Phimosis: Is circumcision necessary?
Abstract:
Circumcision has been the traditional treatment for phimosis, but now is not the only management option, the best of which appears to be *topical steroid application.
Importantly, the literature suggests that phimosis is over-diagnosed, indicating that a prospective, randomized controlled study is needed to compare the non-circumcision options.
Such a study would require consensus on the diagnostic criteria for phimosis; therefore, a more exacting definition would be needed and is suggested.
Despite the non-controlled data on medical treatment of true phimosis, there seems little doubt that surgical intervention is not needed for all male infants with adherence of the foreskin to the glans, a non-retractable foreskin or, indeed true phimosis.
Key words:
betamethasone; circumcision; foreskin, hydrocortisone, phimosis.
*Topical = Suface.
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http://www.cirp.org/library/treatment/phimosis/dewan/
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