Phimosis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:Fimosis perfil.jpg|thumb|An erect penis with phimosis and inability to retract foreskin.]] | |||
*Unable to retract foreskin over glans | *Unable to retract foreskin over glans | ||
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==Disposition== | ==Disposition== | ||
Discharge with follow-up (primary care/urology) | *Discharge with follow-up (primary care/urology) | ||
==See Also== | ==See Also== | ||
*[[ | *[[Penile dorsal slit]] | ||
*[[Penile diagnoses]] | *[[Penile diagnoses]] | ||
*[[Paraphimosis]] | |||
==References== | ==References== | ||
Latest revision as of 19:45, 1 July 2021
Background
- Most uncircumcised infants have normal, physiologic phimosis
- Nearly all cases resolve by 5yr of age
- Only emergency if causes acute urinary retention
Clinical Features
- Unable to retract foreskin over glans
Differential Diagnosis
Non-Traumatic penile diagnoses
Penile trauma types
Evaluation
- Typically a clinical diagnosis
- Ensure that patient able to urinate
Management
- Dilation of foreskin with hemostat
- Foley cathether if urinary retention is present
- Topical steroids - Triamcinolone 0.025% BID x4-6 weeks
- Can avert need for circumcision after phimosis
- Dorsal Slit / circumcision is definitive treatment
Disposition
- Discharge with follow-up (primary care/urology)