Case Histories: A boy with 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.< Br>
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At 2 weeks after steroid therapy, the skin became soft and it was retracted and cleaned easily in outpatient clinic.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 they had been advised surgery elsewhere.