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Foreskin Problems (cont.)

Foreskin Problems Medical Treatment

Phimosis treatment: a doctor can use certain tools to attempt to open or to expand the stuck foreskin. Usually, a doctor will do this only if there are problems urinating.

Paraphimosis: the doctor may repeat the ice with direct pressure technique.

  • If that does not free the foreskin, the doctor will, in most instances, contact a urologist for surgical treatment.
  • Local anesthetic will be introduced into the penis with a fine needle.
  • An incision then will be made through the area of constriction, allowing the foreskin to return to its original position.

However, there are other methods available that do not involve incisions; these may be performed in an Emergency Department or a doctor's office, although many physicians choose to have a urologist perform these procedures.

  • Osmotic method: This technique uses the concept that fluids will flow from a lower osmotic area to a higher osmotic area. A hypertonic solution will cause the fluid from the penis to flow towards the hypertonic solution applied to the penis, therefore reduce the swelling.
  • Hyaluronidase method: This method uses injections of hyaluronidase into swollen tissue.
  • Aspiration method: This method uses a penile tourniquet and needle aspiration of about 3–12 ml of blood from the penis to reduce swelling.
  • Puncture method: This method uses needles to puncture holes to allow edema fluid escape from swollen foreskin.

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