Paraphimosis is a medical condition where the foreskin becomes trapped behind the glans penis, and cannot be pulled back to its normal flaccid position covering the glans penis. If the condition persists for several hours or there is any sign of a lack of blood flow, paraphimosis should be treated as a medical emergency, as it can result in gangrene or other serious complications. The Male Anatomy The foreskin or prepuce is a retractable double-layered fold of skin and mucous membrane that covers the glans penis and protects the urinary meatus when the penis is not erect. ... Glans penis. ... A medical emergency is an injury or illness that poses an immediate threat to a persons health or life which requires help from a doctor or hospital. ... Gangrene is necrosis and subsequent decay of body tissues caused by infection or thrombosis or lack of blood flow. ...
Paraphimosis can often be reduced by manipulation. This involves compression of the glans, then movement of the foreskin to its normal position, perhaps with the aid of a lubricant. If this fails, the foreskin may need to be cut (dorsal slit procedure) or removed by circumcision. An alternate method (the Dundee technique) entails placing multiple punctures in the swollen foreskin with a fine needle, and then expressing the edema fluid by manual pressure. Circumcision is the removal of some or all of the foreskin (prepuce) from the penis. ...
Prevention of recurrence is through education of the patient and his care givers on the need to pull back the foreskin over the glans after it has been retracted (for example, when cleaning the glans or passing a Foley catheter), or through elective circumcision. Glans penis. ... Foley catheters are flexible (usually latex) tubes that are passed into the bladder to drain urine. ... Circumcision is the removal of some or all of the foreskin (prepuce) from the penis. ...
Phimosis is a medical condition in which the foreskin of the penis of an uncircumcised male cannot be fully retracted. ... Circumcision is the removal of some or all of the foreskin (prepuce) from the penis. ...
External links
Reduction of paraphimosis the simple way - the Dundee technique J.M.Reynard & J.M.Barua, British Journal of Urology, Volume 83, Number 7, Pages 859-860. (contains pictures of a medical procedure and penis)
Paraphimosis is an uncommon condition in which the foreskin, once pulled back behind the glans penis, cannot be brought down to its original position, thus constituting one of the few urologic emergencies encountered in general practice (see Image 1).
Paraphimosis may occur when the foreskin has been pulled back behind the head of the penis for an extended period and is often caused by well-meaning health professionals secondary to penile examination or urethral instrumentation.
Because paraphimosis is a condition that is almost always iatrogenically or inadvertently induced, simple education and clarification of proper prepuce care to parents, the individuals themselves, and health care professionals may be all that is required to prevent this problem.
Paraphimosis is a urologic emergency, occurring in uncircumcised males, in which the foreskin becomes trapped behind the corona and forms a tight band of constricting tissue.
Paraphimosis is one of the few urologic emergencies that may be encountered in general practice.(1-3) It is a condition in which the foreskin, once pulled back behind the glans penis, cannot be returned to its original position.
Absence of foreskin excludes the diagnosis of paraphimosis.
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