msjonline.org/index.php/ijrms/article/view/3424
Methods: A prospective observational study was conducted and a total of 100 patients (age- 3 to 12 years) of phimosis were enrolled. The management consisted of topical application of 0.05% betamethasone Ointment for 4 weeks. Those with partial response were advised additional 2 weeks of therapy. Failure to treatment cases were subsequently subjected to circumcision.
Results: Total 100 patients were enrolled in the study. Out of 100 patients, 9 were excluded because of non-compliance and remaining 91 patients were studied and followed up. 85 cases out of 91 (93.4%) were declared a ‘success’; while remaining 6 (6.6%) were declared ‘failure’ and were subjected to circumcision. Of the 85 successfully treated; majority (70, 82.3%) responded within 4 weeks of treatment and 15 (17.6%) responded in 6 weeks. The highest number of patients who responded to treatment within 4 weeks were < 5 years of age (54, 93.1%) (p<0.05).
Conclusions: Topical steroid (0.05% betamethasone ointment) is an effective, safe, conservative and non-surgical method of primary treatment of childhood Phimosis, especially when combined with good hygiene practices of foreskin with daily retraction and cleansing.
Alle Teile des kindlichen Körpers sind Eigentum allein des Kindes. Das Grundrecht auf Eigentum beinhaltet auch das Recht auf Vorhaut.