Phimosis

Revision as of 03:15, 2 January 2014 by ManpreetS2006 (talk | contribs) (minor edit)

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 with follow-up (PMD/urology)

See Also

Source

Tintinalli

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