Paraphimosis Emergency

Question 1

Define: paraphimosis

Answer 1

Prepuce stuck proximal to glans, unable to be reduced

Question 2

If paraphimosis is left untreated, what an occur?

Answer 2

Penile necrosis

Question 3

How do you tx paraphimosis?

Answer 3

Reduction necessary

• consider pain meds, sedation, topical anesthetic, or penile block prior to tx
• squeeze edema out of glans
• thumbs on glans, fingers on prepuce
• push/pull

Question 4

What do you do if manual reduction was unsuccessful?

Answer 4

Dorsal slit or circumcision

Question 5

What should you watch out for in immunocompromised?

Answer 5

Fournier’s gangrene

*Another EMERGENCY