Treatment of Phimosis Without a Knife in Children

Authors

  • Aditi Deshpande
  • Durva Dighe
  • Arya Patil

Keywords:

retrospective study, phimosis, conservative management, surgical management

Abstract

Aims & Background:The aim of this study was to analyse the efficacy of conservative management for phimosis, and which grade showed the most significant response for the same.

Materials and Methods: In this retrospective study, patients were divided into mild and severe groups at 1st presentation. All were managed conservatively with topical Mometasone and Sitz baths. Parental education on prepuce hygiene and gentle retraction was emphasized. At the end of 6 weeks depending on response to this conservative treatment groups of responders and non-responders were made for analysis.

Results:Mild phimosis group showed complete and almost complete resolution with conservative management.

Severe phimosis group showed significant downgrading in first follow-up and almost complete resolution by second follow-up at 6 weeks.

Conclusion:This study emphasizes conservative management as the first-line treatment for phimosis, especially in paediatric populations, to avoid the risks of desensitization and functional loss associated with surgery apart from general anaesthesia complications.

Clinical significance:
The importance of conservative management as opposed to invasive procedure even for grades of phimosis that are usually managed surgically first. It is not only cost effective, provides lesser hospital stay for patients and has lesser side effects for the same.

 

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References

[1] Yang, Stephen Shei Dei, et al. “Highly potent and moderately potent topical steroids are effective in treating phimosis: a prospective randomized study.” The Journal of Urology, vol. 173, no. 4, 2005, pp. 1361–1363. doi:10.1097/01.ju.0000156556.11235.3f.

[2] Bronselaer, Guy A. et al. “Male circumcision decreases penile sensitivity as measured in a large cohort.” BJU International, vol. 111, no. 5, 2013, pp. 820–827. doi:10.1111/j.1464-410X.2012.11761.x.

[3] Fuentes, S., Vicente-Sánchez, N., Martín-Castillo, M.E., Robert-Gil, E., Arranz-Martí, A., Grande-Moreillo, C. “A paradigm shift in the surgical treatment of phimosis in pediatric patients: Is practice aligned with current recommendations?” Actas Urológicas Españolas (English Edition), vol. 49, no. 2, 2025, Article 501710. doi:10.1016/j.acuroe.2025.501710.

[4] Czajkowski, M., Czajkowska, K., Zarańska, K., Giemza, A., Kłącz, J., Sokołowska-Wojdyło, M., Matuszewski, M. “Male Circumcision Due to Phimosis as the Procedure That Is Not Only Relieving Clinical Symptoms of Phimosis But Also Improves the Quality of Sexual Life.” Sexual Medicine, vol. 9, no. 2, 2021, Article 100315. doi:10.1016/j.esxm.2020.100315. Epub 2021 Feb 2. PMID: 33545503; PMCID: PMC8072165

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Published

2024-10-20

How to Cite

1.
Deshpande A, Dighe D, Patil A. Treatment of Phimosis Without a Knife in Children. J Neonatal Surg [Internet]. 2024 Oct. 20 [cited 2026 May 17];13(1):2321-5. Available from: https://jneonatalsurg.com/index.php/jns/article/view/10246

Issue

Vol. 13 (2024): Journal of Neonatal Surgery

Section

Original Article

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