Gennaio 2001 - Volume XX - numero 1

Medico e Bambino


Pagine elettroniche

Il trattamento topico con corticosteroidi nei bambini con fimosi con indicazione al trattamento chirurgico è efficace, sicuro ed economico: uno studio in Pediatria ambulatoriale

F Marolla, P Nardini, C. Cives, T. Gazzotti, A. Lo Tesoriere, D Morano, A. D’Erasmo1, F. Ferro2

1Pediatri di famiglia, Roma;
2Servizio di Chirurgia, Ospedale Pediatrico “Bambino Gesù” IRCCS, Roma

TOPICAL TREATMENT OF PHIMOSIS WITH CORTICOSTEROIDS

Key words: Phimosis, Steroids, Circumcision, Paediatrician

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.

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F Marolla, P Nardini, C. Cives, T. Gazzotti, A. Lo Tesoriere, D Morano, A. D’Erasmo, F. Ferro Il trattamento topico con corticosteroidi nei bambini con fimosi con indicazione al trattamento chirurgico è efficace, sicuro ed economico: uno studio in Pediatria ambulatoriale. Medico e Bambino 2001;20(1):53 https://www.medicoebambino.com/?id=0101_53.pdf


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