Paraphimosis is the inability to reduce a swollen, proximally positioned foreskin over the glans penis, causing vascular congestion and edema. Requires emergent reduction, which can be accomplished manually or with the use of non-invasive strategies (osmotic agents, ice water compression)
All patients with paraphimosis
Necrotic or ulcerated foreskin/penis
Penile/foreskin lacerations, swelling, pain, failure to achieve reduction (will then require dorsal slit)
Insertion of a needle into the anterior abdominal wall (suprapubic region) to obtain an uncontaminated urine sample from the bladder. Performed when traditional urethral catheterization cannot be performed.
Urinary retention, urinalysis/culture in children less than 2 years of age or those with urethral stricture/trauma.
Unidentifiable bladder, known bladder tumor, overlying skin infection.