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Phimosis

Guidelines

Key sources

The following summarized guidelines for the management of phimosis are prepared by our editorial team based on guidelines from the European Association of Urology (EAU/ESPU 2023) and the British Association of Dermatologists (BAD 2018). ...
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Medical management

Indications for treatment: as per EAU/ESPU 2023 guidelines, offer treatment for phimosis starting from age of 2 years or according to caregivers' preference.
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  • Topical corticosteroids

Surgical interventions

Circumcision: as per EAU/ESPU 2023 guidelines, offer circumcision for the treatment of symptomatic patients with primary phimosis.
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Specific circumstances

Patients with lichen sclerosus: as per BAD 2018 guidelines, offer a trial of an ultra-potent topical corticosteroid once daily for 1-3 months combined with emollients and barrier preparations in pediatric male patients with phimosis caused by lichen sclerosus.
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  • Patients with paraphimosis

Follow-up and surveillance

Follow-up: as per EAU/ESPU 2023 guidelines, follow-up patients for 4-6 weeks after preputial surgeries.