Paraphimosis Flashcards

1
Q

What is paraphimosis?

A

A true urologic emergency that occurs when the retracted foreskin develops a fixed constriction proximal to the glans.

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2
Q

How do you manually reduce?

A

Compress the glans firmly for 5-10 minutes to reduce its size.
Tightly wrapping the glans with a 2 inch elastic bandage for 5 minutes
Consider icing the area
Move the prepuce distally while the glans is pushed proximally.
A dorsal penile nerve block can be performed to lessen patients pain during reduction.
If manual reduction is unsuccessful a dorsal slit of the skin is necessary.

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