Verifying the long term (six months) efficacy and the appropriateness
of treating boys, to whom circumcision had been recommended,
with steroid ointment.
7 primary care paediatricians referred 49 boys with suspected phimosis
to surgical examination; in 45 cases the diagnosis was confirmed
and circumcision was recommended. 41 families accepted
the treatment with 0.05% betamethason ointment twice a day for a
month. Two controls were done: at 30 and 180 days.
At the end of the 30 days control, good retraction of the foreskin
was present in 36 boys, with 4 recurrences at the follow-up. According
to the sensitivity analysis, the success rate was 68.9%.
Topical treatment with steroid ointment is safe, effective and inexpensive;
it can be prescribed by the primary care paediatrician,
before referral to a surgeon.