2011, Number 598
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Rev Med Cos Cen 2011; 68 (598)
Tratamiento médico de la fimosis primaria: El rol de los corticoesteroides tópicos
Solís BA
Language: Spanish
References: 20
Page: 339-344
PDF size: 365.81 Kb.
ABSTRACT
Phimosis is described as the inability to retract the foreskin. Physiological phimosis is the inability to retract the foreskin due to the presence of adhesions between it and the glans. It is classified as secondary or pathological phimosis when this difficulty persists in a child older than 4 years or when the foreskin is attached by a fibrous ring as a result of forced preputial retraction maneuvers. The application of topical steroids is an effective therapeutic alternative with clear advantages; it is a noninvasive treatment, outpatient easy to perform, which can be applied by parents, inexpensive and virtually free of side effects.
REFERENCES
Ashfield JE, Nickel KR, Siemens DR, et al. Treatment of phimosis with topical steroids in 194 children. J Urol 169: 1106-1108, 2003.
Brazzini B, Pimpinelli N. New and established topical corticosteroids: clinical pharmacology and therapeutic use. Am J Clin Dermatol 2002, 3;47-58.
Cardona, David. Una alternativa en el manejo de la fimosis. Acta Pediatr Costarric, ene. 1999, vol. 13, no.1, p.23-26. ISSN 1409-0090.
Circumcision policy statement. American Academy of Pediatrics. Task Force on Circumcision. Pediatrics 103:686-693, 1999.
Chu CC, Chen KC, Diau GY. Topical steroid treatment of phimosis in boys. J Urol 1999; 162(3): 861-3.
Elmore JM, Baker LA, and Snodgrass WT. Topical steroid therapy as an alternative to circumcision for phimosis in boys younger than 3 years. J Urol 168: 1746-1747, 2002.
Golubovic Z, Milanovic D, Vukadinovic V, Rakic I, Perovic S. The conservative treatment of phimosis in boys. Br J Urol 1996; 78(5): 786-8.
Holder T, Ashcraft K. Pediatric Surgery, 2a ed. 715. Philadelphia: W.B. Saunders.
Kayaba H, Tamura H, Kitajima S, Fujiwara Y, Kato T, Kato T. Analysis of shape and retractability of the prepuce in 603 Japanese boys. J Urol 1996; 156(5): 1813-5.
King, L. R.: Neonatal circumcision. The pros and cons. Dial. Pediatr. Urol 1982;12: 4.
Kliegman: Nelson Textbook of Pediatrics, 18th ed. © 2007 Saunder, Elsevier. Cap. 544.
Lane S. Palmer, Jeffrey S. Palmer. The Efficacy of Topical Betamethasone for Treating Phimosis: A Comparison of Two Treatment Regimens. Urology 72: 68-71, 2008.
Monsour M, Rabinovitch H, Dean H. Medical management of phimosis in children: our experiences with topical steroids. J Urol 1999; 162(3): 1162-4.
Orsola A, Caffaratti J, Garat JM. Conservative treatment of phimosis in children using a topical steroid. Urology 2000;56(2): 307-10.
Patel. H.: The problem of routine circumcision. Can. Med. Assoc. J 1966; 95:576-581.
Phimosis. In: Tekgul S, Riedmiller H, Gerharz E, Hoebeke P, Kocvara R, Nijman R, Radmayr C, Stein R. Guidelines on paediatric urology. Arnhem, The Netherlands: European Association of Urology, European Society for Paediatric Urology; 2009 Mar. p. 6-8. Recuperado de internet el 03 octubre del 2010, www.guideline.gov.
Wein: Campbell-Walsh Urology, 9 th ed. © 2007 Saunders, Elsevier. Cap. 126, pag. 3746.
Won Lee J, Jin Cho S, Ae Park E, Joo Lee S. Topical hydrocortisone and physiotherapy for nonretractile physiologic phimosis in infants. Pediatr Nephorol. 2006; 21:1127-30
Wright JE. Further to the “Further Fate of the Foreskin”. Med J Aust 1994; 160:134-135.
Zamperi N, Corroppolo M, Camoglio FS, Giacomello L, Ottolenhi A. Phimosis: stretching methods with or without application of topical steroids. J Pediatrics. 2005; 147:705-6