Paraphimosis can often be reduced by manipulation. This involves compressing the glans and moving the foreskin back to its normal position, perhaps with the aid of a lubricant. If this fails, the foreskin may need to be cut (dorsal slit procedure) or removed by circumcision. An alternate method, the Dundee technique, entails placing multiple punctures in the swollen foreskin with a fine needle, and then expressing the edema fluid by manual pressure.
Prevention of recurrence is through education of the patient and his caregivers on the need to pull back the foreskin over the glans after it has been retracted (for example, when cleaning the glans or passing a Foley catheter), or through elective circumcision or preputioplasty.