The most common sign and symptom of paraphimosis is the inability of the foreskin of the penis to come back from its retracted position. Such a situation leads to development of the following symptoms:
A thorough physical examination of the penis is enough to confirm the disease. Detailed examination of the penis, glans and scrotum would provide good evidence about the degree of severity of condition. If the glans appears to turn black it indicates that there is lack of blood supply to that area implying the need of immediate treatment. In addition, if the area appears to be firm with inelastic feel then onset of necrosis should be confirmed.
In many cases, it has been studied that patients suffering from paraphimosis have an indwelling catheter. Before the diagnosis, the catheter should be removed for proper examination.
While diagnosing paraphimosis, it is necessary to carefully examine the color and texture of the scrotum. The degree of elasticity of the scrotum should also be noted.
The primary goal in the treatment of paraphimosis is to restore the retracted foreskin to its original position. This is mostly done manually by exerting pressure to the glans penis and simultaneously pulling the foreskin down. Since this may result in subsequent pain, the method is done by giving anesthesia prior to the procedure . In many cases, nerve block or oral narcotics may also be administered to ease discomfort during the treatment process.
Application of ice to the swollen area is advised . In some cases, a mannitol soaked gauze may be applied to relieve the swelling of paraphimosis by osmosis . However, in severe cases patients may need to be given hyaluronidase injection to reduce the inflammation . In some other cases, a small incision or skin puncture may have to be made in order to release the tension in the affected area .
If paraphimosis is treated when the first signs and symptoms appear, the recovery is encouraging. This means that one can expect a full recovery if the condition is promptly treated. However, delay in treatment can require surgical procedures to remove the foreskin. In paraphimosis due to retained foreskin or uncircumcised penis, a corrective surgical may be performed after the foreskin is retracted in place and where blood flow to the organ is fully restored .
Prognosis of paraphimosis is extremely favorable if the condition is diagnosed on time and immediate treatment initiated. Failure to identify the problem and treat the condition can lead to development of serious complications.
When paraphimosis is left untreated for several hours, the blood flow is restricted giving rise to the following complications:
The following are the causative factors that are known to give rise to paraphimosis:
Paraphimosis can also occur during a detailed physical examination of the penile by medical professionals. Such a condition can also result from cytoscopy or urethral catheterization.
Paraphimosis is an uncommon condition and its exact prevalence rate is not known. As such this situation occurs more in hospitals and nursing homes; accurate documentation of the cases may not be practiced.
Paraphimosis is an emergency situation wherein the foreskin gets trapped and is unable to come back to its original position. When such a condition exists for longer hours, the affected area can swell due to fluid accumulation. This then gradually impairs the blood flow giving rise to serious and life threatening conditions. Patients complain of painful swelling in the affected area.
Paraphimosis can be prevented by moving the foreskin back to its normal position. In addition, practicing good personal hygiene can also prevent development of this condition. Paraphimosis is a problem in uncircumcised males; therefore if the process of circumcision is done then such a condition can be prevented.
Paraphimosis is an uncommon condition affecting uncircumcised males, wherein the foreskin cannot be brought to the original position once it is pulled back . Such a situation causes the foreskin to get stuck and swell which in turn can prevent the blood flow.
Paraphimosis if not treated promptly can be life threatening. Such a condition is also referred to as capistration which is a urologic emergency requiring prompt medical attention. This condition mainly affects children and the geriatric population.
Paraphimosis is a condition wherein the foreskin of the penis when retracted fails to come back to its normal position. Such a type of condition is a cause of urological emergency demanding immediate medical attention. Paraphimosis strikes uncircumcised males and those in whom the process of circumcision has not been appropriately carried out. With appropriate treatment, the prognosis of the condition is favorable enough and can be completely treated. However, failure to initiate prompt treatment can call for development of serious complications.
Trauma or injury to the penis and infections due to poor personal hygiene are some of the factors that can cause paraphimosis. In addition to these, failure to bring back the foreskin to its normal position after examination, washing or urination can also lead to development of paraphimosis.
A careful physical examination of the penis and scrotum is required for diagnosis of paraphimosis. If the penis appears to get black in color it indicates that the blood supply to the affected area is poor, which means it requires immediate medical intervention.
Treatment of paraphimosis includes manually pulling the foreskin back to its normal position by using lubricants. The patient may experience certain pain during the procedure and therefore anesthesia may be required. Ice is applied to the affected area to reduce the inflammation and ease the discomfort. If such a practice does not bring down the swelling then a small incision would be made to release the tension. In severe cases, surgical intervention would be necessary if other treatment modes fail to bring about positive outcome.