{"id":"https://openalex.org/W4327520140","doi":"https://doi.org/10.3126/jnps.v42i2.44533","title":"Effectiveness of Topical Steroid in Phimosis: A longitudinal Observational Study","display_name":"Effectiveness of Topical Steroid in Phimosis: A longitudinal Observational Study","publication_year":2022,"publication_date":"2022-12-31","ids":{"openalex":"https://openalex.org/W4327520140","doi":"https://doi.org/10.3126/jnps.v42i2.44533"},"language":"en","primary_location":{"id":"doi:10.3126/jnps.v42i2.44533","doi":"https://doi.org/10.3126/jnps.v42i2.44533","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3126/jnps.v42i2.44533","pdf_url":"https://www.nepjol.info/index.php/JNPS/article/download/44533/39826","source":{"id":"https://openalex.org/S94262024","display_name":"Journal of Nepal Paediatric Society","issn_l":"1990-7974","issn":["1990-7974","1990-7982"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319252","host_organization_name":"Nepal Paediatric Society","host_organization_lineage":["https://openalex.org/P4310319252"],"host_organization_lineage_names":["Nepal Paediatric Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Nepal Paediatric Society","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.nepjol.info/index.php/JNPS/article/download/44533/39826","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010137905","display_name":"Sushil Dhungel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210154879","display_name":"KIST Medical College","ror":"https://ror.org/04zz3m093","country_code":"NP","type":"education","lineage":["https://openalex.org/I4210154879"]}],"countries":["NP"],"is_corresponding":false,"raw_author_name":"Sushil Dhungel","raw_affiliation_strings":["Assistant Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal","institution_ids":["https://openalex.org/I4210154879"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ajay Dhakal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210154879","display_name":"KIST Medical College","ror":"https://ror.org/04zz3m093","country_code":"NP","type":"education","lineage":["https://openalex.org/I4210154879"]}],"countries":["NP"],"is_corresponding":false,"raw_author_name":"Ajay Dhakal","raw_affiliation_strings":["Associate Professor, Department of Paediatrics, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Associate Professor, Department of Paediatrics, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal","institution_ids":["https://openalex.org/I4210154879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050582881","display_name":"Kamal Koirala","orcid":"https://orcid.org/0000-0002-8390-8297","observed_orcids":["https://orcid.org/0000-0002-8390-8297"]},"institutions":[{"id":"https://openalex.org/I4210154879","display_name":"KIST Medical College","ror":"https://ror.org/04zz3m093","country_code":"NP","type":"education","lineage":["https://openalex.org/I4210154879"]}],"countries":["NP"],"is_corresponding":false,"raw_author_name":"Kamal Koirala","raw_affiliation_strings":["Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal","institution_ids":["https://openalex.org/I4210154879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061777977","display_name":"Rupesh Mukhia","orcid":"https://orcid.org/0000-0002-1880-8644","observed_orcids":["https://orcid.org/0000-0002-1880-8644"]},"institutions":[{"id":"https://openalex.org/I4210154879","display_name":"KIST Medical College","ror":"https://ror.org/04zz3m093","country_code":"NP","type":"education","lineage":["https://openalex.org/I4210154879"]}],"countries":["NP"],"is_corresponding":false,"raw_author_name":"Rupesh Mukhia","raw_affiliation_strings":["Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal","institution_ids":["https://openalex.org/I4210154879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102398605","display_name":"Narayan Prasad Bhusal","orcid":"https://orcid.org/0009-0000-9201-2014","observed_orcids":["https://orcid.org/0009-0000-9201-2014"]},"institutions":[{"id":"https://openalex.org/I4210154879","display_name":"KIST Medical College","ror":"https://ror.org/04zz3m093","country_code":"NP","type":"education","lineage":["https://openalex.org/I4210154879"]}],"countries":["NP"],"is_corresponding":false,"raw_author_name":"Narayan Bhusal","raw_affiliation_strings":["Assistant Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal","institution_ids":["https://openalex.org/I4210154879"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077375018","display_name":"Abhishek Thapa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210154879","display_name":"KIST Medical College","ror":"https://ror.org/04zz3m093","country_code":"NP","type":"education","lineage":["https://openalex.org/I4210154879"]}],"countries":["NP"],"is_corresponding":false,"raw_author_name":"Abhishek Thapa","raw_affiliation_strings":["Assistant Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor, Department of Surgery, KIST Medical College and Teaching Hospital, KIST Hospital Road, Mahalaxmi Municipality-1, Lalitpur, Nepal","institution_ids":["https://openalex.org/I4210154879"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210154879"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.31973063,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"42","issue":"2","first_page":"26","last_page":"29"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11713","display_name":"Genital Health and Disease","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11713","display_name":"Genital Health and Disease","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/phimosis","display_name":"phimosis","score":0.9940000176429749},{"id":"https://openalex.org/keywords/topical-corticosteroids","display_name":"topical corticosteroids","score":0.925000011920929},{"id":"https://openalex.org/keywords/hydrocortisone-cream","display_name":"hydrocortisone cream","score":0.9679999947547913},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.6940000057220459},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.4959999918937683},{"id":"https://openalex.org/keywords/adhesiolysis","display_name":"adhesiolysis","score":0.7390000224113464},{"id":"https://openalex.org/keywords/foreskin-retraction","display_name":"foreskin retraction","score":0.7900000214576721}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9779782295227051},{"id":"https://openalex.org/C2781140480","wikidata":"https://www.wikidata.org/wiki/Q673203","display_name":"Foreskin","level":3,"score":0.7113884091377258},{"id":"https://openalex.org/C207886595","wikidata":"https://www.wikidata.org/wiki/Q1456138","display_name":"Pathological","level":2,"score":0.6535040140151978},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6130490303039551},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5861351490020752},{"id":"https://openalex.org/C2776804153","wikidata":"https://www.wikidata.org/wiki/Q210420","display_name":"Corticosteroid","level":2,"score":0.5342824459075928},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.4993605613708496},{"id":"https://openalex.org/C2778426668","wikidata":"https://www.wikidata.org/wiki/Q1138584","display_name":"Balanitis","level":2,"score":0.4686873257160187},{"id":"https://openalex.org/C2777520566","wikidata":"https://www.wikidata.org/wiki/Q2172867","display_name":"Topical steroid","level":2,"score":0.4338739514350891},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09825646877288818},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C81885089","wikidata":"https://www.wikidata.org/wiki/Q189082","display_name":"Cell culture","level":2,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3126/jnps.v42i2.44533","doi":"https://doi.org/10.3126/jnps.v42i2.44533","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3126/jnps.v42i2.44533","pdf_url":"https://www.nepjol.info/index.php/JNPS/article/download/44533/39826","source":{"id":"https://openalex.org/S94262024","display_name":"Journal of Nepal Paediatric Society","issn_l":"1990-7974","issn":["1990-7974","1990-7982"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319252","host_organization_name":"Nepal Paediatric Society","host_organization_lineage":["https://openalex.org/P4310319252"],"host_organization_lineage_names":["Nepal Paediatric Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Nepal Paediatric Society","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3126/jnps.v42i2.44533","doi":"https://doi.org/10.3126/jnps.v42i2.44533","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3126/jnps.v42i2.44533","pdf_url":"https://www.nepjol.info/index.php/JNPS/article/download/44533/39826","source":{"id":"https://openalex.org/S94262024","display_name":"Journal of Nepal Paediatric Society","issn_l":"1990-7974","issn":["1990-7974","1990-7982"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310319252","host_organization_name":"Nepal Paediatric Society","host_organization_lineage":["https://openalex.org/P4310319252"],"host_organization_lineage_names":["Nepal Paediatric Society"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Nepal Paediatric Society","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4327520140.pdf","grobid_xml":"https://content.openalex.org/works/W4327520140.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1968527149","https://openalex.org/W1969871863","https://openalex.org/W1974535377","https://openalex.org/W2008676887","https://openalex.org/W2009215513","https://openalex.org/W2018241428","https://openalex.org/W2040531373","https://openalex.org/W2098752240","https://openalex.org/W2137325780","https://openalex.org/W2140141092","https://openalex.org/W2152755197","https://openalex.org/W2161558884","https://openalex.org/W2163432726","https://openalex.org/W2763039248","https://openalex.org/W4245802710","https://openalex.org/W4383460650"],"related_works":["https://openalex.org/W1975877157","https://openalex.org/W2980331828","https://openalex.org/W2084383279","https://openalex.org/W2137325780","https://openalex.org/W3039312233","https://openalex.org/W3092130975","https://openalex.org/W51953044","https://openalex.org/W4248185611","https://openalex.org/W2008582839","https://openalex.org/W2737589228"],"abstract_inverted_index":{"Introduction:":[0],"Most":[1],"non-retractile":[2,222],"foreskins":[3],"have":[4],"been":[5],"diagnosed":[6,117],"with":[7,19,60,83,118,145,151,172,181,195,210,213],"phimosis":[8,64,119,128,147,212,227],"and":[9,34,98,137,154,228,239,246],"referred":[10],"for":[11,89,108,250],"circumcision.":[12,231],"However,":[13],"many":[14],"patients":[15,74,115,125,144,167,194,209],"can":[16],"be":[17],"managed":[18],"corticosteroid":[20,32],"cream.":[21],"This":[22,44],"study":[23,49,122],"evaluates":[24],"the":[25,28,39,61,102,121,141,191,208],"effectiveness":[26],"of":[27,31,41,63,113,130,207,218,234],"topical":[29],"application":[30,233],"cream":[33,81,238],"manual":[35,84,155],"prepucial":[36,85,156],"stretching":[37,86,241],"in":[38,175,190,202,205,216,254],"treatment":[40,173,196,249],"phimosis.":[42],"Methods:":[43],"was":[45,188,200],"a":[46,169,235,243],"longitudinal":[47],"observational":[48],"carried":[50],"out":[51,129],"among":[52],"children":[53],"aged":[54],"six":[55,99],"months":[56,100],"to":[57,69,77],"10":[58],"years":[59],"diagnosis":[62],"between":[65],"1st":[66],"September":[67],"2019":[68],"31st":[70],"August":[71],"2020.":[72],"The":[73],"were":[75,93,116,138,148,162],"advised":[76],"apply":[78],"1%":[79,152],"Hydrocortisone":[80],"together":[82],"twice":[87],"daily":[88],"four":[90,96,132,176,193,203],"weeks.":[91],"Patients":[92],"assessed":[94],"at":[95,101],"weeks":[97,204],"outpatient":[103],"clinic":[104],"using":[105],"Kirkos":[106],"grading":[107],"retractability.":[109],"Results:":[110],"A":[111],"total":[112],"110":[114],"during":[120],"period.":[123],"Fourteen":[124],"had":[126,133,168],"pathological":[127,226],"which":[131],"balanitis":[134],"xerotica":[135],"obliterans":[136],"excluded":[139],"from":[140],"analysis.":[142],"Ninetysix":[143],"physiological":[146,211,251],"treated":[149,164],"conservatively":[150],"hydrocortisone":[153],"stretching.":[157],"Among":[158],"them,":[159],"87":[160],"cases":[161,180],"successfully":[163],"whereas":[165],"five":[166,179],"partial":[170,182],"response":[171,183],"failure":[174],"cases.":[177,219],"Those":[178],"underwent":[184],"adhesiolysis":[185],"while":[186],"circumcision":[187],"performed":[189],"remaining":[192],"failure.":[197],"Prepucial":[198],"retraction":[199],"possible":[201],"most":[206],"successful":[214],"results":[215],"90.6%":[217],"Conclusions:":[220],"All":[221],"prepuce":[223],"are":[224],"not":[225],"doesn\u2019t":[229],"need":[230],"Local":[232],"potent":[236],"corticoid":[237],"foreskin":[240,253],"is":[242],"safe,":[244],"simple,":[245],"effective":[247],"long-term":[248],"unretractable":[252],"children.":[255]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-03-17T00:00:00"}