Foreskin Hypertrophy, Phimosis and Paraphimosis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing).
      • Skin and mucous membranes
    • Inspection and palpation (palpation) of the abdomen (belly), inguinal region (groin region), etc. (pressure pain?, knock pain?, release pain?, cough pain?, defensive tension?, hernial orifices?, renal bearing knock pain?).
    • Inspection and palpation of the genitals (penis and scrotum; assessment of pubes hair (pubic hair), penile length (between 7-10 cm when flaccid), and testicular position and size (using orchimeter if necessary)). Phimosis: the prepuce (foreskin) cannot be retracted over the glans penis or can only be retracted to a very limited extent; paraphimosis: the prepuce can no longer be advanced over the glans penis. Acute strangulation occurs, the glans swells edematous; cyanosis (bluish discoloration of the skin due to lack of oxygen) up to necrosis (local tissue death)]. Caution. Paraphimosis is a urological emergency!
    • Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of the prostate in size, shape and consistency, possibly detection of indurations (tissue hardening)).
  • Cancer screening
  • Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.