Phimosis Flashcards
1
Q
Phimosis Retraction Age
A
Foreskin does not retract until after 2 years
2
Q
Phimosis Epidemiology
A
- Majority will have retractile by 10 years of age
- Almost all by 16-17
- Poor hygiene and enthusiastic attempted correction increase risk
- Can be caused by chronic balanoposthitis in diabetes
3
Q
Phimosis Presentation
A
Physiological vs Pathological
4
Q
Phimosis Investigations
A
-Swab may be taken but attention towards cleaning rather than antibiotics
5
Q
Phimosis Management
A
- Expectant approach if physiological
- Avoid forcible retraction
- Personal hygiene
- If persists after 2 years, plastic surgery or circumcision
6
Q
Phimosis Complications
A
-Phimosis is RF for penile carcinoma
7
Q
Paraphimosis Definition
A
-When tight prepuce is retracted and unable to be replaces, urological emergency
8
Q
Paraphimosis RFs
A
- Post-catheterisation
- Scarring after forcible retraction
- Vigorous sexual activity
- Chronic balanoposthitis
- Penile piercing
9
Q
Paraphimosis Presentation
A
- As expected
- May lead to necrosis
10
Q
Paraphimosis Management
A
- Gentle compression followed by reduction over glans
- Gradual manual reduction of prepuce over glans
- If this fails, refer to urologist
