The evaluation of paraphimosis begins with a history and physical exam.

Physical findings in someone with paraphimosis may include:

• Inability to move the foreskin so that it covers the head of the penis
• Penile tenderness
• Redness of the penis
• Swelling of the head of the penis

Tests are not necessary to make the diagnosis of paraphimosis.

Tests that may be used to evaluate paraphimosis include:

• Urine culture
• Urinalysis