Phimosis: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:GU" to "Category:Urology") |
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*[[Penile diagnoses]] | *[[Penile diagnoses]] | ||
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Tintinalli | Tintinalli | ||
[[Category:Urology]] | [[Category:Urology]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
Revision as of 17:07, 26 June 2016
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
Differential Diagnosis
Non-Traumatic penile diagnoses
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
- Dorsal Slit / circumcision is definitive tx
Disposition
Discharge with follow-up (PMD/urology)
See Also
References
Tintinalli