• Apply constant and firm pressure.
• When sufficient pressure is applied, the foreskin suddenly reduces,
popping over the glans.
• If the initial attempt is unsuccessful, consider manual decompression
before subsequent attempts.
• Place your hand around the distal foreskin and glans and apply
constant circumferential pressure for approximately 5 minutes.
• Then, attempt reduction again as described above.
• Alternatively, you can apply an ice-water slurry (sealed in either
a specimen collection bag or a tied-off glove) to the paraphimotic
foreskin and glans.
• You may apply the ice pack for up to 3 minutes at a time, taking
care to monitor for cold or pressure injury.
• There is a significant amount of discomfort associated with ice
packs, so they may not be tolerated in the absence of ...