Phimosis & paraphimosis
Summary: Usually requires urological referral
Advice: Urological referral usually indicated in adults with non-retractile, diseased or recurrently infected foreskin
Refer To: Any adult urologist
Genuinely tight foreskins usually require referral except in children under 5 years where a degree of tightness, sometimes associated with ballooning, is not abnormal.
Please note: The adult urologists are not able to see children or neonates with preputial problems; such patients should be referred to the paediatric urologists.
Urgent urological referral is recommended for paraphimosis, especially when associated with a permanent urethral catheter. Manual reduction of a paraphimosis is usually possible but patients should, subsequently, be referred for consideration of circumcision.