TITLE:
Effect of Topical Steroid Treatment for Concealed Penis: Is It Managed Conservatively?
AUTHORS:
Katsuya Aoki, Shinji Fukui, Maho Takenaga, Maikito Miyake, Takeshi Inoue, Satoshi Anai, Kazumasa Torimoto, Nobumichi Tanaka, Kiyohide Fujimoto
KEYWORDS:
Concealed Penis, Steroid, Indication of Surgery
JOURNAL NAME:
Open Journal of Urology,
Vol.4 No.6,
June
18,
2014
ABSTRACT: Purpose: Phimosis can be
treated using topical steroid treatment effectively. Meanwhile, concealed penis
has been required surgical correction because it was considered stubborn to
conservative treatment. But there were few reports of conservative treatment
using topical steroid treatment for concealed penis. The aim of the present
study was to evaluate the effects of topical steroid treatment for concealed
penis. Materials and Methods: From December 2006 to December 2011, 30 patients
(mean age 9.3 years) with concealed penis were treated with topical 0.12%
bethamethasone valerate cream. Patients or their parents continued to retract
the prepuce gently without causing pain and to apply a topical 0.12%
bethamethasone valerate cream to the prepuce twice daily for 6 weeks. When
topical steroid treatment was ineffective, patients were surgically corrected.
Results: The success rate of topical steroid treatment was low (10%). 27 of 30
patients required surgical repair. No patients showed complications associated
with topical steroid or surgical intervention. Conclusions: Concealed penis is
highly resistant to topical steroid treatment and should be corrected surgically.