Physiological Phimosis and The Use of Topical Steroid

Abstract

Background: Aim of this study is to see the efficiency of topical 1% hydrocortisone in the treatment of physiological phimosis.

Materials and Methods: Retrospective study was conducted in the Kaski Model Hospital, Pokhara, Gandaki, Nepal from January 2016 to June 2019. Forty-nine patients treated in outpatient basis have been selected for this study. Selection was made according to Kikiros and Woodward retractability grading.

Results: Out of 49(100%) patients 40(81.63%) achieved complete response to steroid, which is Kikiros and Woodward retractability grade 0. 2(4.08%) patients showed satisfactory response (symptom free) which is Kikiros and Woodward retractability grade 1. And 7(14.28%) patients showed no response after six weeks course of treatment and underwent circumcision.

Conclusion: This study demonstrates the use of 1% topical hydrocortisone is safe, simple and cost effective. And it could be the initial choice of treatment.