Paraphimosis
Definition
Paraphimosis is the inability of an uncircumcised male to pull the retracted foreskin over the head of the penis.
Causes
Paraphimosis and phimosis are related conditions caused by inflammation and narrowing of the foreskin. The inflammation may be caused by infection and may be associated with poor personal hygiene. Occasionally inflammation develops after direct trauma to the area, which results in swelling. Uncircumcised males -- and those who may not have been appropriately or completely circumcised -- are at risk.
The strictured foreskin is retracted behind the glans penis and left there for some period of time. The retracted foreskin and glans become swollen, making it difficult to return the foreskin to its extended position. If paraphimosis is left untreated, the blood flow to the glans is impaired. In extreme cases, this may result in loss of the penis tip.
Paraphimosis occurs most often in children and the elderly.
Symptoms
- Inability to pull the retracted foreskin over the head of the penis
- Painful swelling at the end of the penis
- Penis pain
Exams and Tests
A physical examination confirms the diagnosis. The usually finding is the appearance of a "doughnut" around the shaft near the head of the penis (glans).
Treatment
Compression of the head of the penis while applying forward traction on the foreskin may reduce the swelling due to paraphimosis. If this fails, prompt surgical circumcision will be necessary.
Outlook (Prognosis)
The probable outcome is excellent if the condition is diagnosed and treated rapidly.
Possible Complications
If the condition is not relieved rapidly, gangrene or permanent damage to the penis may occur.
When to Contact a Medical Professional
Go to your local emergency room if this occurs.
Prevention
Circumcision, when performed properly, prevents the development of this condition.
Review Date:
6/13/2006
Reviewed By:
Neil D. Sherman, MD, Urologist, Essex County, NJ. Review provided by VeriMed Healthcare Network.
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