Background : Aim of this study is to see the efficiency of
topical 1% hydrocortisone in the treatment of physiological

Materials and Methods: Retrospective study was
conducted in the Kaski Model Hospital, Pokhara, Gandaki,
Nepal from January 2016 to June 2019. Forty-nine patients
treated in outpatient basis have been selected for this study.
Selection was made according to Kikiros and Woodward
retractability grading.

Results: Out of 49(100%) patients 40(81.63%)
achieved complete response to steroid, which is
Kikiros and Woodward retractability grade 0. 2(4.08%)
patients showed satisfactory response (symptom
free) which is Kikiros and Woodward retractability
grade 1. And 7(14.28%) patients showed no response
after six weeks course of treatment and underwent

Conclusion: This study demonstrates the use of 1%
topical hydrocortisone is safe, simple and cost effective.
And it could be the initial choice of treatment.


Keywords: Physiological phimosis, Topical 1% hydrocortisone, Kikiros and Woodward retractability grading