With the increasing number of newborn boys not being circumcised, there will be an increasing number of foreskins at risk for entrapment by zippers. Boys often unzip, void, and zip up as fast as possible. Attempts to extract the entrapped skin by moving the zipper are usually unsuccessful and often increase the degree of entrapment. Knowledge of the anatomy of the zipper is essential in extracting the trapped skin without additional trauma. This simple procedure is illustrated herein.
Report of a Case.—A 4-year-old boy was referred with his foreskin entrapped in the zipper of his trousers. His mother had made a number of unsuccessful attempts to free the foreskin. She finally cut the zipper from the trousers and took him to a physiician, who attempted to remove the zipper from the foreskin with the boy under local anesthesia, again without success.
On examination, the boy was in moderate distress and
SARAF P, RABINOWITZ R. Zipper Injury of the Foreskin. Am J Dis Child. 1982;136(6):557-558. doi:10.1001/archpedi.1982.03970420081023