Paraphimosis reduction: Difference between revisions
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==Indications== | ==Indications== | ||
Paraphimosis | Paraphimosis | ||
==Contraindications== | ==Contraindications== | ||
None | None | ||
==Equipment Needed== | ==Equipment Needed== | ||
# lubricant | |||
# gloves | |||
==Procedure== | ==Procedure== | ||
# Remove the Foley catheter if one is in place. | |||
# Place a small amount of lubricant on the proximal aspect of the glans and inner surface of the foreskin | |||
# Grasp the swollen foreskin with the non-dominant hand and apply slow gentle pressure for several minutes while elevating to reduce edema | |||
# With the non-dominant hand, securely hold the proximal aspect of the swollen ring of foreskin with a ring formed by the thumb and the index and middle finger | |||
# Slowly begin pushing the glans into the foreskin with the dominant thumb that is placed over the urethral meatus | |||
# Continue until the foreskin is replaced over the glans | |||
==Complications== | ==Complications== | ||
failure of reduction requiring Dorsal Slit (Penis) | failure of reduction requiring Dorsal Slit (Penis) | ||
==Source== | ==Source== | ||
Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198. | Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198. | ||
[[Category:GU]] | |||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 19:49, 9 June 2011
Indications
Paraphimosis
Contraindications
None
Equipment Needed
- lubricant
- gloves
Procedure
- Remove the Foley catheter if one is in place.
- Place a small amount of lubricant on the proximal aspect of the glans and inner surface of the foreskin
- Grasp the swollen foreskin with the non-dominant hand and apply slow gentle pressure for several minutes while elevating to reduce edema
- With the non-dominant hand, securely hold the proximal aspect of the swollen ring of foreskin with a ring formed by the thumb and the index and middle finger
- Slowly begin pushing the glans into the foreskin with the dominant thumb that is placed over the urethral meatus
- Continue until the foreskin is replaced over the glans
Complications
failure of reduction requiring Dorsal Slit (Penis)
Source
Vilke GM et al. Evaluation and treatment of acute urinary retention. J Emerg Med. 2008: 35:193-198.