Pre-referral guidelines for primary care providers

Non-retractile foreskin is a physiological phenomenon common in younger boys, sometimes present until puberty. It is distinct from phimosis (although, confusing, is sometimes referred to as 'physiological phimosis').

Phimosis is when scar tissue on the distal foreskin prevents retraction.

Paraphimosis is when the foreskin is left in the retracted position and cannot be brought forward.

For the management of phimosis and paraphimosis, please refer to the Royal Children’s Hospital clinical practice guidelines.

Referral pathways

  • Paediatrician
    • Referral to paediatric outpatient services is not appropriate in the management of phimosis or paraphimosis.