Paraphimosis reduction: Difference between revisions
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==Indications== | ==Indications== | ||
[[Paraphimosis] | *[[Paraphimosis]] | ||
==Contraindications== | ==Contraindications== | ||
None | *None | ||
==Equipment Needed== | ==Equipment Needed== | ||
# lubricant | #lubricant | ||
# gloves | #gloves | ||
==Procedure== | ==Procedure== | ||
# Remove the Foley catheter if one is in place. | [[File:paraphimosis.png|thumbnail|Reduction involves gentle traction with inward force on the glans]] | ||
# Place a small amount of lubricant on the proximal aspect of the glans and inner surface of the foreskin | #Remove the Foley catheter if one is in place. | ||
# 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 | #Grasp the swollen foreskin with the non-dominant hand and apply slow gentle pressure for several minutes while elevating to reduce edema | ||
# Slowly begin pushing the glans into the foreskin with the dominant thumb that is placed over the urethral meatus | #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 | ||
# Continue until the foreskin is replaced over the glans | #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== | ==Complications== | ||
failure of reduction requiring Dorsal Slit (Penis) | failure of reduction requiring [[Dorsal Slit (Penis)|Dorsal Slit]] | ||
==See Also== | ==See Also== | ||
[[Dorsal Slit (Penis)]] | *[[Phimosis]] | ||
*[[Dorsal Slit (Penis)]] | |||
== | ==External Links== | ||
===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. | Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198. | ||
[[Category: | [[Category:Urology]] | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Latest revision as of 19:40, 1 July 2021
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
External Links
Videos
{{#widget:YouTube|id=BkeOUzC1Q40}}
References
Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198.