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Paraphimosis

more about Paraphimosis


  • Paraphimosis is a swelling of the head of the penis and foreskin, most commonly seen in uncircumcised boys.  It can also occur in circumcised boys if a sufficient amount of foreskin remains after the procedure.
  • It is caused by a tight foreskin constricting the penis, which acts much like a tourniquet on a limb, preventing the return of blood from the head (glans) of the penis to the body and causing swelling and pain.
  • If not corrected quickly, a paraphimosis can permanently damage the penis, and, in the most severe cases, cause gangrene and loss of the glans.

  • Swelling and redness of the distal skin of the penis
  • Swelling and discoloration of the glans of the penis
  • Pain that varies from mild to severe, depending upon the length of time that the paraphimosis has been present.

  • Diagnosis is made by physical examination.

  • The foreskin is pulled forward over the glans, removing the constriction and allowing the blood to return to the body.
  • If the paraphimosis has been present for a long time, or is severe, the foreskin may be too tight to return to the proper position.  In these cases, the foreskin is cut to remove the constriction.

  • Failure to quickly treat a paraphimosis can lead to permanent damage to the tissues of the penis, causing decreased sensation, and, in the most extreme cases, permanent loss of part or all of the glans.

  • Because of the risk of paraphimosis, parents and children should never attempt to retract the foreskin of an uncircumcised child until after 6 years of age.
  • If the foreskin is retracted for cleaning, it should always be immediately replaced.
  • If, after circumcision, a small remnant of foreskin remains, it should also not be retracted unless it is returned to its original position immediately after cleaning.




more about Paraphimosis


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