(Click the link to comment and to vote – voting not working through email, sorry!)

You are seeing an 11-year-old uncircumcised boy whose foreskin became retracted over his glans penis, and then stuck (paraphimosis). It has been this way for 8 hours before he gathered the courage to tell his parents, and there is considerable swelling. There is no discoloration to the head of the penis. The patient did manage to urinate just before coming to the ED. Your attempt at reduction is unsuccessful. You do not have a urologist on call available to you tonight. 

What is your best next step?