Paraphimosis is a condition in which the bend of skin ( foreskin ) covering the glans member in an uncircumcised penis stay pull back behind the glans , thereby leading to constriction of the lymphatic drainage causing inflammation of the glans penis . Paraphimosis is a medical emergency and if it is not treated then the blood flow to the penis is obstructed by continued constricted prepuce responsible for concomitant puffiness of the glans . The want of oxygen from vitiated blood menstruation can lead to necrosis and auto - amputation of the glans , which mandates quick aesculapian attention .
What are The Symptoms of Paraphimosis?
Inflammation of the retracted foreskin tissue paper is the major symptom of Paraphimosis Paraphimosis is characterized by inflammation of the glans penis and a band of draw back foreskin tissue paper beneath the glans is often noticed with penial pain and soreness . The place area is swollen and red ( erythematous ) ; however , there is no swelling of the penile shaft or root word of the phallus . The inflammation of the glans penis might also direct to urinary memory or inability to urinate . The lack of blood flowing to the glans penis due to tightness may run to colour change of the glans make patrician black penile glans tissue .
Various complication might result if paraphimosis is not treated at once . These might include damage to the penial lead , impairment or red of blood stream , hence reduce oxygen leading to gangrene and necrosis of the penial tip . This may lead to motorcar amputation of the tip of the penis . This can have an everlasting emotional , psychological and physical impingement on the patient hurt / support from paraphimosis .
Risk Factors For Paraphimosis
Paraphimosis is an rare term and is seen in about 1 % of males in the United States . Although rare , it is mostly discover in young adults , usually over the age of 16 year . It is also encounter in elderly patient role who undergo frequent catheterizations and individuals with a history of poor hygiene or bacterial infections .
Males who are uncircumcised or partially circumcised are at a greater risk of developing paraphimosis . person with penial piercings , penile annulus and infection are also at a greater risk of exposure as these penile ring / piercings might interpose with foreskin retraction / replacement , thus leading to contagion or paraphimosis .
The frequent drive of paraphimosis include bacterial infection ( such as balanoposthitis ) , catheterization ( if the foreskin is inadvertently left retract post urethral catheterization , then it might guide to the hump of the glans ) , miserable personal hygienics , vigorous sexual intercourse and any wound that might cause swelling of the expanse .
Scarring due to repeated transmission of the prepuce or force retraction of the foreskin in youthful son can also lead to paraphimosis . fond circumcision and sozzled foreskin are also known grounds of paraphimosis . Diabetes leading to chronic inflammation of the foreskin and penis can also cause paraphimosis .
Diagnosis, Treatment and Prevention of Paraphimosis
The diagnosis of paraphimosis is done during a physical testing . The treatment of paraphimosis reckon on the inclemency of the condition . ab initio , manual manipulation is apply to supercede the foreskin to its anatomic position using pressure for 5 - 30 minutes to subdue the gibbousness or an ice plurality can be used to aid with the swelling .
If manual manipulation is not successful then puncture technique can be employed for replacement of prepuce to its anatomical position . This requires usage of needle to drain the excess runny ( dropsical fluid ) from the glans to reduce the extrusion . A local anesthesia may be required as the procedure can be quite terrible .
If the inflammation is too severe and puncture technique is also unsuccessful then a small surgical incision under a local anesthesia might be given in the prepuce to ease constriction and resolution of swelling .
Prompt treatment ensures full recovery of the affected role . However , time is of real marrow as wait in seek treatment can lead to severity of the precondition . On some occasions , Feast of the Circumcision can also be employed for cover paraphimosis .
January 1 , full personal hygiene and substitution of prepuce to its anatomic side after catheterization or go over up can keep this condition .
