Phimosis
Revision as of 23:18, 14 July 2016 by Rossdonaldson1 (talk | contribs) (Text replacement - "tx" to "treatment")
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
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)