Inability to pull retracted foreskin back over glans
Glans at risk for strangulation if persists
Refer if unable to manually reduce
Paraphimosis Reduction
Smear lidocaine jelly over whole area
Cover w/ gauze
Apply water/ice pack for no more than 3 minutes
With forefingers behind the "tube" of the paraphimosis, and the thumbs
pressing against the glans, slow gentle traction is provided over a timescale
of minutes.