Case history
Case history #1
A 72-year-old uncircumcised man is brought to the emergency department with concerns about penile swelling. He has a history of dementia and is in a facility for long-term care. He is having problems with incontinence and a decision was made to manage this with long-term Foley catheter drainage. The catheter was changed 2 days prior to presentation in the emergency department. On the day of presentation, the foreskin is noted to be retracted completely, with engorgement and oedema of the glans and pain on palpation.
Case history #2
A 6-month-old uncircumcised boy is brought to the paediatrician's clinic with a 24-hour history of penile swelling. The parents have noted that the foreskin has been difficult to retract. During his bath the night before, the mother had finally been able to completely retract the foreskin. In the clinic, the foreskin remains retracted below the glans penis, which is oedematous and engorged. The infant appears to be in pain when the penis is manipulated.
Other presentations
Due to embarrassment, some patients may not present until necrosis of the glans penis has occurred. A chronic form may also occur, and in these patients a fibrotic ring and chronic engorgement and oedema of the glans penis are noted.
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