Complications of Paraphimosis Reduction Complications include Laceration or tearing of penile skin or foreskin Phimosis due to injury of the foreskin Equipment for Paraphimosis Reduction Routine Sterile drapes and gloves Povidone iodine Sterile gauze, 4 "x 4" squares Water-soluble lubricant 2% lidocaine jelly Local anesthetic (eg, 1% lidocaine or 0.5% bupivacaine without epinephrine) Adjunctive (sometimes used) Roll of elastic bandage (2 "wide) Babcock clamps (6 to 8) Ice, crushed, placed inside surgical gloves Small needle (21 to 27 gauge), to place punctures in the edematous foreskin Hyaluronidase, 1 mL (150 U), 27-gauge needle, tuberculin syringe Salt or sugar for osmotic treatment (1) Additional Considerations for Paraphimosis Reduction Consult a urologist urgently if there are concerns about glans necrosis or penile cancer.