Forceps traction techniques for reduction of paraphimosis

(A) Non-crushing Babcock forceps can be placed in each of four quadrants of the swollen foreskin, followed by continuous, gentle, symmetrical traction until reduction of the foreskin has occurred.
(B) Alternatively, after topical or infiltrated local anesthesia is performed at the site of sharp Adson forceps application, one tine of the Adson forceps is placed under the constricting band and one on the superficial skin. A secure grasp is obtained and constant, steady traction is applied distally until reduction of the band over the glans occurs. This technique can be modified by using two forceps at the 9 and 3 o'clock positions.