TemplatePenile adhesionsTap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.Try a Repertoire Linepenile adhesionscircumcision adhesions: smegma, steroid ointmentskin bridge: dense bridgepenile adhesions: painful erectionsglanular adhesions: buried penisPractice wording only: leave out patient details. Nothing typed here is saved or sent. Practice a case insteadTypeChoose oneFirst lineThin adhesionsDefaultDense skin bridge between the shaft skin and the glansAdhesions with a prepubic fat pad that partly buries the penisReviewedChoose anyAdhesions, symptoms, hygiene, inflammation, and urinary function reviewedDefaultSymptomsChoose oneNo symptomsDefaultTrapped smegma or mild irritationDiscomfort with erectionsExamChoose oneNo redness, swelling, or discharge, with a normal urinary stream by historyDefaultRedness of the glans or trapped smegma without signs of spreading infectionPlanChoose oneReassurance; many adhesions loosen on their ownDefaultStarted Triamcinolone 0.1% ointment to the adhesionsStarted Betamethasone 0.05% ointment to the adhesionsReferred to pediatric urology for release of a skin bridgeReferred to pediatric urology given discomfort from the adhesionsHome careChoose anyRecommended gently pulling the shaft skin back at baths and wiping away any smegmaDefaultFat padChoose anyRecommended pressing the fat pad back gently at baths to expose the penis, and healthy weight habitsFollow-upChoose oneas neededDefaultin 6-8 weeksat the next well checkafter the specialist visitCounseling paragraphChoose oneParagraphSkin that sticks to the head of the penis after circumcision is common and not harmful, and it often loosens with time and gentle care. Recommended supportive care with an emphasis on gently pulling the skin back at bath time without forcing it. Return precautions given including redness or swelling, pus, pain with urination, trouble urinating, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.DefaultA dense skin bridge does not usually loosen on its own, so the urologist can release it, often in the office. Recommended supportive care with an emphasis on gentle washing at bath time without pulling on the bridge. Return precautions given including redness or swelling, pus, pain with urination, trouble urinating, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.Extra fat at the base of the penis can hide it and help the skin stick; this usually improves with growth and healthy weight. Recommended supportive care with an emphasis on pressing the fat pad back gently at bath time to clean the area. Return precautions given including redness or swelling, pus, pain with urination, trouble urinating, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.What the sources coverThin adhesions, skin bridge, buried penisExpected course; topical steroid; urology by reasonGentle care; fat pad careReturn precautions in the templateredness or swellingpuspain with urinationtrouble urinatingSourcesHealthyChildren.org: Penile Adhesions and Skin BridgesFew formal guidelines cover this topic, so the template also leans on expert opinion.