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Male Sexual Dysfunction
Paraphimosis
Paraphimosis is a urologic emergency where the retracted foreskin becomes trapped behind the corona of the glans, causing constriction and swelling. It requires prompt medical attention to prevent tissue damage.
80%
Success Rate
Emergency reduction within hours; surgical repair if conservative measures fail
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Paraphimosis?
Paraphimosis is a urologic emergency where the retracted foreskin becomes trapped behind the corona of the glans, causing constriction and swelling. It requires prompt medical attention to prevent tissue damage.
Prevalence: Less common than phimosis; affects approximately 1-2% of uncircumcised men
Symptoms and Signs
- •Retracted foreskin stuck behind the glans
- •Swelling and pain of the glans penis
- •Discoloration (bluish or dark) of the glans
- •Difficulty urinating
- •Tight band of skin constricting the shaft
- •Severe discomfort
Causes and Risk Factors
Common Causes
- →Foreskin left retracted after medical procedures
- →Catheterization without returning foreskin
- →Sexual activity with tight foreskin
- →Trauma or manipulation of the foreskin
- →Phimosis with forced retraction
Risk Factors
- ⚠️Phimosis (narrow foreskin opening)
- ⚠️Recent genital medical procedures
- ⚠️Catheter placement
- ⚠️Lack of awareness about foreskin care
- ⚠️Elderly or bedridden patients
Treatment Options
Expected Outcomes: Excellent if treated promptly; delayed treatment may lead to tissue necrosis and gangrene
Available Treatments:
- ✓Manual reduction with gentle compression
- ✓Osmotic reduction (sugar or mannitol application)
- ✓Ice application to reduce swelling
- ✓Dorsal slit procedure (emergency)
- ✓Circumcision after swelling resolves
- ✓Puncture drainage of edema fluid
Prevention Tips
- →Always return foreskin to normal position after retraction
- →Educate healthcare providers to reduce foreskin after procedures
- →Treat phimosis before it progresses
- →Gentle handling of the foreskin
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