Doctor insights on:
How Effective Are Steroid Creams At Treating Phimosis
Children do better: Than adults. 70 -80% respond to steroid creams, if applied correctly. This means pulling back on the foreskin and appling cream to all the skin preventing retraction, or are of narrowing causing a "waist" if the tight foreskin can be pulled over the glans. Apply twice daily for 3 months.Remember always to pull tight foreskin back over glans to avoid paraphimosis. Unfortunately 50% re-phimose. ...Read moreSee 2 more doctor answers
Steroids & phimosis: Phimosis is inability to retract foreskin. Tightening of foreskin could be congenital or due to scarring from infection or chronic inflammation. Lichen sclerosus is another cause. Scarring is collagen deposition by cells called fibroblasts. Potent topical steroids are used to treat this in short term. Steroids slow down collagen deposition and increase collagen breakdown, loosening foreskin. ...Read moreSee 1 more doctor answer
Yes.: Expired medications cannot be guaranteed to maintain their potency or stability of formulation. It is a good idea to seek a new prescription, and get re-evaluated if a lot of time has passed since your phimosis was last examined. This could indicate that the treatment is not working. ...Read more
In USA yes: Over the counter steroid creams are generally ineffective in treating phimosis. Prescription strength creams are often successful in relieving the condition when applied over a 4-6 week period. ...Read more
Prescription creams: 1% Betamethasone Valerate or Kenalog are only available in US by prescription. Might work, but less likely as get older, i.e. your age. Will not work if phimotic ring is scarred, in which case surgery is only viable option. 0.Try it, might help nut don't be disappointed if it does not or recurs. ...Read more
See below: Betamethasone cream has be used very effectively for treatment of phimosis in children and adults. It is safe, easy to apply and cost effective. In most published protocols, it is used twice daily for up to 4 weeks and will improve or cure in >70%. The risks are minimal but prolonged use can cause thinning of the skin, and use of the cream extensively over the body can inhibit adrenal steroids. ...Read moreSee 1 more doctor answer
Is circumcision the only options for a case of phimosis with scar tissue? Is it the only option? The only thing to do? Or would the alternative treatments/options work? The steroid creams - betamethasone, stretching, preputioplasty, etc? What about partia
You choose: The choice of treatment depends directly on the risk/benefit assessment and your personal opinion. I agree with the respondents. A circumcision will be curative. Steroid creams work quite well and should be tried first if you desire an "intact" prepuce. If these fail, and you still do not want a circ, then you can opt for operative stretching/slit/or partial circ all of which can recur. ...Read moreSee 2 more doctor answers
In trying to stretch a tight foreskin, using the steroid cream, how many times a day would one stretch in order to solve the problem in a month?
Twice daily: Treatment of phimosis (tight foreskin) can sometimes be treated with topical steriod cream applied twice daily with gentle retraction. Hopefully, over a period of time (generally given in 3 week courses), the foreskin will allow full retraction. Be sure to discuss with the prescribing physician to ensure you are appropriately using the medication he/she prescribed. ...Read moreSee 1 more doctor answer
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