| Autor: |
ter Meulen, Ph.H., Delaere, K.P.J. |
| Zdroj: |
European Urology; February 2001, Vol. 40 Issue: 2 p196-200, 5p |
| Abstrakt: |
Objective:The aim of this study was to evaluate the efficacy of topical applications of clobetasol propionate cream in the treatment of phimosis in boys and a comparison of the results presented with an overview of the current studies. Methods:In a prospective study, 94 boys (mean age 5.5 years) were treated with topical applications of 0.05% clobetasol propionate cream twice daily. The prepuce was treated for 1 month, with an attempt at prepuce retraction after 14 days. The boys were evaluated after 1 month of treatment and every 3 months during follow–up. Results:Of the 94 boys, 91 were available for follow–up, of whom 42 boys (46.1%) achieved complete retraction of the prepuce, 24 (26.4%) had only preputial adhesions and 4 (4.4%) had partial retraction. Twenty–one boys (23.1%) had no response. The treatment was continued in 13 boys with good results eventually. Seven boys (7.7%) had recurrence after a mean follow–up of 4.3 months (range 2–7). No side effects were noted. Circumcision was necessary in 24 of the 91 boys (26.4%). The mean follow–up was 11.0 months (range 3–18). Conclusions:Local application of clobetasol propionate cream is a simple, safe and effective treatment for phimosis in boys and avoids circumcision and its associated risks. It should be offered first instead of circumcision. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
|
