eMedicine Specialties > Emergency Medicine > Genitourinary

Phimosis and Paraphimosis: Multimedia

Author: Hina Z Ghory, MD, Chief Resident Physician, Department of Emergency Medicine, New York Presbyterian Hospital
Coauthor(s): Rahul Sharma, MD, MBA, Instructor in Medicine, Weill Medical College of Cornell University; Consulting Staff, Department of Emergency Medicine, New York Presbyterian Hospital-Weill Cornell Medical Center
Contributor Information and Disclosures

Updated: Apr 29, 2009

Multimedia

Anatomy of the penis.Media file 1: Anatomy of the penis.
Anatomy of the penis.

Anatomy of the penis.

Physiologic phimosis versus pathologic phimosis.Media file 2: Physiologic phimosis versus pathologic phimosis.
Physiologic phimosis versus pathologic phimosis.

Physiologic phimosis versus pathologic phimosis.

Paraphimosis.Media file 3: Paraphimosis.
Paraphimosis.

Paraphimosis.

Dorsal slit procedure.Media file 4: Dorsal slit procedure.
Dorsal slit procedure.

Dorsal slit procedure.

More on Phimosis and Paraphimosis

Overview: Phimosis and Paraphimosis
Differential Diagnoses & Workup: Phimosis and Paraphimosis
Treatment & Medication: Phimosis and Paraphimosis
Follow-up: Phimosis and Paraphimosis
Multimedia: Phimosis and Paraphimosis
References

References

  1. McGregor TB, Pike JG, Leonard MP. Pathologic and physiologic phimosis: approach to the phimotic foreskin. Can Fam Physician. Mar 2007;53(3):445-8. [Medline].

  2. Tews M, Singer JI. Paraphimosis: Definition, pathophysiology, and clinical features. www.utdol.com [database online]. UpToDate Online; 9/20/2008. Updated 6/11/2008.

  3. Lundquist ST, Stack LB. Diseases of the foreskin, penis, and urethra. Emerg Med Clin North Am. Aug 2001;19(3):529-46. [Medline].

  4. Choe JM. Paraphimosis: current treatment options. Am Fam Physician. Dec 15 2000;62(12):2623-6, 2628. [Medline].

  5. Little B, White M. Treatment options for paraphimosis. Int J Clin Pract. May 2005;59(5):591-3. [Medline].

  6. Palmer LS, Palmer JS. The efficacy of topical betamethasone for treating phimosis: a comparison of two treatment regimens. Urology. Jul 2008;72(1):68-71. [Medline].

  7. Atilla MK, Dundaroz R, Odabas O. A nonsurgical approach to the treatment of phimosis: local nonsteroidal anti-inflammatory ointment application. J Urol. Jul 1997;158(1):196-7. [Medline].

  8. Brendler, CB. Evaluation of the urologic patient. In: Walsh PC, et al, eds. Campbell's Urology. 7th ed. Philadelphia, Pa: WB Saunders Co; 1997:1-142.

  9. DeVries CR, Miller AK, Packer MG. Reduction of paraphimosis with hyaluronidase. Urology. Sep 1996;48(3):464-5. [Medline].

  10. Elder JS. Congenital anomalies of the genitalia. In: Walsh PC, et al, eds. Campbell's Urology. 7th ed. Philadelphia, Pa: WB Saunders Co; 1997.

  11. Gairdner D. The fate of the foreskin, a study of circumcision. Br Med J. Dec 24 1949;2(4642):1433-7, illust. [Medline].

  12. Green M, Stange GR. Paraphimosis reduction. In: Henretig FM, King C, eds. Textbook of Pediatric Emergency Procedures. Baltimore, Md: 1997:1007-10.

  13. Hamdy FC, Hastie KJ. Treatment for paraphimosis: the 'puncture' technique. Br J Surg. Oct 1990;77(10):1186. [Medline].

  14. Imamura E, ALIA. Phimosis of infants and young children in Japan. Acta Paediatr Jpn. Aug 1997;39(4):403-5. [Medline].

  15. Jones SA, Flynn RJ. An unusual (and somewhat piercing) cause of paraphimosis. Br J Urol. Nov 1996;78(5):803-4. [Medline].

  16. Kerwat R, Shandall A, Stephenson B. Reduction of paraphimosis with granulated sugar. Br J Urol. Nov 1998;82(5):755. [Medline].

  17. Litzky GM. Reduction of paraphimosis with hyaluronidase. Urology. Jul 1997;50(1):160. [Medline].

  18. Monsour MA, Rabinovitch HH, Dean GE. Medical management of phimosis in children: our experience with topical steroids. J Urol. Sep 1999;162(3 Pt 2):1162-4. [Medline].

  19. O'Donnell, JA II. Phimosis and paraphimosis. In: Barkin RM, et al, eds. Pediatric Emergency Medicine. 2nd ed. St Louis, Mo: Mosby; 1997:1152-3.

  20. Oster J. Further fate of the foreskin. Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys. Arch Dis Child. Apr 1968;43(228):200-3. [Medline].

  21. Treatment of Paraphimosis. Available at http://forum.doctissimo.fr/doctissimo/Prepuce-et-phimosis/cicatrice-operation-sujet_301_1.htm. Accessed October 21, 2008.

  22. Waseem M, Devas G. Photo Quiz. Resident and Staff Physician [serial online]. June 2007;53(6):Accessed October 21, 2008. Available at http://www.residentandstaff.com/issues/articles/2007-06_09.asp.

  23. Williams JC, Morrison PM, Richardson JR. Paraphimosis in elderly men. Am J Emerg Med. May 1995;13(3):351-3. [Medline].

Further Reading

Keywords

phimosis, paraphimosis, congenital phimosis, acquired phimosis, physiologic phimosis, pathologic phimosis, entrapment of a retracted foreskin, uncircumcised penis, incorrectly circumcised penis, foreskin, glans penis, balanitis, balanoposthitis, dorsal slit of foreskin

Contributor Information and Disclosures

Author

Hina Z Ghory, MD, Chief Resident Physician, Department of Emergency Medicine, New York Presbyterian Hospital
Hina Z Ghory, MD is a member of the following medical societies: American Medical Women's Association and Phi Beta Kappa
Disclosure: Nothing to disclose.

Coauthor(s)

Rahul Sharma, MD, MBA, Instructor in Medicine, Weill Medical College of Cornell University; Consulting Staff, Department of Emergency Medicine, New York Presbyterian Hospital-Weill Cornell Medical Center
Rahul Sharma, MD, MBA is a member of the following medical societies: American College of Emergency Physicians
Disclosure: Nothing to disclose.

Medical Editor

Jerry Balentine, DO, Professor of Emergency Medicine, New York College of Osteopathic Medicine; Executive Vice President, Chief Medical Officer, Attending Physician in Department of Emergency Medicine, St. Barnabas Hospital
Jerry Balentine, DO is a member of the following medical societies: American College of Emergency Physicians, American College of Osteopathic Emergency Physicians, American College of Physician Executives, American Osteopathic Association, and New York Academy of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Richard H Sinert, DO, Associate Professor of Emergency Medicine, Clinical Assistant Professor of Medicine, Research Director, State University of New York College of Medicine; Consulting Staff, Department of Emergency Medicine, Kings County Hospital Center
Richard H Sinert, DO is a member of the following medical societies: American College of Physicians and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Pamela L Dyne, MD, Professor of Clinical Medicine/Emergency Medicine, David Geffen School of Medicine at UCLA; Attending Physician, Department of Emergency Medicine, Olive View-UCLA Medical Center
Pamela L Dyne, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

 
 
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