[Phimosis: medical treatment or circumcision?].
Phimosis remains a major question for mothers and induces a high number of consultations. However, large epidemiologic series have shown that congenital phimosis may disappear spontaneously in around 80% of cases with development and should'nt need any treatment before the age of five or six years old. Theses elements go against sociocultural habits which induce many circumcisions before the age of six. Corticoid treatment of phimosis seems to be very efficient to facilitate the disparition of phimosis. The aim of this literature review is to evaluate medical, socioeconomical and therapeutics aspects of phimosis. Based on these data, we recommend never to treat phimosis before the age of one year old, to wait as long as possible for spontaneous evolution of phimosis until the age of five years old, and, in case of non evolution of congenital phimosis or pathologic phimosis to use as first step treatment corticoid topics rather than surgical treatment.
Service de chirurgie infantile, hôpital l'Archet-II, CHU de Nice, route de saint-Antoine-de-Ginestière, 06202 Nice cedex 03, France. breaud.j@chu-nice.fr
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Bréaud
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JM
Guys
D000367:Age Factors; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D002944:Circumcision, Male; D003663:Decision Trees; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D007223:Infant; D008297:Male; D010688:Phimosis / Q000151:congenital* / Q000188:drug therapy / Q000601:surgery
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids