Phimosis: Difference between revisions
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==Background== | |||
*Most uncircumcised infants have normal, physiologic phimosis | *Most uncircumcised infants have normal, physiologic phimosis | ||
**Nearly all cases resolve by 5yr of age | **Nearly all cases resolve by 5yr of age | ||
*Only emergency if causes acute urinary retention | *Only emergency if causes acute urinary retention | ||
== | ==Clinical Features== | ||
* | [[File:Fimosis perfil.jpg|thumb|An erect penis with phimosis and inability to retract foreskin.]] | ||
*Unable to retract foreskin over glans | |||
== | ==Differential Diagnosis== | ||
{{Nontrauma penile DDX}} | |||
{{Penile Trauma DDX}} | |||
===Disposition | ==Evaluation== | ||
Discharge | *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 (Penis)|Dorsal Slit]] / circumcision is definitive treatment | |||
==Disposition== | |||
*Discharge with follow-up (primary care/urology) | |||
==See Also== | ==See Also== | ||
*[[ | *[[Penile dorsal slit]] | ||
*[[Penile diagnoses]] | |||
*[[Paraphimosis]] | *[[Paraphimosis]] | ||
== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Urology]] | ||
[[Category: | [[Category:Pediatrics]] | ||
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)