Which specialist consultations are beneficial for patients with phimosis and paraphimosis?

Updated: Aug 05, 2017
  • Author: Hina Z Ghory, MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

A paraphimosis is a urologic emergency, and prompt efforts to reduce the paraphimosis must be made by the emergency physician. If minimally invasive measures fail to reduce the paraphimosis, a urologic consultation is required.

Referral to outpatient urology follow-up is required in cases of pathologic phimosis. [1] Not all cases of phimosis require circumcision. The urologist, in consultation with the patient and his family, may try a course of topical steroids or preputioplasty.

A paraphimosis that is reduced with minimal intervention by the ED physician still requires outpatient urology follow-up in anticipation of recurrences and evaluation for possible circumcision. Trauma to the foreskin during reduction of a paraphimosis may lead to the development of phimosis in up to 30% of patients. [23]


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