Phimosis: Difference between revisions
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==Background== | ==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== | ||
* | *Unable to retract foreskin over glans | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Nontrauma penile DDX}} | {{Nontrauma penile DDX}} | ||
{{Penile Trauma DDX}} | |||
==Evaluation== | |||
*Typically a clinical diagnosis | |||
*Ensure that patient able to urinate | |||
==Management== | ==Management== | ||
Revision as of 13:44, 1 February 2017
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)