A boy with difficulty in passing urine and severe phimosis
3 years old boy presented with difficulty in passing urine and urinary tract infection. Clinical examination showed tight foreskin - a condition called phimosis. Ultrasonogram was done to rule out any kidney abnormalities- it was normal.

Detailed counseling was done about role of medical and surgical options available for this problem and the parents elected to try out local steroid therapy instead of surgery.
At 2 weeks after steroid therapy, the skin became soft and it was retracted and cleaned easily in outpatient clinic.
The child has been followed up for last 3 months and does not have any problems with urination and cleans his foreskin daily while having bath.
Parents were very happy as a surgery has been avoided

Tight foreskin before therapy After two weeks of therapy
Phimosis Medical Therapy Multicentric Trial
2 years back we started managing children with symptomatic Phimosis medically and surgery was offered only when medical therapy failed or parents refused medical therapy. As of Dec 2008, we have enrolled more than 150 kids with Phimosis for this therapy and with 90% success rate in avoiding surgery. The goal of the trial is to estimate the success rates of such therapy in Indian population as no such data is available for India. Most of the kids which we get have problems directly related to Phimosis and many of them have been advised surgery elsewhere. It is indeed a pleasure to see the happiness of the parents when their little ones are spared of a surgery. To participate in this trial please contact Dr Singal or any of the doctors given below.
 

Doctors who have collaborated for this trial are:

  1. Dr D.R.Daruwalla- Vashi
  2. Dr Vijay Yewale- Vashi
  3. Dr Shilpa Aroskar- Vashi
  4. Dr Jeetendra Gavhane- Vashi
  5. Dr Bakul Parekh- Ghatkopar
  6. Dr Lokesh Banodkar- Bhandup
  7. Dr Jayant Rewatkar- Vashi
  8. Dr Sunita Jain- Belapur
  9. Dr Suhas Worad- Nerul
  10. Dr Manish Dubey- Vashi
  11. Dr Pankaj Deshpande- Vashi
  12. Dr Vanathi Swarnam- Nerul
  13. Dr Srikanth- Kharghar
  14. Dr Aparna Pakale- Sanpada
  15. Dr Mahesh Mohite- Panvel
  16. Dr Praveen Mody- Airoli
  17. Dr P.M.Jain- Vashi
  18. Dr D.B.Bhusare- Panvel
 
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