NGHIÊN CỨU TÌNH HÌNH VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ BẢO TỒN HẸP BAO QUY ĐẦU Ở TRẺ EM CÁC TRƯỜNG MẪU GIÁO THÀNH PHỐ CÀ MAU NĂM 2022 – 2023

Abstract

Background: Physiological phimosis, a condition caused by adhesions between the inner surface of the foreskin and the outer surface of the glans penis, results in an unclear separation between the prepuce and glans. Objectives: (1) To determine the rate and classification of foreskin stenosis of children aged 36-72 months in kindergartens in Ca Mau city in 2022-2023; (2) To evaluate of the results of conservative treatment of foreskin stenosis by the method of foreskin dilatation combined with topical Betamethasone 0.05%. Materials and methods: a cross-sectional descriptive study with intervention including 921 children from 36 to 72 months old from 06 kindergartens in Ca Mau city from May 2022 to March 2023. Results: 838/921 (91%) children aged 36-72 months in kindergartens in Ca Mau province were diagnosed with foreskin stenosis. Among children with foreskin stenosis, the rate of type III accounted for the highest rate with 27.3%, followed by type IV with 24.5%, type II 21.3%, type I 17.9%. After 6 weeks of treatment, foreskin morphology: type I 0.0%, type II 2.0%, type III 9.6%, type IV 3.9% and type V84.5%. No complications have been recorded. Conclusion: Conservative treatment of foreskin stenosis in children from kindergartens in Ca Mau city gave good results. This is a minimally invasive, gentle, low-cost method that can be performed in the community.