A NONSURGICAL APPROACH TO THE TREATMENT OF PHIMOSIS - LOCAL NONSTEROIDAL ANTIINFLAMMATORY OINTMENT APPLICATION

Purpose: We evaluated the effectiveness of topical application of nons teroidal anti-inflammatory ointment for phimosis. Materials and Method s: A total of 52 children with phimosis was included in this study. Ph imosis was graded according to severity. Of the patients 32 were given locally a nonsteroidal anti-inflammatory ointment prepared in ophthal mic usage form from sterile diclofenac sodium ampules (not commerciall y available). The control group comprised 20 patients given sterile pe trolatum ointment. Patients were seen before and after treatment, and graded according to retractibility and appearance of the foreskin. Tre atment continued for 4 weeks with 3 applications daily. Results: Of th e 32 patients 24 responded to therapy and 8 remained unchanged or had insufficient improvement. Three controls responded to therapy and 17 d id not. There were no side effects. Conclusions: Nonsteroidal anti-inf lammatory ointment application for phimosis may be an alternative to s urgery and steroid application.