id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
jnps-44533	Dhungel, Sushil; Dhakal, Ajay; Koirala, Kamal; Mukhia, Rupesh; Bhusal, Narayan; Thapa, Abhishek	Effectiveness of Topical Steroid in Phimosis: A longitudinal Observational Study: 	2022-12-31	4	.pdf	application/pdf	2757	165	55	On the contrary, physiological phimosis lacks this scarring process and is a normal developmental phase of the prepuce and many physicians continue to have difficulty distinguishing one form from the other.3,4,9 The standard treatment for pathological phimosis is circumcision6,9 but dorsal slit and preputioplasty under general anesthesia and adhesiolysis under topical anesthetics are other modes of treatment. The overall cost of topical steroid treatment is 25 to 35% of circumcision and preputial plasty, therefore cost- effective.6,13 Sometimes prepucial adhesion may be misdiagnosed as pathological phimosis and subjected to circumcision when it could have easily been managed by adhesiolysis as an outdoor procedure.10-12 Gentle retraction of the prepuce, known as physiotherapy, was suggested as an important factor in the spontaneous resolution of physiologic phimosis.17	cache/jnps-44533.pdf	txt/jnps-44533.txt
