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

Contents:

• Phimosis
• Paraphimosis
• Fast-Track referral forms (medical staff only)

Phimosis

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.

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Paraphimosis

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.

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Fast-Track referral forms (medical staff only)

• Urology Fast-Track referral form (Word format)
• Urology Fast-Track referral form (EMIS format)

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