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A Nonsurgical Approach to the Treatment of Phimosis: Local Nonsteroidal Anti-Inflammatory Ointment Application

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 1 Linguagem: Inglês

10.1097/00005392-199707000-00069

1527-3792

Kemal M. Atilla, Ruşen Dündaröz, Öner Odabaş, Haluk Öztürk, Rıdvan Akın, Erdal Gökçay,

Urological Disorders and Treatments

No AccessJournal of UrologyPediatric Urology1 Jul 1997A Nonsurgical Approach to the Treatment of Phimosis: Local Nonsteroidal Anti-Inflammatory Ointment Application Kemal M. Atilla, Rusen Dundaroz, Oner Odabas, Haluk Ozturk, Ridvan Akin, and Erdal Gokcay Kemal M. AtillaKemal M. Atilla More articles by this author , Rusen DundarozRusen Dundaroz More articles by this author , Oner OdabasOner Odabas More articles by this author , Haluk OzturkHaluk Ozturk More articles by this author , Ridvan AkinRidvan Akin More articles by this author , and Erdal GokcayErdal Gokcay More articles by this author View All Author Informationhttps://doi.org/10.1097/00005392-199707000-00069AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the effectiveness of topical application of nonsteroidal anti-inflammatory ointment for phimosis. Materials and Methods: A total of 52 children with phimosis was included in this study. Phimosis was graded according to severity. Of the patients 32 were given locally a nonsteroidal anti-inflammatory ointment prepared in ophthalmic usage form from sterile diclofenac sodium ampules (not commercially available). The control group comprised 20 patients given sterile petrolatum ointment. Patients were seen before and after treatment, and graded according to retractibility and appearance of the foreskin. Treatment continued for 4 weeks with 3 applications daily. Results: Of the 32 patients 24 responded to therapy and 8 remained unchanged or had insufficient improvement. Three controls responded to therapy and 17 did not. There were no side effects. Conclusions: Nonsteroidal anti-inflammatory ointment application for phimosis may be an alternative to surgery and steroid application. References 1 : Is phimosis overdiagnosed in boys and are too many circumcisions performed in consequence? Ann.. R. Coll. Surg.1989; 71: 275. Google Scholar 2 : Circumcision and phimosis-indications and results.. Acta Paed. Scand.1986; 75: 321. Google Scholar 3 : The response of phimosis to local steroid application.. Ped. Surg. Int.1993; 8: 329. Google Scholar 4 : Further fate of the foreskin. Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys.. Arch. Dis. Child.1968; 43: 200. Google Scholar 5 : Save the prepuce. Painless separation of preputial adhesions in the outpatient clinic.. Brit. Med. J.1988; 297: 590. Google Scholar 6 : Penile hygiene in school-boys.. Med. Officer1964; 112: 171. Google Scholar 7 : Carcinoma of the penis and the anti-circumcision crusade.. J. Urol.1973; 110: 79. Abstract, Google Scholar 8 : Herpes genitalis and circumcision.. Brit. J. Venereol. Dis.1975; 51: 274. Google Scholar 9 : Report of the ad hoc task force on circumcision.. Pediatrics1975; 56: 610. Google Scholar 10 : Treatment of juvenile rheumatoid arthritis with diclofenac sodium.. Scand. J. Rheumatol.1983; 12: 325. Google Scholar From the Department of Urology, Yuzuncu Yil University School of Medicine, Van and Department of Pediatrics, Mevki Military Hospital and Departments of Pediatric Surgery and Pediatrics, Gulhane Military Medical Academy, Ankara, Turkey.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByYANG S, TSAI Y, WU C, LIU S and WANG C (2018) HIGHLY POTENT AND MODERATELY POTENT TOPICAL STEROIDS ARE EFFECTIVE IN TREATING PHIMOSIS: A PROSPECTIVE RANDOMIZED STUDYJournal of Urology, VOL. 173, NO. 4, (1361-1363), Online publication date: 1-Apr-2005.ASHFIELD J, NICKEL K, SIEMENS D, MacNEILY A and NICKEL J (2018) Treatment of Phimosis With Topical Steroids in 194 ChildrenJournal of Urology, VOL. 169, NO. 3, (1106-1108), Online publication date: 1-Mar-2003.MONSOUR M, RABINOVITCH H and DEAN G (2018) MEDICAL MANAGEMENT OF PHIMOSIS IN CHILDREN: OUR EXPERIENCE WITH TOPICAL STEROIDSJournal of Urology, VOL. 162, NO. 3 Part 2, (1162-1164), Online publication date: 1-Sep-1999.CHU C, CHEN K and DIAU G (2018) TOPICAL STEROID TREATMENT OF PHIMOSIS IN BOYSJournal of Urology, VOL. 162, NO. 3 Part 1, (861-863), Online publication date: 1-Sep-1999. Volume 158Issue 1July 1997Page: 196-197 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Kemal M. Atilla More articles by this author Rusen Dundaroz More articles by this author Oner Odabas More articles by this author Haluk Ozturk More articles by this author Ridvan Akin More articles by this author Erdal Gokcay More articles by this author Expand All Advertisement Loading ...