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PAEDIATRIC UROLOGY

1.2 Diagnosis

If the prepuce is not or only partly retractable, or shows a constrictive ring on drawing back over the glans penis, a disproportion between the width of the foreskin and the diameter of the glans penis has to be assumed. In addition to the constricted foreskin, there may be adhesions between the inner surface of the pre­puce and the glandular epithelium and/or a frenulum breve. A frenulum breve leads to a ventral deviation of the glans once the foreskin is retracted.

The diagnosis of paraphimosis is made by physical examination.