Page 9 - Canadian Urological Association guideline on the care of the normal foreskin and neonatal circumcision in Canadian infants (Full Version)

Management of the normal foreskin

• In a older child with a tight foreskin, topical steroid

medications with gentle retraction is highly successful (60–

80% success rate), without side effects, in compliant children

and parents

• The current recommendation involves using a low-dose

steroid topical medication (betamethasone or triamcinolone

0.5%) BID with gentle retraction of the foreskin over a 6–8-

week period, which can be repeated if needed

• Circumcision is indicated for true phimosis associated with

scarring of the prepuce and lichen sclerosis of the foreskin