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Urology  (Expert Forum)
 | 
tight foreskin- topical steroids (Betamethasone 0.05%)
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

tight foreskin- topical steroids (Betamethasone 0.05%)

by OzzieSmith, Jul 19, 2005 12:00AM
I have a tight and long foreskin around the penis that doesn't allow for the foreskin to be retracted past the glans. I am completely unwilling to undergo circumcision or dorsal slit or anything of that nature. However, I was told that this condition could be treated by using topical steroids, particuarlly Betamethasone 0.05% cream. It is said that the foreskin can be loosened enough to be fully retractible behind the glans in approxomitely 1 month. I was wondering if you would reccomend this cream, and if it can indeed be treated for this. I read that it is mainly used to reduce itching, redness, and swelling, will it also work for what I have described. Also are there any side effects, or any other effects at all when taking this cream? Also, how many tubes or gm would be needed to last a month, and around how much would it cost? Also if I were to use it, how would I apply it? And the last question is if it has worked after a month, can i keep the results without using it anymore, or will the foreskin tighten again and will I need to keep using the cream? Any other information you know about this would be greatly appreciated.

Thank You very much for your help and I really appreciate all the advice you can give me. Thank You.

by Kevin Pho, MD, Jul 20, 2005 12:00AM
I cannot give any treatment advice over the internet without examination.  Thus, I cannot comment on how to use it or how to apply it.



I am not aware of this being a treatment for a tight foreskin.  However, I am not a urologist, so you may want to discuss this treatment option with one for a further explanation.



Regarding cost, bethamethasone comes in cream, ointment or lotion of varying sizes.  The amount used per month would depend on how much you are putting on each time.  A 15-gm tube of cream costs $10 according to drugstore.com.



Long term use of steroid creams can lead to skin atrophy and weakening.



You can discuss these questions with your personal physician or urologist.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

http://www.straightfromthedoc.com
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