THE TREATMENT OF PHIMOSIS
WITH TOPICAL STEROID.
[AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY (MELBOURNE) Volume 64, Number 5: Pages 327-328,May 1994.]
A prospective study of the efficacy of topical steroid in the treatment of childhood phimosis is reported.
Boys referred to a paediatric surgical practice with pathological non-retractable foreskins were treated with topical (surface) beta methasone cream.
[Applied twice daily - for four to six weeks.]
One hundred and thirty-patients were treated and 111 completed the study.
A satisfactory result, defined as foreskin retractability appropriate for the boys' age, was achieved in 80% of patients.
In 10% the response was inadequate at the end of the study period, but these boys were still under treatment or surveillance because their parents declined circumcision.
In 10%, circumcision was performed because of failure of treatment.
In six patients this was due to balantis xerotica obliterans (lichen sclerosus
et atrophicus) which does not respond to conservative treatment.
Successful treatment depends upon the presence of a normal supple foreskin
at the outset, and on parental compliance.
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