Phimosis: Difference between revisions
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==Treatment== | ==Treatment== | ||
*Dilation of foreskin | *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 | |||
*Doral slit / circumcision is definitive tx | |||
==Disposition== | ==Disposition== | ||
Revision as of 03:15, 2 January 2014
Background
- Unable to retract foreskin over glans
- Most uncircumcised infants have normal, physiologic phimosis
- Nearly all cases resolve by 5yr of age
- Only emergency if causes acute urinary retention
Work-Up
- Ensure that pt able to urinate
Treatment
- 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
- Doral slit / circumcision is definitive tx
Disposition
Discharge
See Also
Source
Tintinalli