PARAPHIMOSIS
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
- 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.
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.
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