Estrogen cream may cut surgery complications in boys with birth defect
NCT ID NCT01370798
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether applying estrogen cream to the penis for two months before surgery reduces complications in boys with severe hypospadias, a birth defect where the urethra opening is not at the tip. 244 boys aged 9-36 months received either estrogen cream or a placebo cream daily before undergoing urethroplasty. The goal was to see if estrogen improves healing and lowers the risk of fistulas or wound breakdown after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- promestriene (estrogen) cream
- What this could lead to
- If it works, this could reduce the need for repeat surgeries in boys with severe hypospadias.
- What could go wrong
- This is a completed phase 3 trial, but results may not apply to all cases. Estrogen cream may cause local irritation or hormonal effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
244 people
The number who actually took part.
- Started
-
May 2011
- Finished
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Sep 2017
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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9 to 36 months
- Sex
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Male participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Severe hypospadias with a division of the corpus spongiosum behind the midshaft of the penis and for which repair requires a urethral substitution by onlay urethroplasty. * Subjects operated between 9 and 36 months old. * Subjects operated in one of the departments of paediatric urology involved in the study. * Surgery performed by a surgeon with at least 5 years of practical experience in the hypospadias surgery. * Written informed consent obtained from parents or legal guardians prior to the participation to the study * All hypospadias aetiology (hormonal, karyotype or genetic) Exclusion Criteria: * Refusal to participate * Subjects with glandular hypospadias * Subjects aged \<9 months or \> 36months old at time of surgery. * Subjects who had prior surgery of penis (circumcision or hypospadias surgery) * Subjects treated with androgens (Human Chorionic Gonadotrophin or delayed testosterone) within 6 months prior to surgery. * Intolerance to promestriene or its excipients. * Not affiliated to a healthy or social security cover. * Known tumoral risk * Pure or mixed gonadal dysgenesis (45, X0/46,XY)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hôpital Mère-Enfant
Nantes, 44093, France
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Hôpital NECKER
Paris, 75015, France
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Hôpital Robert Debré
Paris, 72015, France
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Service de Chirurgie Pédiatrique Uro-génitale, Hopital femme Mere Enfant
Bron, 69677, France
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