Treatment of phimosis with topical steroids and foreskin anatomy

Abstract

Treatment was successful in 94.2% of patients, irrespective of the type of foreskin anatomy. The improvement may require several months of treatment. Patients with impossibility of urethral meatus exposure present around 10% treatment failure.

Two case reports of unusual phimosis in rhesus monkeys (Macaca Mulatta)

“…The monkeys were given intramuscular tramadol (2 mg/kg) after surgery to provide pain relief, and were given cefazolin (25 mg/kg) for 5 days after surgery to control the infection. The main complications following circumcision are hemorrhage, stenosis of the urethral meatus and the foreskin ring, and even amputation of the gland, yet there was no complication observed as a result of our surgery.…”

Preputial adhesions — A misunderstood entity

“…Various preparations of betamethasone, clobetasol, mometasone furoate and triamcinolone acetonide have been used; betamethasone being the most widely studied and associated with the best results. 8 Initiation of topical therapy in children with phimosis may decrease referrals for circumcisions or foreskin preserving surgical options and be the most economical and effective treatment for phimosis. 9 Indeed many years ago the Australasian Association of Pediatric Surgeons had recommended reserving circumcision only for Balanitis Xerotica Obliterans, recurrent balanoposthitis, and phimosis resistant to topical steroids.…”

Circumcision in the paediatric patient: A review of indications, technique and complications

“…The efficiency range of topical steroids is between 65 and 95%, with no major side effects noted . Applying 0.05–0.1% of betamethasone cream twice daily, over a period of 4–8 weeks, has been shown to be consistently efficient in this regard …”