Phimosis: Difference between revisions
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*Dilation of foreskin with hemostat | *Dilation of foreskin with hemostat | ||
*Foley cathether if urinary retention is present | *Foley cathether if urinary retention is present | ||
*Topical steroids - Triamcinolone 0.025% BID x4-6 weeks | *[[Topical steroids]] - [[Triamcinolone]] 0.025% BID x4-6 weeks | ||
**Can avert need for circumcision after phimosis | **Can avert need for circumcision after phimosis | ||
**[[Dorsal Slit (Penis)|Dorsal Slit]] / circumcision is definitive treatment | **[[Dorsal Slit (Penis)|Dorsal Slit]] / circumcision is definitive treatment | ||
Revision as of 22:38, 15 September 2019
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)