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Urology (Expert Forum)
Betamethasone Dispropionate cream
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Henry Ford Hospital
West Bloomfield - MI
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.
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Betamethasone Dispropionate cream
by Geline, Nov 27, 2008 12:43PM
My son is 10 months-old and his circumcision was reattaching (the skin was not pulling done all the way past the head of his penis; only about 50% of the head was exposed). The urologist prescribed Betamethasone Dipropionate cream (augmented) to apply twice a day to the area for 6 weeks. I am worried that I have put too much on. It is now the 5th week and not only is the skin at the attached area thinning but also the surrounding penis skin. Is this a normal part of the process for helping the circumcision detach? Will the skin eventually rethicken once the circumcision detached and we stop using the cream? I am worried that the skin is too thin and as he grows the skin will be stretched too much.
Doctor's Answer
by Stephen Liroff, MD, Nov 29, 2008 12:28PM
, Nov 29, 2008 12:28PM
Topical steroids do cause skin to thin. The least likely to do this is simple hydrocortisone in a low strength. (over the counter). I do not know if this skin will thicken once the medication is stopped, but I doubt that you have created any long term problem.
The skin on the underside of the foreskin does routinely attach to the head of the penis and at this age is not a problem. Those natural connections will go away by puberty. It is not necessary to pull the skin back harshly as this can cause true scarring which will not resolve without surgery.
At this point, benign neglect is probably the safes way to go. Just leave it alone.
S.A.Liroff, M.D.
The skin on the underside of the foreskin does routinely attach to the head of the penis and at this age is not a problem. Those natural connections will go away by puberty. It is not necessary to pull the skin back harshly as this can cause true scarring which will not resolve without surgery.
At this point, benign neglect is probably the safes way to go. Just leave it alone.
S.A.Liroff, M.D.
Member Comments (2)
by Geline, Nov 29, 2008 05:30PM
To: Dr. Liroff
Thank you so much for your reply. It has greatly eased my fears.
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