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Conservative treatment of childhood phimosis with topical conjugated equine estrogen ointment

2000; Wiley; Volume: 7; Issue: 1 Linguagem: Inglês

10.1046/j.1442-2042.2000.00127.x

1442-2042

Naoko Yanagisawa, Katsuyuki Baba, Masanari Yamagoe, Teruaki Iwamoto,

Male Breast Health Studies

Abstract Purpose : To assess the application of topical conjugated equine estrogen for the treatment of boys with phimosis. Methods : Fifteen boys with phimosis were included in the study. Conjugated equine estrogen (Premarin®) 0.1% ointment was applied on the prepuce once daily. The treatment was continued until the prepuce was fully retractable. The patient was examined each second week up to a maximum treatment of 8 weeks. Retractability and the appearance of the foreskin were graded before and after treatment. Results : Thirteen of 15 boys (87%) referred with phimosis were successfully treated with conjugated equine estrogen ointment. An adverse effect of gynecomastia was seen in one boy (7%). Conclusion : Conjugated equine estrogen ointment application for phimosis may be an alternative to surgery.