Paraphimosis
The main risk factor is lack of circumcision - Sneha Shah
image by: Masalai
HWN Suggests
Trick of the Trade: Paraphimosis – Pour Some Sugar On Me
Paraphimosis can be a urological emergency as the tight ring formed by the foreskin can cause ischemia to the tip of the penis and eventually gangrene. Timely reduction is of high importance. Treatment involves gentle compression of the glans and gradual manual foreskin retraction. Unfortunately, as time goes on, more swelling occurs making traditional reduction techniques more difficult.
Featured
Paraphimosis Pain Treatment with Nebulized Ketamine in the Emergency Department
This case report illustrates the potential use of ketamine via BAN to effectively achieve minimal sedation for a procedure in pediatric patients in the ED.
Pediatric Paraphimosis
One condition that will unquestionably grab everyone’s attention is Paraphimosis.
Articles of Interest
Diagnosis - Paraphimosis
The first thing that needs to be done is decrease the swelling of the phimotic ring. In the literature, there are several interesting ways to accomplish this. The most common initial approach is manual compression.
EM@3AM: Paraphimosis and Phimosis
Apply both thumbs to glans with countertraction to foreskin with index fingers.
Paraphimosis and Phimosis
The main risk factor is lack of circumcision.
Resources
StatPearls
Paraphimosis commonly occurs iatrogenically, when the foreskin is retracted for cleaning, placement of a urinary catheter, a procedure such as a cystoscopy, or for penile examination.
