paraphimosis
Table of Contents
paraphimosis
Mx of paraphimosis by reduction in ED
analgesia
- consider:
- topical local anaesthesia such as EMLA cream or 2% lignocaine gel
- inhalational anaesthesia such as nitrous oxide
- analgesics adjuncts such as oxycodone
reduce the oedema
- consider:
- prolonged compression with ice
- osmotic agents applied topically:
- granulated sugar in a glove or condom for up to 2 hrs
- 50% dextrose - via soaked gauze wrapped around oedematous foreskin, reapply prn, for up to 2hrs
when ready, manual reduction
- grasp distal penis with gloved hand, squeeze penis circumferentially for several minutes to further reduce oedema
- apply lubricant
- reduce foreskin by using thumbs to push down on the glans, and the fingers below the swollen foreskin, pulling the foreskin up over the glans
paraphimosis.txt · Last modified: 2014/03/22 01:54 by 127.0.0.1