Phimosis: Nonsurgical Versus Surgical Management
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Background: Phimosis is non-retractile foreskin or prepuce over the glans.. The two types of phimosis, physiological and pathological must be differentiated. The phimosis can be treated by conservative methods by application of topical steroid cream. The objective of this study was to compare the efficacy of nonsurgical separation with topical clobetasol propionate 0.05% cream therapy versus circumcision for treatment of phimosis. Methods: This study was done on 104 patients presenting with symptoms of phimosis were included in the study. The clinical examination of prepuce and penis was done. The patients were classified according to Kirkiros classification. Patients were divided in 2 groups. Group A included patients underwent immediate circumcision and group B included patients underwent nonsurgical separation with topical clobetasol cream therapy for 1month and outcome was analyzed. Results: Out of total 104 patients, immediate circumcision was done in 36 patients. Patient treated with clobetasol were 68 the complete response was obtained in 43 (63.23%) The phimotic ring disappeared in 63.23% patients, after 4 weeks of topical clobetasol propionate 0.05% cream application. No or partial response of clobetasol cream was found in 25 (36.76%) patients, they underwent circumcision. Conclusions: This study concludes that nonsurgical separation with topical clobetasol cream therapy is quite effective for treatment of grade 0,1,2 &3 phimosis and Circumcision was only choice for grade 4&5 phimosis
Authors and Affiliations
Jain Neeraj Kumar
Keywords
Related Articles
- EP ID EP274129
- DOI -
- Views 47
- Downloads 0
Status of Threatened Medicinal Plants in tropical Forest of Malyagiri Hill Ranges, Odisha, India
Malyagiri hill ranges located on the south of Pallahara town of Angul district in the state of Odisha is endowed with rich flora and fauna. This area is rich with large no. of medicinal plants and plants of other socio-e...
Variations in the Termination of Cystic Duct by gross Dissection Method: A Report of 100 Cases of Odishan Population
Introduction: The Cystic duct is about 3 cm in length but variable. It terminates usually in the supraduodenal region into the R.H.D .But on many occasions it displays aberrations from the normal. The study is an attempt...
A Retrospective Study of Intussusception in Children
Background: Intussusception is invagination of one segment of intestine into other one. The proximal part known as Intussusceptum and distal part is called as Intussuscepiens. It is one of the common cause of paediatric...
Neurological Manifestations in the Patients with HIV/AIDS
Background: HIV/ AIDS has posed many unprecedented challenges. It causes a wide spectrum of disease manifestations. Neurological diseases is the first manifestation of symptomatic HIV infection in roughly 10- 20% of pati...
Study on Demographic & Clinical Profile of Children with Bronchiolitis AGED 2 – 24 Months
Background: Bronchiolitis is one of the most common lower respiratory tract infection in the children aged two months to twenty four months.The illness is often caused by viral infection with varying clinical presentatio...