Paraphimosis

Paraphimosis is a condition in which the foreskin once pulled back behind the glans cannot be brought down to the original position. It is an uncommon condition and occurs less often than Phimosis.
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It is serious condition which can happen in men and boys who have not undergone circumcision. It causes painful swelling of the  retracted for skin foreskin of the penis.

Causes of paraphimosis

  • It can occur after retraction of the foreskin for long hours during penile examaintion, cleaning, urethral catheterization or cystoscopy
  • It can also occur during penile ring piercing.
  • It can also occur secondary to erections.
  • Infection due to poor personal hygiene.
  • Trauma to the area.

Signs and symptoms of paraphimosis

  • Penile pain.
  • Enlargement of glans penis.
  • Congested with collar of edematous foreskin
  • In children it can cause urinary obstruction.

Treatment of paraphimosis

  • Pressing on (compression of) the head of penis while pushing the foreskin forward may reduce the swelling due to Paraphimosis. If it fails, surgical circumcision will be needed.
  • Injection of hyaluronidase in to the edematous prepuce is effective in reducing the edema and allowing the fore skin to get reduced.
  • Surgery

Complications of Paraphimosis

  • Damage to the penis tip.
  • Gangrene.
  • Amputation of the penis tip.
  • Recurrence of Paraphimosis is common. It is prevented by doing circumcision.
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