PHIMOSIS/PARAPHIMOSIS

Question 1

What is a fibrous constriction of the foreskin preventing retraction?

Answer 1

Phimosis

Question 2

Phimosis can be the result of what?

Answer 2

1. Balanitis – inflammation of the glans penis

2. Balanoposthitis – inflammation of the glans penis and prepuce

Question 3

Can phimosis cause urinary retention?

Answer 3

yes

Question 4

If a Foley catheter cannot be passed in a patient with phimosis, what is indicated?

Answer 4

Suprapubic catheterization

Question 5

What is the most common infectious cause of underlying balanoposthitis?

Answer 5

Candidal infection

Question 6

What is the definitive treatment for phimosis?

Answer 6

Complete circumcision

Question 7

What is a true urologic emergency that occurs when the retracted foreskin develops a constriction proximal to the glans?

Answer 7

Paraphimosis

Question 8

The penis distal to the constricting foreskin may become swollen and painful, even gangrenous, and urinary retention may result from what?

Answer 8

Paraphimosis

Question 9

If 5-10 minutes of manual reduction of the glans penis is unsuccessful, what should be done for paraphimosis?

Answer 9

dorsal slit of the foreskin

discuss with physician supervisor beforehand

Question 10

Where should a patient ultimately be referred to for an elective circumcision to reduce the risk of recurrence?

Answer 10

Urologist