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UROLOGY

PARAPHYMOSIS

Child in pain after foreskin retracted, unable to reduce
Prompt
Response
Image left: paraphimosis, grossly oedematous foreskin, plethoric and engorged glans, suggestif of obstructed venous return. High risk of ischameia
Self-rate:
PromptManagment methods
ResponseManual traction
  • Circumferential pressure to reduce swelling and distal traction
  • Consider use of osmotic agent (Sugar) to reduce swelling
Aspiration of paraphimosis
  • Requires penile block/sedation
  • Multiple needle pricks to allow drainage of oedematous foreskin
Surgical
  • Dorsal slit (cosmetically undesirable)
  • circumcision
Self-rate:
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