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normalize et al. (AMA)
Reynard and Barua recommend the puncture technique.<ref name="Reynard">Reynard JM, Barua JM. [http://www.cirp.org/library/treatment/phimosis/reynard1/ Reduction of paraphimosis the simple way - the Dundee technique]. ''BJU'' Int 1999;83(7):859-860.</ref> Incisions are not necessary. Improved cosmetic outcome is claimed. Again no circumcision is necessary.<ref name="Berk"/>
Turner ''et al.'' recommend using Adson forceps to apply traction to return the prepuce to its normal forward position.<ref name="Turner">Turner CD, Kim HL, Cromie WJ. [http://www.cirp.org/library/treatment/paraphimosis/turner1/ Dorsal band traction for deduction of paraphimosis]. ''Urology'' 1999;54:917-8.</ref>
Some doctors recommend circumcision as treatment, but there is no evidence in the medical literature to support this recommendation. Additionally, this radical form of treatment sacrifices the prepuce, where patients may seek to preserve its function and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.