.
Main Results:
- The study reported a successful outcome in 86.7% of the treated patients.
- Topical corticosteroid therapy demonstrated significant effectiveness in resolving phimosis.
Conclusions:
- Topical corticosteroid treatment is a viable and effective option for managing phimosis in children.
- This method offers a favorable alternative to more invasive or uncomfortable treatments, improving patient and parental experience.
Abstract:
One of the most recurrent questions in pediatric age is the phimosis; this is a frequently underestimated problem and its resolution often cause a lot of discomforts in babies and parents. In many countries it has been treated on the roots of ancient sanitary measures (circumcision) whereas in others it's routinely treated with painful and useless maneuvers; instead, until three years of age this don't represents a problem but the normal situation of the baby. Herein the authors report the results of topic corticosteroid treatment of fimosis in 83 patients aged 1-14 years, with good outcome in 86.7% of cases. Therapy and results are discussed.