Efficacay of Topical Steroid in Treatment of Phimosis

Dr. Sneha Srivastava, Dr. Shilpa Patankar

Abstract: Introduction: Most cases of phimosis presenting for surgical opinion are physiological and self-limiting. The congenital phimosis is due to adhesions that attaches to the epithelial layers of the inner prepuce and the glans, preventing the retraction of the foreskin. Methods: 60 patients, under the age group 6 months to 5 years were selected whose came with complain of inability to retract prepuce.0.05% Betamethasone ointment, thin layer was apply twice daily for a period of 3 weeks. Result was evaluated after 3 weeks of treatment and a follow up ever ymonth for 3 months. Result was assessed on the extend of retraction-complete or incomplete. Result: After treatment for 3 months 80 % patients showed complete retraction, 10% showed partial retraction and 10% remained inconclusive as were lost during follow up. Conclusion: Topical steroid (0.05% Betamethasone) for treatment of phimosis is safe, simple and safe procedure that avoid surgery procedure, its risks and no drug allergy.

Keywords: Congenital Phimosis Pathological phimosis, Betamethasone, Topical Steroids, Circumcision