Phimosis and topical steroids: new clinical findings

@article{Zampieri2007PhimosisAT,
  title={Phimosis and topical steroids: new clinical findings},
  author={Nicola Zampieri and Michele Corroppolo and Veronica Zuin and Sanzio Bianchi and Francesco Saverio Camoglio},
  journal={Pediatric Surgery International},
  year={2007},
  volume={23},
  pages={331-335}
}
Phimosis has been defined as unretractable foreskin without adherences and/or a circular band of tight prepuce preventing full retraction. The aim of this study is to evaluate the efficacy (response rate) of topical steroids for the treatment of tight phimosis at different age stages. After using the same medication with different dosage schemes, a retrospective analysis was carried out to assess the efficacy of topical steroids in the treatment of tight phimosis. Patients were divided into… 
Role of topical steroid in primary treatment of childhood phimosis
TLDR
Topical steroid (0.05% betamethasone ointment) is an effective, safe, conservative and non-surgical method of primary treatment of childhood Phimosis, especially when combined with good hygiene practices of foreskin with daily retraction and cleansing.
Topical corticosteroids for treating phimosis in boys.
TLDR
Although sub optimal reporting among the included studies meant that the size of the effect remains uncertain, corticosteroids appear to be a safe, less invasive first-line treatment option before undertaking surgery to correct phimosis in boys.
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TLDR
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Histology and immunohistochemical evaluation of phimotic prepuce: The role of steroid therapy
TLDR
Fibrosis was found to be lower in patients receiving steroids; higher degrees of fibrosis were found in older patients (p < .05) and the success rate of medical therapy seems to be age‐related.
Efficacy of topical steroid therapy for phimosis treatment: a systematic review
TLDR
Topical steroid is effective in reducing the phimosis signs and symptoms, especially in patients who are younger and less than 3 years old, and should be conducted in Indonesia to determine the effectiveness.
Effect of Topical Steroid (0.05% Clobetasol Propionate) Treatment in Children With Severe Phimosis
TLDR
Topical application of 0.05% clobetasol propionate cream and skin stretching is a safe, simple, and effective procedure with no significant side effects for severe phimosis in prepubertal boys.
Evaluation of Topical Corticosteroids in Children with Phimosis through Morphological and Immunohistochemical Analyses of the Foreskin
TLDR
A better understanding of the histopathological aspects of previous complications and of treatment with corticosteroids in children with phimosis is contributed to.
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TLDR
Although the length of follow-up is insufficient to decree ultimate success, topical steroid appears to be a safe and effective treatment for boys over three years of age with evidence of a tight preputial ring.
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TLDR
The response rate was greater than 95% in patients who received topical steroid treatment in addition to improved hygiene, and the subgroup with a buried penis responded poorly to steroid, retraction and hygiene treatment.
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TLDR
Topical corticosteroid application for the treatment of unretractable prepuce complaints seems to be effective and safe, and is therefore recommended before surgical intervention is considered.
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TLDR
Nonsteroidal anti-inflammatory ointment application for phimosis may be an alternative to surgery and steroid application.
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TLDR
Local application of steroid ointment to the foreskin results in resolution of phimosis in the majority of cases, but if the foreskin has a circumferential white scar, it is slightly less likely to respond.
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TLDR
This study confirms the efficacy and safety of local steroid therapy in the treatment of phimosis in children and confirms that surgical treatment ofphimosis should therefore be reserved for failures of medical treatment and has now become much less frequent.
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