Paraphimosis: The Daily PANCE Blueprint
Which of the following is the first-line management of paraphimosis?
A. Manual reduction
B. Oral antibiotics
C. Emergent circumcision
D. Topical corticosteroids
E. Observation and reassurance
Answer and topic summary
The answer is A. Manual reduction
Paraphimosis is a condition in which a retracted foreskin cannot be returned to its original position in an uncircumcised male. It can be a complication of phimosis, or due to trauma or a procedure. Clinical features include a band of constricting tissue, edema, and pain of the glans penis, and possibly features of penile ischemia. It is a clinical diagnosis. Treatment is manual reduction (with good pain control) or dorsal slit reduction if manual reduction fails.
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