Treatment of childhood phimosis with triamcinolone acetonide cream and gentle retraction

Abstract

Introduction: This study aimed to evaluate the effectiveness of triamcinolone acetonide cream combined with gentleretraction for childhood phimosis.

Method: A prospective study, the boys (less than 15 years old) who suffered from phimosis were treated with 0.1%triamcinolone acetonide cream with gentle retraction once daily after bathing for 4 weeks then gentleretraction was performed alone for 4 weeks. The opening degree of prepuce was evaluatedat 0, 2nd, 4th and 8th week of treatment. After completed course, caregivers (parents, relative, or babysitting)filled 4 scale questionnaires for assessment.

Results: 59 boys were included in this study. Most presented symptom was obstructive symptom (74.58%).Success rates at 4th and 8th week of treatment were 83.05 and 94.92% respectively. There was nodifference between infant, young children (1 – 5 years old), and older children (more than 5 to lessthan 15 years old) groups in the outcome. No complication was noted. The scores from caregiverassessment for convenience, ease, duration, pain-free and satisfaction were 3.72, 3.26, 3.69, 3.10 and3.84 respectively (total score = 4).

Discussion and Conclusion: Application of 0.1% triamcinolone acetonide with gentle retraction once daily for 4 weeks is safe and effective treatment for both physiologic and pathologic phimosis. It is convenient and easy to applyfor caregiver.

Key words: Childhood phimosis, Triamcinolone acetonide, Circumcision