Öz
Obejective and Aim: The objective ofthis study is to analyze the effectiveness of corticosteroid creams in treatment ofmucosal preputial adhesions after neonatal circumcision. Material and Methods: The treatment modalities ofpreputial adhesions in children, who have been circumcised in the newbom period in our hospital by the Gomco Clamp technique, were reviewed and the results after using corticosteroid creams were analysed. The patients with skin bridges were not included in the study. Results: 181 patients with preputial adhesions were admitted in the last three years. Topical steroid was used for three weeks in 41 of them. Steroid creams were not effective in any of the patients, and the adhesions were simply lysed after EMLA erearn anesthesia. .. Conclusion: Although commonly seen after circumcision, it is stil/ not clear how to approach and how to treat penile adehsions when necessary. Topical steroid application does not have a role in treatment ofmucosal adhesions after circumcision.
Anahtar Kelimeler
Kaynakça
- 1. Ponsky LE, Ross JH, Knipper N, Kay R. Penile adhesions after neonatal drcumcision. J Uro! 2000; 164:495-6 2- Gracely-Kilgore KA. Penile adhesion: the hidden complication of drcumdsion. Nurse Pract 1984; 9: 22-4 3- Blalock HJ, Vemulakonda V, Ritchey ML, et al
- Outpatient management ofphimosisfollowing newbom drcumcision. J Uro/2003; 169:2332-4 4- Attaila MF and Taweela MN. Pathogenesis of post- drcumcision adhesions. Pediatr Surg Int 1994; 9: 1035 5- Van Howe RS. Re: Penile adhesions qfter neonatal drcumcision. J Uro/2001; 165: 915 6- Van Howe RS. Variability in penile appearance and penile findings: a prospective study. Br J Uro/1997; 80:776-2 7- Chu CC, Chen KC, Diau GY. Topical steroid treatment of phimosis in boys. J Uro/1999; 162: 861- 3 8- Eroğlu E, Dayanıklı P, Şarman G, et al. Newbom Circumcision Us ing A Gomco Clamp. Journal of the Turkish Assodation ofPediatric Surgeons 2005; 19: 31-4 9- Eroğlu E, Balcı S, Özkan VHC, et al. Does circumcision increase neonatal jaundice? Acta Paediatrica 2008; 97: 1192-3 10- Horowitz M, Gershbein AB. Gomco drcumcision: When is it safe? J Pediatr Surg 2001; 36: 1047-9 ll- Eroğlu E, Eastian OW, Ozkan HC, et al. Buried penis after newbom drcumdsion. J Uro!, 2009; 181:1841-3 12- Eroğlu E, Göksel AK, Yörükalp ÖE, et al. Meatal stenosis and penile adhesions after neonatal drcumcision. Journal ofthe Turkish Assodation of Pediatric Surgeons 2008; 22:91-3 13- Pieretti RV, Goldstein AM, Pieretti-Vanmarcke R Late complications of newbom circumcision: a common and avoidable problem. Ped Sırg Int 2010 Feb 10 (Epub) 14- Ghysel C, Vander Eeckt K, Bogaert GA. Long term efficiency ofskin stretching and topical corticoid cream application for unretractableforeskin andphimosis in prepubertal boys. Uro! Int 2009; 82: 81-8 15- Webster TM, Leonard MP. Topical steroid therapy for phimosis. Can J Uro! 2002; 9: 1492-5
Kortikosteroidli Kremlerin Yenidoğan Sünneti Sonrası Penil Yapışıklıkların Tedavisinde Yeri Var Mıdır?
Öz
Giriş ve Amaç: Bu çalışmanın amacı, kortikosteroidli kremlerin yenidoğan sünnetinden sonra gelişebilen mukoza/ prepusyum yapışık/ık/arındaki etkinliğini araştırmaktır. Gereç ve yöntem: Hastanemize yenidoğan sünneti sonrası penil yapışıklıkla başvuran olguların dosyaları incelenmiş, kortikosteroidli krem kullanılanlarda etkinlik araştırılmıştır. Cilt köprüsü olan çocuklar çalışmaya dahil edilmemiştir. Bulgular: Son üç yıl içerisinde 181 hasta prepusyal yapışıklıka başvurmuştur. 41 tanesinde üç hafta boyunca topikal steroid uygulanmıştır. Steroidli kremler hiçbir yapışıklıkta etkili olamamıştır, yapışıklık/ar EMLA krem ile uygulanan fokal anestezi yardımıyla elle açılmıştır. Tartışma: Sünnetten sonra oldukça sık görülmelerine rağmen, gerektiği taktirde penil yapışıklık/ara nasıl yak/aşılacağı ve nasıl tedavi edilmesi gerektiği net değildir. Topikal steroid kullanımının sünnet sonrası mukoza! yapışıklık/arın tedavisinde rolü yoktur.
Anahtar Kelimeler
Kaynakça
- 1. Ponsky LE, Ross JH, Knipper N, Kay R. Penile adhesions after neonatal drcumcision. J Uro! 2000; 164:495-6 2- Gracely-Kilgore KA. Penile adhesion: the hidden complication of drcumdsion. Nurse Pract 1984; 9: 22-4 3- Blalock HJ, Vemulakonda V, Ritchey ML, et al
- Outpatient management ofphimosisfollowing newbom drcumcision. J Uro/2003; 169:2332-4 4- Attaila MF and Taweela MN. Pathogenesis of post- drcumcision adhesions. Pediatr Surg Int 1994; 9: 1035 5- Van Howe RS. Re: Penile adhesions qfter neonatal drcumcision. J Uro/2001; 165: 915 6- Van Howe RS. Variability in penile appearance and penile findings: a prospective study. Br J Uro/1997; 80:776-2 7- Chu CC, Chen KC, Diau GY. Topical steroid treatment of phimosis in boys. J Uro/1999; 162: 861- 3 8- Eroğlu E, Dayanıklı P, Şarman G, et al. Newbom Circumcision Us ing A Gomco Clamp. Journal of the Turkish Assodation ofPediatric Surgeons 2005; 19: 31-4 9- Eroğlu E, Balcı S, Özkan VHC, et al. Does circumcision increase neonatal jaundice? Acta Paediatrica 2008; 97: 1192-3 10- Horowitz M, Gershbein AB. Gomco drcumcision: When is it safe? J Pediatr Surg 2001; 36: 1047-9 ll- Eroğlu E, Eastian OW, Ozkan HC, et al. Buried penis after newbom drcumdsion. J Uro!, 2009; 181:1841-3 12- Eroğlu E, Göksel AK, Yörükalp ÖE, et al. Meatal stenosis and penile adhesions after neonatal drcumcision. Journal ofthe Turkish Assodation of Pediatric Surgeons 2008; 22:91-3 13- Pieretti RV, Goldstein AM, Pieretti-Vanmarcke R Late complications of newbom circumcision: a common and avoidable problem. Ped Sırg Int 2010 Feb 10 (Epub) 14- Ghysel C, Vander Eeckt K, Bogaert GA. Long term efficiency ofskin stretching and topical corticoid cream application for unretractableforeskin andphimosis in prepubertal boys. Uro! Int 2009; 82: 81-8 15- Webster TM, Leonard MP. Topical steroid therapy for phimosis. Can J Uro! 2002; 9: 1492-5
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2011 |
| Yayımlandığı Sayı | Yıl 2011 Cilt: 42 Sayı: 2 |