Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with inability to retract the foreskin over the glans penis. Reports associated symptoms of [dysuria / ballooning during micturition / recurrent balanoposthitis / pain during erection]. Duration of symptoms: [Number] months/years. No history of paraphimosis or prior surgical intervention.
Clinical Examination Findings
Genitourinary exam reveals a non-retractile foreskin with a stenotic preputial ring. Glans penis is not visualized. No signs of acute inflammation, purulent discharge, or ulceration. No evidence of paraphimosis. Meatal opening is patent but obscured.
Treatment Protocol
Plan: 1. Trial of topical high-potency corticosteroid cream (e.g., Betamethasone 0.05%) applied to the preputial ring twice daily for 4-6 weeks combined with gentle manual retraction exercises. 2. If refractory, discuss surgical options including dorsal slit or circumcision. 3. Follow-up in 6 weeks to assess progress.