Topical Steroid Is Effective for the Treatment of Phimosis in Young Children
Paiboon Sookpotarom MD*, Suchat Porncharoenpong MD**, Paisarn Vejchapipat MD, PhD***
Affiliation : * Department of Surgery, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand ** Buddhachinaraj Hospital, School of Medicine, Naresuan University, Phitsanulok, Thailand *** Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Background and Objective : The purpose of the present study was to evaluate the effects of non-operative
treatment using topical steroids on phimosis in infants and young children.
Material and Method: Between June 2003 and May 2005, the parents of the children with phimosis were
instructed to apply and massage the phimotic skin with 0.05% betamethasone valerate cream twice daily for
2 months. During non-operative treatment, the patients whose parents were not satisfied with the results
would undergo circumcision.
Results : Ninety-two phimotic boys with an average age of 32.62 months (range, 1 to 144 months) were
enrolled for steroid application. Of the 92 patients, 79 (85.9%) were satisfied with their results. The other 13
patients whose outcomes clinically improved but did not satisfy their parents finally underwent circumcision.
Histologically, circumcised skins of patients initially receiving steroid therapy revealed markedly interstitial
edema and slightly increased vasculature. There were no systemic side effects or significant dermal atrophy in
the present study.
Conclusion : Topical steroid treatment for phimosis is successful in young children. This therapeutic approach
is a safe, easy, and inexpensive alternative to circumcision.
Keywords : Phimosis, Steroid, Circumcision, Histology
