Guideline sources The following summarized guidelines for the management of phimosis are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2022) and the British Association of Dermatologists (BAD 2018). 1 2 Guidelines 1. Medical management Indications for treatment: offer treatment for phimosis starting from age of 2 years or according to caregivers' preference. B Show 2 more Topical corticosteroids: offer corticosteroid ointment or cream as first-line therapy in symptomatic patients with primary phimosis. B Show 3 more 2. Surgical interventions Circumcision: offer circumcision for the treatment of symptomatic patients with primary phimosis. B Show 4 more 3. Specific circumstances https://web.pathway.md/diseases/recG6XePnSblTu1Xw 1/2 6/29/23, 11:10 PM Phimosis Pathway Patients with lichen sclerosus: offer a trial of an ultra-potent topical corticosteroid once daily for 1-3 months combined with emollients and barrier preparations in pediatric male patients with phimosis caused by lichen sclerosus. A Show 3 more Patients with paraphimosis: perform manual reposition - compression of the edematous tissue with a subsequent attempt to retract the tightened foreskin over the glans penis - for the treatment of patients with paraphimosis. B Show 3 more 4. Follow-up and surveillance Follow-up: follow-up patients for 4-6 weeks after preputial surgeries. References 1. F M Lewis, F M Tatnall, S S Velangi et al. British Association of Dermatologists guidelines for the management of lichen sclerosus, 2018. Br J Dermatol. 2018 Apr;178 4 839 853. Open 2. Lisette A 't Hoen, Guy Bogaert, Christian Radmayr et al. EAU guidelines on Paediatric Urology. EAU. 2022 Mar. Open https://web.pathway.md/diseases/recG6XePnSblTu1Xw 2/2