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Comparison of Efficacy of Steroid Oint with Different Potency in Phimosis

Korean Journal of Pediatrics 2005;48(6):594-598.
Published online June 15, 2005.
Comparison of Efficacy of Steroid Oint with Different Potency in Phimosis
In Ok Hwang, Eun Sil Lee, Yong Hoon Park
Department of Pediatrics, College of Medicine, Yeungnam University, Daegu, Korea
생리적 포경 치료를 위한 역가가 다른 스테로이드 연고의 효과 비교
황인옥, 이은실, 박용훈
영남대학교 의과대학 소아과학교실
Correspondence: 
Eun Sil Lee, Email: les205@med.yu.ac.kr
Abstract
Purpose
: Phimosis is the inability to retract the foreskin of the penis over the glans of the penis. Even though phimosis is not pathogenic, the presence of phimosis is known to increase the risk of urinary tract infection in infancy. The use of topical steroids has been advocated as a safe and economical alternative to surgical intervention. The purpose of the study was to assess the effectiveness of topical steroids for the treatment of phimosis in young boys.
Methods
: A total of 53 boys with phimosis were divided into two groups to distinguish between the efficacy of low-potency topical steroid(group 1, 27 cases) and of high-potency topical steroid (group 2, 26 cases).
Results
: The success rate increased in the process of time. After 6 weeks, the success rate was 21 cases in group 1 and 22 cases in group 2. There was no significant differences in treatment outcomes between the two groups. The age of the boys, the appearance of prepuce prior to treatment, and the presence of previous symptoms, including symptoms of UTI, and ballooning of the prepuce at micturation had no significant difference on treatment outcomes.
Conclusion
: Topical steroid was effective in treatment of phimosis in boys younger than 4 years old. Although treatment outcomes between low- and high-potency topical steroids were not significantly different, those treated with a high-potency steroid cream showed more fast improvement. Further studies are necessary to assess systemic side effects of steroid treatment, duration of treatment and prevention of genitourinary tract infection in male infants.
Key Words: Steroid oint , Potency , Phimosis


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