Paraphimosis

PARAPHIMOSIS
  • Paraphimosis is a condition in which the penis fails to return into the prepuce following protrusion. The condition may occur congenitally or be acquired. Congenital narrowness of the prepucial orifice or shortened prepucial sheath may cause the condition.
  • Acquired conditions like trauma and infection may cause paraphimosis. The condition may follow coitus or masturbation.
  • Clinical signs vary depending on the extent of constriction of the penis by the prepucial orifice and the duration of the condition. Penile desiccation, inflammation, trauma, infection, necrosis and urethral obstruction may result in protracted cases.
  • Treatment involves cleaning of the penis with a mild antiseptic, application of hyperosmolal preparations and cold pack to shrink the swollen penis, application of an emollient lubricant and returning the penis into the prepucial sheath. Once returned, a purse string suture may be applied at the prepucial orifice to prevent recurrence and kept in place for 7 to 10 days.
  • Sometimes the prepucial orifice may have to be surgically enlarged to allow return of the protruded penis.
  • In cases where the prepuce is congenitally short or when the exposed part of the penis is irreparably damaged partial penile amputation may have to be performed.
Last modified: Monday, 25 October 2010, 6:18 AM