Early Diagnosis and Treatment of Uncomplicated Phimosis by General Practitioners

Introduction:

• Ranges from mild (partial retraction) to severe (pinhole phimosis).
• In Australia, ~ 30% of men referred to urology clinics for phimosis review are diagnosed as uncomplicated that have not responded to topical steroids
• Often face long wait-times for non-urgent circumcision in public hospitals
• Published clinical research has established the Novoglan Non-Surgical Phimosis Treatment Kit as a viable alternative for all grades of uncomplicated Phimosis.

Method:

Comparative review conducted of:

• independent multi-site clinical trial with selected patients
• post-marketing surveillance studies into the Novoglan Non-Surgical foreskin tissue expander medical device

Evaluation of treatment:

• Efficacy
• Safety
• Tolerability

Results:

Post-marketing study:

• 93.5% reported successful treatment outcomes
• 91.8% finding the device easy to use
• 85.3% reported positive impacts on mental wellbeing and sexual health.
• 12.7 % reported mild to moderate pain on initial use

Clinical trial:

• 90% of participants showed improvement in foreskin retraction
• 95% experiencing reduced level of anxiety & over 60% patients
• reported reduced pain/discomfort during sex
• 95% satisfaction associated with sex and enhanced mental health post treatment.
• 15% reported minor side effects that resolved during ongoing treatment

Conclusion:

• The findings supports the reliability of both studies.
• The Novoglan device demonstrates high efficacy and patient satisfaction in treating uncomplicated phimosis, without surgery and with minimal side effects.

At early diagnosis, General Practitioners:

• can offer patients an effective at-home non-surgical first-line treatment option
• may reduce need for circumcision, alleviating pressure on public hospital waiting lists
• should consider the Novoglan device when, upon visual clinical examination, the patient has approximately >80% healthy foreskin tissue, necessary for effective tissue expansion.
• Complications presented as moderate to severe scarring, BXO plaques, or suspicious lesions should be referred to a urologist

 

Authors: Dmitry Polikarpov, Eric Chung, Hubert Mazure, Andrew James, Hassan Doosti, Douglas Campbell, David Gillatt