phimosis/paraphimosis

Question 1

what is phimosis?

Answer 1

foreskin of the penis becomes fibrosed causing a “muzzle”

Question 2

difference b/t phimos and paraphimosis?

Answer 2

phimosis: prepuce stuck distal to glans
paraphimosis: prepuce stuck proximal to glans/unable to be reduced

Question 3

characteristics of phimosis?

Answer 3

difficulty voiding

possible complication: balanitis

Question 4

what causes phimosis?

Answer 4

poor hygiene

Question 5

tx for phimosis?

Answer 5

circumcision

Question 6

what can happen if paraphimosis goes untx’d?

Answer 6

penile necrosis

Question 7

Tx for paraphimosis?

Answer 7

EMERGENCY

Reduction necessary

Question 8

describe the reduction procedure for paraphimosis?

Answer 8

Squeeze edema out of glans

Thumbs on glans, fingers on prepuce

Push/pull

May be necessary to give pain meds, sedation, topical anesthetic, or penile block prior to procedure

Question 9

What should you do if manual reduction for paraphimosis is not successful?

Answer 9

dorsal slit circumcision

Question 10

What do you need to monitor if pt is immunocompromised w/paraphimosis?

Answer 10

for Fournier’s gangrene

Question 11

Is paraphimosis preventable?

Answer 11

YES