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- Patient Comments: Phimosis - Symptoms
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- Phimosis facts
- What causes phimosis?
- What are the symptoms of phimosis?
- How is phimosis diagnosed?
- How is phimosis treated?
- What is the definition of paraphimosis?
- What causes paraphimosis?
- What are the symptoms of paraphimosis?
- How is paraphimosis diagnosed?
- What is the treatment of paraphimosis?
- Can phimosis and paraphimosis be prevented?
- What is the prognosis for phimosis and paraphimosis?
What is the definition of paraphimosis?
Paraphimosis occurs when the foreskin is retracted behind the glans penis and cannot be returned to its original position. This turns into a urologic emergency as blood flow is decreased to the glands penis.
What causes paraphimosis?
Paraphimosis is an uncommon condition usually inadvertently caused by retraction of the foreskin by the individual, or in a hospital or nursing home setting by a healthcare professional inserting a Foley catheter, or preparing the patient for a procedure.
What are the symptoms of paraphimosis?
How is paraphimosis diagnosed?
Your doctor will diagnose paraphimosis based on a thorough history and the physical examination. Additional tests are usually not necessary.
What is the treatment of paraphimosis?
Manual reduction is usually the first treatment option. To help with the pain, your doctor might apply a local anesthetic cream, give you pain medication by mouth, or apply a local anesthetic block to your penis.
Applying ice to the local area can help with the edema during manual reduction.
Local injection of hyaluronidase is effective in decreasing the swelling and allowing reduction.
If none of the above techniques are successful or if the doctor feels a faster reduction is necessary, a small surgical slit can be made in the back side (dorsal region) of the constrictive skin. This should usually be followed by a circumcision at a later date to avoid a recurrence.