eMedicine Specialties > Clinical Procedures > Genitourinary Procedures

Dorsal Slit of the Foreskin: Multimedia

Author: Gil Z Shlamovitz, MD, Assistant Professor of Emergency Medicine, University of Connecticut School of Medicine; Attending Physician, Emergency Department, Windham Community Memorial Hospital, Willimantic, CT; Attending Physician, Emergency Department, Hartford Hospital, Hartford, CT
Coauthor(s): Eric W Snyder, MD, Chief Resident, Department of Emergency Medicine, University of California at Los Angeles/Olive View-UCLA Medical Center
Contributor Information and Disclosures

Updated: Nov 10, 2009

Multimedia

Paraphimosis.Media file 1: Paraphimosis.
Paraphimosis.

Paraphimosis.

Local anesthesia of the dorsal foreskin.Media file 2: Local anesthesia of the dorsal foreskin.
Local anesthesia of the dorsal foreskin.

Local anesthesia of the dorsal foreskin.

Incision of the foreskin at the 12-o'clock positi...Media file 3: Incision of the foreskin at the 12-o'clock position.
Incision of the foreskin at the 12-o'clock positi...

Incision of the foreskin at the 12-o'clock position.

The incised foreskin opens up in a rectangular fa...Media file 4: The incised foreskin opens up in a rectangular fashion.
The incised foreskin opens up in a rectangular fa...

The incised foreskin opens up in a rectangular fashion.

Approximation of the incised foreskin.Media file 5: Approximation of the incised foreskin.
Approximation of the incised foreskin.

Approximation of the incised foreskin.

Approximation of the incised foreskin with a runn...Media file 6: Approximation of the incised foreskin with a running absorbable suture.
Approximation of the incised foreskin with a runn...

Approximation of the incised foreskin with a running absorbable suture.

Phimotic foreskin. The distal foreskin is edemato...Media file 7: Phimotic foreskin. The distal foreskin is edematous, with cracked fissures. The patient was unable to retract the foreskin.
Phimotic foreskin. The distal foreskin is edemato...

Phimotic foreskin. The distal foreskin is edematous, with cracked fissures. The patient was unable to retract the foreskin.

The redundant foreskin is clamped at the 12-o'clo...Media file 8: The redundant foreskin is clamped at the 12-o'clock position for 2 minutes for hemostasis.
The redundant foreskin is clamped at the 12-o'clo...

The redundant foreskin is clamped at the 12-o'clock position for 2 minutes for hemostasis.

More on Dorsal Slit of the Foreskin

Overview: Dorsal Slit of the Foreskin
Treatment & Medication: Dorsal Slit of the Foreskin
Multimedia: Dorsal Slit of the Foreskin
References

References

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  2. Lawless MR. The foreskin. Pediatr Rev. Dec 2006;27(12):477-8. [Medline].

  3. 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].

  4. Thiruchelvam N, Nayak P, Mostafid H. Emergency dorsal slit for balanitis with retention. J R Soc Med. Apr 2004;97(4):205-6. [Medline].

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

  6. Rangarajan M, Jayakar SM. Paraphimosis revisited: is chronic paraphimosis a predominantly third world condition?. Trop Doct. Jan 2008;38(1):40-2. [Medline].

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

  8. Borsellino A, Spagnoli A, Vallasciani S, Martini L, Ferro F. Surgical approach to concealed penis: technical refinements and outcome. Urology. Jun 2007;69(6):1195-8. [Medline].

  9. Chu CC, Chen YH, Diau GY, Loh IW, Chen KC. Preputial flaps to correct buried penis. Pediatr Surg Int. Nov 2007;23(11):1119-21. [Medline].

  10. Holman JR, Stuessi KA. Adult Circumcision. American Family Physician [serial online]. March 15, 1999;59(6):1514-8. Available from: http://www.aafp.org. [Medline]. Available at http://www.aafp.org/afp/990315ap/1514.html.

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

  12. Reichman E, Simon R. Dorsal slit of the foreskin. In: Emergency Medicine Procedures. New York, NY: McGraw-Hill; 2004.

  13. Roberts JR, Hedges JR. Urologic procedures. In: Chanmugam AS, Chudnofsky CR, Custalow CB, Dronen SC, eds. Roberts: Clinical Procedures in Emergency Medicine. 4th ed. Philadelphia, Pa: WB Saunders; 2004:1075-6.

Further Reading

Keywords

dorsal slit, dorsal slit of foreskin, phimosis, paraphimosis, circumcision, adult circumcision, foreskin, foreskin reduction, phimosis reduction, paraphimosis reduction, glans, anesthesia of foreskin, anesthesia of penis, foreskin anesthesia, penis anesthesia, phimotic, paraphimotic, foreskin incision, dorsal incision

Contributor Information and Disclosures

Author

Gil Z Shlamovitz, MD, Assistant Professor of Emergency Medicine, University of Connecticut School of Medicine; Attending Physician, Emergency Department, Windham Community Memorial Hospital, Willimantic, CT; Attending Physician, Emergency Department, Hartford Hospital, Hartford, CT
Gil Z Shlamovitz, MD is a member of the following medical societies: American Academy of Emergency Medicine and American College of Emergency Physicians
Disclosure: Nothing to disclose.

Coauthor(s)

Eric W Snyder, MD, Chief Resident, Department of Emergency Medicine, University of California at Los Angeles/Olive View-UCLA Medical Center
Eric W Snyder, MD is a member of the following medical societies: Alpha Omega Alpha
Disclosure: Nothing to disclose.

Medical Editor

Luis M Lovato, MD, Associate Clinical Professor, David Geffen School of Medicine at UCLA; Director of Critical Care, Department of Emergency Medicine, Olive View/UCLA Medical Center
Luis M Lovato, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Chief Editor

Edward David Kim, MD, FACS, Professor of Surgery, Division of Urology, University of Tennessee Graduate School of Medicine; Consulting Staff, University of Tennessee Medical Center
Edward David Kim, MD, FACS is a member of the following medical societies: American College of Surgeons, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, and Tennessee Medical Association
Disclosure: Lilly Consulting fee Consulting; Astellas Consulting fee Speaking and teaching; Indevus Consulting fee Speaking and teaching

 
 
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