Paraphimosis reduction: Difference between revisions

Latest revision as of 19:40, 1 July 2021

Indications

Paraphimosis

Contraindications

None

Equipment Needed

lubricant
gloves

Procedure

Reduction involves gentle traction with inward force on the glans

Remove the Foley catheter if one is in place.
Place a small amount of lubricant on the proximal aspect of the glans and inner surface of the foreskin
Grasp the swollen foreskin with the non-dominant hand and apply slow gentle pressure for several minutes while elevating to reduce edema
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
Slowly begin pushing the glans into the foreskin with the dominant thumb that is placed over the urethral meatus
Continue until the foreskin is replaced over the glans

Complications

failure of reduction requiring Dorsal Slit

External Links

Videos

References

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

Authors:

@@ Line 1: / Line 1: @@
 ==Indications==
+*[[Paraphimosis]]
-Paraphimosis
 ==Contraindications==
+*None
-None
 ==Equipment Needed==
+#lubricant
+#gloves
-* lubricant
-* gloves
 ==Procedure==
+[[File:paraphimosis.png|thumbnail|Reduction involves gentle traction with inward force on the glans]]
+#Remove the Foley catheter if one is in place.
-) Remove the Foley catheter if one is in place.
+#Place a small amount of lubricant on the proximal aspect of the glans and inner surface of the foreskin
+#Grasp the swollen foreskin with the non-dominant hand and apply slow gentle pressure for several minutes while elevating to reduce edema
-) Place a small amount of lubricant on the proximal aspect of the glans and inner surface of the foreskin
+#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
+#Slowly begin pushing the glans into the foreskin with the dominant thumb that is placed over the urethral meatus
-) Grasp the swollen foreskin with the non-dominant hand and apply slow gentle pressure for several minutes while elevating to reduce edema
+#Continue until the foreskin is replaced over the glans
-) 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
-) Slowly begin pushing the glans into the foreskin with the dominant thumb that is placed over the urethral meatus
-) Continue until the foreskin is replaced over the glans
 ==Complications==
+failure of reduction requiring [[Dorsal Slit (Penis)|Dorsal Slit]]
+==See Also==
+*[[Phimosis]]
+*[[Dorsal Slit (Penis)]]
-failure of reduction requiring Dorsal Slit (Penis)
+==External Links==
-==Source==
+===Videos===
+{{#widget:YouTube|id=BkeOUzC1Q40}}
+==References==
+<references/>
 Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198.
+[[Category:Urology]]
 [[Category:Procedures]]