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Paraphimosis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Paraphimosis is the inability to pull forward a foreskin that has been retracted behind the glans penis. Oedema and congestion develop in the glans and prepuce to exacerbate the difficulty.

  • Paraphimosis can occur at any age.
  • Elderly men are commonly affected when the foreskin is not correctly pulled forwards after retraction for catheterisation.
  • Children and adolescents may be affected when experimenting with foreskin retraction or when they fail to reduce the foreskin after voiding or bathing (1).

Patients with paraphimosis often presents with substantial pain and penile swelling, hence it should be regarded as a medical emergency (1).

Treatment

  • manual reduction after applying local anaesthetic jelly as a lubricant and to relieve pain.
  • in difficult cases, a dorsal slit should be made in the foreskin (1)
  • circumcision should be performed once the oedema and inflammation have resolved.

Reference:


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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