Reduction
Perform as soon as possible
Consider penile block, local anesthetic cream (EMLA) or procedural sedation
Perform as soon as possible
Consider penile block, local anesthetic cream (EMLA) or procedural sedation
Use thumbs to push glans toward foreskin while using fingers to pull foreskin over glans
Use thumbs to push glans toward foreskin while using fingers to pull foreskin over glans
Apply ice packs in 3 minute intervals to reduce edema (monitor carefully for frostbite)
Apply granulated sugar to distal penis as an osmotic agent
Inject hyaluronidase into the swollen foreskin to decrease edema
Apply several evenly-spaced, Babcock (non-crushing) clamps around foreskin
Apply gentle traction on clamps to pull foreskin over glans
Apply gentle traction on clamps to pull foreskin over glans
If above techniques fail:
Use thumbs to push glans toward foreskin while using fingers to pull foreskin over glans
Dorsal Slit indicated if evidence of impaired perfusion and urologist unavailable
Dorsal Slit indicated if evidence of impaired perfusion and urologist unavailable
Paraphimosis
Phimosis
Tungiasis
Balanoposthitis
Dracunculiasis
Trichinosis
Priapism
Chancroid