Phimosis and paraphimosis

Question 1

Definition of phimosis

Answer 1

Inability to retract the foreskin from glans

Question 2

When do normal congenital adhesions resolve

Answer 2

1-2 years

Question 3

Management (4)

Answer 3

Proper hygeine
Topical corticosteroids
Circumscision
Dorsal skin slit

Question 4

Complications (3)

Answer 4

Balanosopithitis
Paraphimosis
Penile cancer

Question 5

Define paraphimosis

Answer 5

Foreskin trapped behind glans leading to edema, unable to reduce foreskin, tight ring

Question 6

Management of paraphimosis (4)

Answer 6

Reduce the edema with manual compression
Provide analgesia
Pull foreskin up while pushing glans down
May need dorsal slit
Circumscision avoids recurrence (likely)

Question 7

Complications of paraphimosis (3)

Answer 7

Infection
Ischemia
Gangrene