Phimosis: Stretching Methods with or without Application of Topical Steroids?
Phimosis has been defined as unretractable foreskin without adherences or a circular band of tight prepuce preventing full retraction. We suggested a new treatment protocol combining betamethasone with stretching exercises to reduce the number of patients requiring surgery for phimosis. Between Janu...
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| Veröffentlicht in: | The Journal of pediatrics 2005-11, Vol.147 (5), p.705-706 |
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| container_title | The Journal of pediatrics |
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| creator | Zampieri, Nicola Corroppolo, Michele Camoglio, Francesco Saverio Giacomello, Luca Ottolenghi, Alberto |
| description | Phimosis has been defined as unretractable foreskin without adherences or a circular band of tight prepuce preventing full retraction. We suggested a new treatment protocol combining betamethasone with stretching exercises to reduce the number of patients requiring surgery for phimosis. Between January 2003 and September 2004, 247 boys aged 4 to 14 years (mean 7.6) were included in this consecutive, prospective, open study. Patients were treated with 0.05% betamethasone cream applied to the distal aspect of the prepuce twice daily for the first 15 days, then once daily for 15 more days. Preputial gymnastics started 1 week after topical application of betamethasone. Ninety-six percent of patients receiving 1 or more cycles of betamethasone showed complete resolution of phimosis. There was a significant difference (P < .001) in response rate between the study and control groups. Only 10 boys in the study group had no response to steroid and stretching. Treatment with topical steroids, combined with stretching exercises, is a suitable alternative to surgical correction (preputial plasty/circumcision). |
| doi_str_mv | 10.1016/j.jpeds.2005.07.017 |
| format | Article |
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We suggested a new treatment protocol combining betamethasone with stretching exercises to reduce the number of patients requiring surgery for phimosis. Between January 2003 and September 2004, 247 boys aged 4 to 14 years (mean 7.6) were included in this consecutive, prospective, open study. Patients were treated with 0.05% betamethasone cream applied to the distal aspect of the prepuce twice daily for the first 15 days, then once daily for 15 more days. Preputial gymnastics started 1 week after topical application of betamethasone. Ninety-six percent of patients receiving 1 or more cycles of betamethasone showed complete resolution of phimosis. There was a significant difference (P < .001) in response rate between the study and control groups. Only 10 boys in the study group had no response to steroid and stretching. 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Obstetrics ; Humans ; Male ; Male genital diseases ; Medical sciences ; Non tumoral diseases ; Phimosis - therapy ; Physical Therapy Modalities ; Prospective Studies</subject><ispartof>The Journal of pediatrics, 2005-11, Vol.147 (5), p.705-706</ispartof><rights>2005 Elsevier Inc.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-9b69ff1b92ce8db707dc28cb0707dca8df97aaf0200818069a882d6bcdebdd3d3</citedby><cites>FETCH-LOGICAL-c387t-9b69ff1b92ce8db707dc28cb0707dca8df97aaf0200818069a882d6bcdebdd3d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2005.07.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17294131$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16291369$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zampieri, Nicola</creatorcontrib><creatorcontrib>Corroppolo, Michele</creatorcontrib><creatorcontrib>Camoglio, Francesco Saverio</creatorcontrib><creatorcontrib>Giacomello, Luca</creatorcontrib><creatorcontrib>Ottolenghi, Alberto</creatorcontrib><title>Phimosis: Stretching Methods with or without Application of Topical Steroids?</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Phimosis has been defined as unretractable foreskin without adherences or a circular band of tight prepuce preventing full retraction. We suggested a new treatment protocol combining betamethasone with stretching exercises to reduce the number of patients requiring surgery for phimosis. Between January 2003 and September 2004, 247 boys aged 4 to 14 years (mean 7.6) were included in this consecutive, prospective, open study. Patients were treated with 0.05% betamethasone cream applied to the distal aspect of the prepuce twice daily for the first 15 days, then once daily for 15 more days. Preputial gymnastics started 1 week after topical application of betamethasone. Ninety-six percent of patients receiving 1 or more cycles of betamethasone showed complete resolution of phimosis. There was a significant difference (P < .001) in response rate between the study and control groups. Only 10 boys in the study group had no response to steroid and stretching. Treatment with topical steroids, combined with stretching exercises, is a suitable alternative to surgical correction (preputial plasty/circumcision).</description><subject>Administration, Topical</subject><subject>Adolescent</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Betamethasone - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Combined Modality Therapy</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Phimosis - therapy</subject><subject>Physical Therapy Modalities</subject><subject>Prospective Studies</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kN9LHDEQx4O06Gn9CwqyL-3bbiebMz8EKSL-KCgtqM8hm8z2cuxt1iRX6X9vvDvwzaeZgc93mPkQ8pVCQ4HyH8tmOaFLTQtw2oBogIo9MqOgRM0lY5_IDKBtazYX_IAcprQEADUH2CcHlLeKMq5m5P7Pwq9C8umsesgRs1348W91j3kRXKpefF5UIW5qWOfqYpoGb032YaxCXz2GqUxDSWIM3qWfX8jn3gwJj3f1iDxdXz1e3tZ3v29-XV7c1ZZJkWvVcdX3tFOtRek6AcLZVtoONp2RrlfCmB7KZ5JK4MpI2TreWYedc8yxI_J9u3eK4XmNKeuVTxaHwYwY1klzKcvvFArItqCNIaWIvZ6iX5n4X1PQbxb1Um8s6jeLGoQuFkvqZLd-3a3QvWd22grwbQeYVAT00YzWp3dOtGpOGS3c-ZbDIuOfx6iT9ThadD6izdoF_-Ehr4K2klA</recordid><startdate>20051101</startdate><enddate>20051101</enddate><creator>Zampieri, Nicola</creator><creator>Corroppolo, Michele</creator><creator>Camoglio, Francesco Saverio</creator><creator>Giacomello, Luca</creator><creator>Ottolenghi, Alberto</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051101</creationdate><title>Phimosis: Stretching Methods with or without Application of Topical Steroids?</title><author>Zampieri, Nicola ; Corroppolo, Michele ; Camoglio, Francesco Saverio ; Giacomello, Luca ; Ottolenghi, Alberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-9b69ff1b92ce8db707dc28cb0707dca8df97aaf0200818069a882d6bcdebdd3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Administration, Topical</topic><topic>Adolescent</topic><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Betamethasone - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Combined Modality Therapy</topic><topic>General aspects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Phimosis - therapy</topic><topic>Physical Therapy Modalities</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zampieri, Nicola</creatorcontrib><creatorcontrib>Corroppolo, Michele</creatorcontrib><creatorcontrib>Camoglio, Francesco Saverio</creatorcontrib><creatorcontrib>Giacomello, Luca</creatorcontrib><creatorcontrib>Ottolenghi, Alberto</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zampieri, Nicola</au><au>Corroppolo, Michele</au><au>Camoglio, Francesco Saverio</au><au>Giacomello, Luca</au><au>Ottolenghi, Alberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phimosis: Stretching Methods with or without Application of Topical Steroids?</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2005-11-01</date><risdate>2005</risdate><volume>147</volume><issue>5</issue><spage>705</spage><epage>706</epage><pages>705-706</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Phimosis has been defined as unretractable foreskin without adherences or a circular band of tight prepuce preventing full retraction. We suggested a new treatment protocol combining betamethasone with stretching exercises to reduce the number of patients requiring surgery for phimosis. Between January 2003 and September 2004, 247 boys aged 4 to 14 years (mean 7.6) were included in this consecutive, prospective, open study. Patients were treated with 0.05% betamethasone cream applied to the distal aspect of the prepuce twice daily for the first 15 days, then once daily for 15 more days. Preputial gymnastics started 1 week after topical application of betamethasone. Ninety-six percent of patients receiving 1 or more cycles of betamethasone showed complete resolution of phimosis. There was a significant difference (P < .001) in response rate between the study and control groups. Only 10 boys in the study group had no response to steroid and stretching. Treatment with topical steroids, combined with stretching exercises, is a suitable alternative to surgical correction (preputial plasty/circumcision).</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>16291369</pmid><doi>10.1016/j.jpeds.2005.07.017</doi><tpages>2</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Administration, Topical Adolescent Anti-Inflammatory Agents - therapeutic use Betamethasone - therapeutic use Biological and medical sciences Child Child, Preschool Combined Modality Therapy General aspects Gynecology. Andrology. Obstetrics Humans Male Male genital diseases Medical sciences Non tumoral diseases Phimosis - therapy Physical Therapy Modalities Prospective Studies |
| title | Phimosis: Stretching Methods with or without Application of Topical Steroids? |
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