Psychological trauma of circumcision in the phallic period could be avoided by using topical steroids

Basit Öğe Kaydı
dc.cont.department-temp
dc.contributor.authorYilmaz, E
dc.contributor.authorBatislam, E
dc.contributor.authorBasar, MM
dc.contributor.authorBasar, H
dc.date.accessioned2020-06-25T17:35:13Z
dc.date.available2020-06-25T17:35:13Z
dc.date.issued2003
dc.departmentKırıkkale Üniversitesi
dc.descriptionBatislam, Ertan/0000-0002-7493-4573
dc.description.abstractObjective: The objective of our study was to assess the efficacy of topical steroids in the treatment of phimosis and evaluate patients using the Diagnostic and Statistical Manual-III-Revised (DSM-III-R) test with the aim of eliminating castration anxiety of circumcision in the phallic period. Methods: One hundred and forty-nine children with phimosis who required circumcision were included the study. The average age of the children was 4.47 years. All children underwent the DSM-III-R test and their parents were questioned. Patients were separated randomly into three groups. Group I comprised 51 children who would undergo circumcision; group II comprised 50 children who would be treated with a topical corticosteroid (0.05% bethamethasone cream) twice daily for 1 month; and group III comprised 48 children who would be treated with a topical placebo cream. On the 5th day of treatment, parents were told to retract the prepuce and were given hygiene routine instructions. Patients were seen immediately after treatment and again 2 months later. Results: In group II, 16 of the 50 children had non-retractable prepuce. Forty-two cases of phimosis were corrected after treatment. Eight patients received further monthly treatment and five benefited from the second course of treatment. In group III, 17 of the 48 patients had non-retractable prepuce and four had satisfactory results. Forty-four patients received placebo treatment for another month and eventually, 40 children underwent circumcision in this group. DSM-III-R test results showed a significant shift to anxiety in the circumcision group. The were no significant differences in the other groups. Conclusion: Topical steroids for the treatment of phimosis is a highly effective treatment alternative to surgery. It avoids or delays circumcision and can be practised during the phallic period to decrease castration anxiety. The treatment is suitable for patients from any religious or cultural background.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1046/j.1442-2042.2003.00722.x
dc.identifier.endpage656en_US
dc.identifier.issn0919-8172
dc.identifier.issue12en_US
dc.identifier.pmid14633068
dc.identifier.scopus2-s2.0-0347595587
dc.identifier.scopusqualityQ1
dc.identifier.startpage651en_US
dc.identifier.urihttps://doi.org/10.1046/j.1442-2042.2003.00722.x
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3062
dc.identifier.volume10en_US
dc.identifier.wosWOS:000186698900005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBlackwell Publishing Asiaen_US
dc.relation.ispartofInternational Journal Of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcastration anxietyen_US
dc.subjectphallic perioden_US
dc.subjectphimosisen_US
dc.subjecttopical steroiden_US
dc.titlePsychological trauma of circumcision in the phallic period could be avoided by using topical steroidsen_US
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
[ X ]
İsim:
Psychological trauma of circumcision in the phallic period could be avoided by using topical steroids.pdf
Boyut:
59.76 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin/Full Text
İndir

Koleksiyon

WOS İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu