Diferencia entre revisiones de «Phimosis»
| Línea 24: | Línea 24: | ||
==Disposition== | ==Disposition== | ||
Discharge with follow-up (primary care/urology) | *Discharge with follow-up (primary care/urology) | ||
==See Also== | ==See Also== | ||
Revisión del 19:43 1 jul 2021
Background
- Most uncircumcised infants have normal, physiologic phimosis
- Nearly all cases resolve by 5yr of age
- Only emergency if causes acute urinary retention
Clinical Features
- Unable to retract foreskin over glans
Differential Diagnosis
Non-Traumatic penile diagnoses
Penile trauma types
Evaluation
- Typically a clinical diagnosis
- Ensure that patient able to urinate
Management
- Dilation of foreskin with hemostat
- Foley cathether if urinary retention is present
- Topical steroids - Triamcinolone 0.025% BID x4-6 weeks
- Can avert need for circumcision after phimosis
- Dorsal Slit / circumcision is definitive treatment
Disposition
- Discharge with follow-up (primary care/urology)