RISK FACTORS: Phimosis - Poor hygiene, Diabetes, Frequent diaper rash in infant
GENERAL MEASURES
Paraphimosis: Reduction if possible (should be done with the patient sedated). Place the middle and index
fingers of both hands on the engorged skin proximal to the glans. Place both thumbs on glans and with gentle
pressure pushing on the glans and pulling on foreskin, attempt reduction. If unsuccessful, a dorsal slit will be
necessary with eventual circumcision after the edema resolves.
SURGICAL MEASURES
β’ Phimosis: Circumcision
β’ Paraphimosis: Dorsal slit with subsequent circumcision
ACTIVITY No sexual activity following circumcision until healing is complete
PATIENT MONITORING 1 week after reduction of paraphimosis and 1 to 2 weeks after a circumcision
PREVENTION/AVOIDANCE Good patient and parental education
POSSIBLE COMPLICATIONS
β’ Unreduced paraphimosis can lead to gangrene of the glans
β’ Posthitis (inflammation of the prepuce)
EXPECTED COURSE/PROGNOSIS
Complete resolution if treatment is carried out effectively