Paraphimosis reduction: Difference between revisions
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==Equipment Needed== | ==Equipment Needed== | ||
# lubricant | #lubricant | ||
# gloves | #gloves | ||
==Procedure== | ==Procedure== | ||
# 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 | #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 | #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 | #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 | #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 | #Continue until the foreskin is replaced over the glans | ||
==Complications== | ==Complications== | ||
Revision as of 17:09, 7 July 2016
Indications
Contraindications
None
Equipment Needed
- lubricant
- gloves
Procedure
- 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
See Also
References
Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198.