Moreover, the potency of the topical steroids used ranges from class I to class VII. Even though clobetasol propionate 0. This may have been mainly due to the short-term use of the steroid. Further studies are needed to determine the best topical steroid agent and regimen. Class I is the strongest, or super high potent.
Class VII is the weakest and mildest [ 23 ]. In this study, we observed that short-term application of a topical steroid and retraction of the foreskin is beneficial for the treatment severe phimosis. We also observed that phimosis-associated symptoms, such as ballooning of the prepuce, balanoposthitis, and a history of UTI, affected the success rate of treatment.
The present study showed that topical application of 0. Therefore, this could be the first choice of treatment for boys with severe phimosis instead of circumcision. The authors have nothing to disclose. National Center for Biotechnology Information , U. Journal List Korean J Urol v.
Korean J Urol. Published online Sep Find articles by Chan Ho Lee. Find articles by Sang Don Lee. Author information Article notes Copyright and License information Disclaimer. Corresponding author. Corresponding Author: Sang Don Lee. Received May 2; Accepted Jun Abstract Purpose We report our experience with the use of a topical steroid, 0. Materials and Methods This was a retrospective analysis of the clinical outcomes of all patients presenting with phimosis to a single institution during the time period from October to May Results A total of 60 of the 88 patients Conclusions Topical application of 0.
Keywords: Circumcision, Phimosis, Steroids. Patients From October to May , a total of children were referred for the treatment of phimosis at the urology department and pediatric urology division of the Pusan National University Children's Hospital.
Open in a separate window. Technique for application of the topical steroid ointment The use of the topical steroid ointment was explained and demonstrated to parents before the initiation of the treatment at home. Evaluation of the retractability of the foreskin and disappearance of the phimotic ring The patients were reevaluated 4 weeks after treatment initiation by using the classification of Kikiros and Woodward by a single pediatric urologist.
UTI, urinary tract infection. TABLE 4 The relationship between phimosis-associated clinical complications and full retraction of the foreskin after treatment. TABLE 5 The relationship between phimosis-associated clinical complications and the disappearance of the phimotic ring after treatment. Footnotes The authors have nothing to disclose. References 1. Treatment of phimosis with topical steroids in children. J Urol. Predictive power of objectivation of phimosis grade on outcomes of topical 0.
Gairdner D. The fate of the foreskin, a study of circumcision. Br Med J. Deibert GA. The separation of the prepuce in the human penis. Anat Rec. Medical management of phimosis in children: our experience with topical steroids. The risk factors of recurrent urinary tract infection in infants with normal urinary systems. Pediatr Nephrol. Newborn circumcision decreases incidence and costs of urinary tract infections during the first year of life.
Pinto K. Circumcision controversies. Pediatr Clin North Am. Complete removal of the foreskin-why? Urol Int. The response of phimosis to local steroid application. Pediatr Surg Int. Conservative treatment of phimosis in children using a topical steroid. Wright JE. The treatment of childhood phimosis with topical steroid. Aust N Z J Surg. The treatment of phimosis in boys, with a potent topical steroid clobetasol propionate 0.
Acta Derm Venereol. Phimotic ring topical corticoid cream 0. J Pediatr Surg. Conservative treatment of phimosis with fluticasone proprionate 0. J Pediatr Urol. Phimosis and topical steroids: new clinical findings. Foreskin analysis of circumcised boys with and without previous topical corticosteroid. Fetal Pediatr Pathol. Barnes PJ. Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci Lond ; 94 — Kragballe K. Topical corticosteroids: mechanisms of action. Acta Derm Venereol Suppl Stockh ; :7— An effect of binding to substrate phospholipids.
J Biol Chem. Rhen T, Cidlowski JA. Antiinflammatory action of glucocorticoids: new mechanisms for old drugs. N Engl J Med. Mechanisms of action of topical corticosteroids in psoriasis. Int J Endocrinol. Choosing topical corticosteroids. Am Fam Physician. Put you finger in and getley stretch or thumb and forefinger and retract.
If it hurts stop and give it more time. If it is hurting when you retract you could cause micro tears that could heal as tiny scars and pull it tighter. It could take 6 weeks of twice daily application of the steroid cream and gentle stretching.
Google for studies. Good luck! Avoid cutting off your foreskin at all costs. The scarring and nerve loss is real. Ifyou have to have surgery to correct it consider z plasty. And if you are not having problems with pain or sex, many men don't retract and still enjoy sex the same. Just get water inside daily and rinse. Avoid soap.
A fungal infection called candida is the major cause of balanoposthitis. Balanoposthitis is yet another major risk factor for tight frenulum. There are treatments available to cure the problem of the tight frenulum. There are numerous ointments and steroid creams that help in relieving the tightness of the frenulum. Even, gentle stretching of the foreskin or massage can help in retracting the foreskin.
But, none of these offer a permanent solution for tight frenulum. Frenuloplasty is the most effective treatment for frenulum breve. It is a specialized technique that treats solely the condition while preserving the foreskin. Circumcision can also help in treating the tight frenulum. But, not only the frenulum, it removes the entire foreskin of the penis.
Therefore, frenuloplasty is the best treatment option for tight frenulum. It does not affect the rest of the foreskin and leaves it intact. There is nothing to worry about the procedure of frenuloplasty. The modern laser-based procedure of frenuloplasty is simple and has a high success rate. The entire procedure takes only minutes. Frenuloplasty is a daycare procedure and the patient can go home on the same day. Also, the recovery period is very short for frenuloplasty.
The patient fully recovers within days and can easily resume work after that. There are only a few simple instructions that the doctor asks the patient to observe for a few days. Thankfully, Pristyn Care offers this laser-assisted frenuloplasty to get rid of the tight frenulum. All the surgeons of Pristyn Care that perform frenuloplasty are highly skilled and experienced. Pristyn Care is the best option if you are looking for the treatment of tight frenulum.
If you have any queries, you can contact us and our medical coordinator will attend you. Email address:. Know Its Treatment. What Causes Tight Frenulum? Reviewed By. Simple division of the penile frenulum under local anaesthesia can cure the problem. Decrease sensation on the head of the penis may happen after the frenuloplasty. Circumcision may be the solution if only penile frenuloplasty failed to solve the problems.
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