Paraphimosis reduction

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Indications

Paraphimosis

Contraindications

None

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Reduction involves gentle traction with inward force on the glans

Equipment Needed

  1. lubricant
  2. gloves

Procedure

  1. Remove the Foley catheter if one is in place.
  2. Place a small amount of lubricant on the proximal aspect of the glans and inner surface of the foreskin
  3. Grasp the swollen foreskin with the non-dominant hand and apply slow gentle pressure for several minutes while elevating to reduce edema
  4. With the non-dominant hand, securely hold the proximal aspect of the swollen ring of foreskin with a ring formed by the thumb and the index and middle finger
  5. Slowly begin pushing the glans into the foreskin with the dominant thumb that is placed over the urethral meatus
  6. Continue until the foreskin is replaced over the glans

Complications

failure of reduction requiring Dorsal Slit

See Also

References

Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198.