Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of penile pain and swelling. Retracted foreskin is trapped behind the glans penis, unable to be reduced. Reports progressive edema, discomfort, and difficulty with urination. No history of recent trauma or prior similar episodes.
Clinical Examination Findings
Physical exam reveals a retracted, edematous, and erythematous foreskin band constricting the glans penis. Glans appears congested and dusky. No signs of frank necrosis or gangrene. Dorsal slit or manual reduction attempted. Neurovascular status intact.
Treatment Protocol
Immediate manual reduction performed using firm, sustained compression to reduce glans edema followed by proximal foreskin advancement. Topical anesthetic applied. If manual reduction fails, proceed to emergent dorsal slit procedure under local anesthesia. Post-reduction, patient advised on hygiene and potential future circumcision.