Phimosis: Difference between revisions
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==Work-Up== | ==Work-Up== | ||
*Ensure that | *Ensure that patient able to urinate | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 18:10, 2 July 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 patient 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)