Pless T K, Spjeldnaes N, Jørgensen T M
Urologisk afdeling K, Arhus Universitetshospital, Skejby Sygehus.
Ugeskr Laeger. 1999 Nov 22;161(47):6493-5.
The aim of this study was to evaluate the efficacy of steroid application in the treatment of childhood phimosis. In a consecutive study 91 boys were treated with application of topical betamethason 0.05% cream twice daily. The foreskin was treated for one month, with an attempt at foreskin retraction after fourteen days. Treatment was controlled after one month and six months. Sixty boys achieved full retraction of the foreskin and nine had partial retraction and relief of symptoms. Twenty-two boys had unsatisfactory response and had an operation. Forty-five boys were controlled after six months, 13 had recurrence, of these nine were satisfied and free of symptoms, two had a new steroid treatment with full success, and two wanted a circumcision. A total of 74% did not need an operation after topical steroid treatment. No side-effects or complications were registered. Childhood phimosis can be successfully treated with steroid application, and the treatment should be offered prior to an operation.
本研究的目的是评估类固醇应用于治疗儿童包茎的疗效。在一项连续性研究中，91名男孩接受了每日两次外用0.05%倍他米松乳膏的治疗。包皮治疗一个月，14天后尝试进行包皮上翻。在治疗一个月和六个月后进行对照。60名男孩实现了包皮完全上翻，9名有部分上翻且症状缓解。22名男孩反应不满意并接受了手术。45名男孩在六个月后进行对照，13名有复发，其中9名满意且无症状，2名接受新的类固醇治疗并完全成功，2名想要进行包皮环切术。外用类固醇治疗后共有74%的患者无需手术。未记录到副作用或并发症。儿童包茎可以通过类固醇应用成功治疗，并且应在手术前提供这种治疗。
