Sweet Paraphimosis

Trick of the Trade

Sugar solution for non-reducible paraphimosis

1. Mix 50 mL of 50% dextrose solution with 2% lidocaine jelly.
2. Place a gauze into the solution.
3. Place soaked gauze on the glans of penis.
4. Cover with condom or condom foley.
5. Wait 1 hour.
6. Reduce the paraphimosis.

The high solute concentration of the sugar water pulls the water from the swollen tissue while lidocaine provides topical analgesia to allow the reduction of the retracted foreskin back over the glans of the penis.