الشبم عند فشل الارتداد اليدوي باستخدام إنستيلاجيل

References

• If difficult perform a local anaesthetic using 10ml of Lidocaine (without adrenaline) penile ‘ring block’ at base of penis under the superficial layer of skin.
• Apply sustained digital pressure / compression to try and reduce paraphimosis.
• If the foreskin is very oedematous then having performed a penile block some of the oedema fluid can be released by piercing the oedematous skin with a sterile needle and then applying sustained compression.