Resumo

VEGA AZCUE, Emilio. Triamcinolone for Topical Application: a Valuable Alternative in the Treatment of Phimosis. Medisur [online]. 2011, vol.9, n.2, pp.175-178. ISSN 1727-897X.

Background: circumcision as a treatment for phimosis is not considered unless there is medical indication. Current trend is to preserve the foreskin as an integral and multifunctional penis component, given its importance. Topical steroids are considered a valuable alternative in the treatment of phimosis. Objective: to assess the effects of triamcinolone for topical application in the treatment of phimosis. Methods: a longitudinal descriptive study was conducted in the Pediatric University Hospital ‘’Paquito González Cueto’’ in Cienfuegos from March 2000 to March 2009. The sample included 994 patients attending the outpatient Urology Department because of the impossibility of prepuce retraction and phimosis. Patients with forceful dilation acquired phimosis, lichen sclerosis atrophy or balanitis xerótica obliterante were excluded. Topical steroid (triamcinolone acetonide cream 0.1%) was applied in the constricting preputial ring for 6 weeks. Results: the largest group of patients was that of children under 5 years old. In that group, 660 patients (96.2%) had normal non-retractable foreskin and 245 patients (79.5%) had phimosis. Treatment was considered to be satisfactory in 96.8% of cases, good in 1.7% and only 15 patients had to be surgically treated. Conclusions: the use of topical triamcinolone for the treatment of phimosis proves to be an appropriate alternative.

Palavras-chave : triamcinolone; therapeutic uses; phimosis.