The tip of the foreskin or other skin (eg scrotum) may become entrapped in the teeth of a zipper. This is painful.
Treatment options include:
Prior to these procedures, adequate analgesia +/- sedation should be given. See sedation Guidelines Liberal application of topical anaesthetic cream may work or local infiltration may be necessary (never use local agents with adrenaline on the penis).
If trapped between teeth below the slider (see figure):
- Cutting the median bar of the zipper with wire cutters. The median bar is the part at the top of the slider which joins the front and back plates of the slider. Once cut, the slider falls off and the zipper can be separated (see figure).
- Cutting through the material either side of the zipper below the entrapped skin and then cutting across the zipper with wire cutters / strong scissors. Then the zipper can then be separated from below (see figure).
If trapped between slider and teeth of zipper:
- Liberal application of topical anaesthetic cream, then ease slider down.
Always check for injury to urethral meatus.