PARAPHIMOSIS

• Inability to place back the retracted prepucial skin over the glans.
• The retracted skin acts like a tight ring constricting proximal to the corona and prepuceal skin resulting in venous congestion.
• Congestion results n glans swelling, oedematous with severe pain and tenderness.
• Glans will undergo necrosis or gangrenous change.

ETIOLOGY

• Catherization
• After sexual intercourse

CLINICAL FEATURES-

• Severe pain
• Swelling and oedema

TREATMENT-

• Sedation
• Injection hyluronidase (250 units in 10- 15 ml of saline injected into constricting ring reduces oedema and paraphimosis also gets reduced)
• Dorsal slit is given for reduction which is followed by circumcision later.

Exam Important