Foreskin and penis conditions in children

The Minimum information for referrals to non-admitted specialist services lists the information that should be included in a referral request.

Eligibility

At least one must be met for the patient to be eligible for referral.

Clinically suspected or confirmed foreskin and penis conditions in children with initial primary-care work-up completed

Red flags

Indicate urgent (Category 1) referral or emergency assessment.

Urinary retention secondary to paraphimosis

Priapism lasting more than 4 hours

Swollen red penis in a child that is unwell, listless, flushed, anorexic or is febrile

Zipper injury to the glans

Routine referral criteria

Determine Category 2 or 3 urgency.

Pathologic phimosis that has not responded to medical management (i.e. topical corticosteroid for at least 4 weeks)

Scarring due to recurrent balanitis in a child older than 3 years

Usually managed in primary care

A non-retractable or partially retractable foreskin is a normal variant and needs no intervention
Circumcision for cultural or religious reasons