Diferencia entre revisiones de «Phimosis»
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==Disposition== | ==Disposition== | ||
Discharge | Discharge with follow-up (PMD/urology) | ||
==See Also== | ==See Also== | ||
Revisión del 03:15 2 ene 2014
Background
- Unable to retract foreskin over glans
- Most uncircumcised infants have normal, physiologic phimosis
- Nearly all cases resolve by 5yr of age
- Only emergency if causes acute urinary retention
Work-Up
- Ensure that pt able to urinate
Treatment
- 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
- Doral slit / circumcision is definitive tx
Disposition
Discharge with follow-up (PMD/urology)
See Also
Source
Tintinalli