Urology and Andrology

Paraphimosis

Track 7: Paraphimosis 

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. Often iatrogenically induced, paraphimosis can be prevented by returning the prepuce to cover the glans following penile manipulation. Paraphimosis most commonly occurs when a healthcare professional forgets to pull the foreskin back to its normal position after a medical examination or procedure. Other causes of paraphimosis include having an infection. experiencing physical trauma to the genital area. Manual reduction is performed by placing both index fingers on the dorsal border of the penis behind the retracted prepuce and both thumbs on the end of the glans. The glans is pushed back through the prepuce with the help of constant thumb pressure while the index fingers pull the prepuce over the glans.

In adults, paraphimosis is most commonly found in adolescents. It will occur in about 1% of all adult males over 16 years of age. Phimosis is normal for the uncircumcised infant/child and usually resolves around 5-7 years of age, however the child may be older. Pathologic phimosis: Phimosis that occurs due to scarring, infection, or inflammation. Risks. If you have phimosis, you are more likely to get penile cancer. If left untreated, it can lead to increased swelling, and in extreme cases, gangrene, and eventually the loss of your penis.