Paraphimosis

Paraphimosis

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.

Paraphimosis can often be reduced by manipulation. This involves compressing the glans and moving the foreskin back 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.

Prevention of recurrence is through education of the patient and his caregivers on the need to pull back the foreskin over the glans after it has been retracted (for example, when cleaning the glans or passing a Foley catheter), or through elective circumcision or preputioplasty.

ee also

* phimosis
* circumcision
* preputioplasty

External links

*" [http://www.blackwell-synergy.com/links/doi/10.1046/j.1464-410x.1999.00119.x/full/ 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)


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  • paraphimosis — [ parafimozis ] n. m. • 1701; de 1. para et gr. phimos « lien » ♦ Méd. Étranglement du gland par le prépuce, pouvant constituer une complication du phimosis. ● paraphimosis nom masculin (grec paraphimôsis) Étranglement de la base du gland du… …   Encyclopédie Universelle

  • Paraphimosis — d un patient adulte Un paraphimosis est un état physiologique et médical de situation de blocage du prépuce sur le pénis, derrière le gland. Le prépuce ne pouvant se rétracter pour revenir à sa position normale flaccide, recouvrant le gland.… …   Wikipédia en Français

  • Paraphimosis — Par a*phi*mo sis, n. [NL., fr. Gr. ?; ? beyond + ? to muzzle.] (Med.) A condition in which the prepuce, after being retracted behind the glans penis, is constricted there, and can not be brought forward into place again. [1913 Webster] …   The Collaborative International Dictionary of English

  • Paraphimōsis — Paraphimōsis, entzündliche Anschwellung der Vorhaut des männlichen Gliedes hinter der Eichel …   Pierer's Universal-Lexikon

  • Paraphimosis — A condition in which the foreskin of the penis, once retracted, cannot return to its original location. The foreskin remains trapped behind the groove of the coronal sulcus between the shaft and the glans. This causes blood to pool in the veins… …   Medical dictionary

  • PARAPHIMOSIS — s. m. (On prononce l S finale.) T. de Chirur. Maladie dans laquelle le prépuce est tellement renversé et gonflé, qu on ne peut le rabattre sur le gland …   Dictionnaire de l'Academie Francaise, 7eme edition (1835)

  • paraphimosis — noun A medical condition where the foreskin becomes trapped behind the glans …   Wiktionary

  • paraphimosis — (pa ra fi mô zis ) s. m. Terme de chirurgie. Étranglement du gland par le prépuce renversé. HISTORIQUE    XVIe s. •   La constriction du prepuce est nommée paraphymosis, quand il est retiré contre mont, qui fait le glan descouvert, PARÉ XV, 33.… …   Dictionnaire de la Langue Française d'Émile Littré

  • paraphimosis — para·phimosis …   English syllables

  • paraphimosis — n. retraction and constriction of the foreskin behind the glans penis. This occurs in some patients with phimosis on erection of the penis: the tight foreskin cannot be drawn back over the glans and becomes painful and swollen. Manual replacement …   The new mediacal dictionary

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