| ID | 411 |
|---|---|
| Name | PARAPHIMOSIS |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | |
| Management | |
| Introduction | This term is applied when a phimotic prepuce is retracted behind the coronal sulcus and this retraction can not be reduced. This causes venous stasis distal to the corona with oedema leading to severe pain & inability to reduce the foreskin. |
| History | |
| Etiology | |
| Clinical Features | |
| Preventions | |
| Treatment | Treatment: If discovered early, the condition can be treated by reduction of the foreskin with appropriate lubrication under heavy sedation or short acting general anesthesia. One ml of normal saline containing 150 turbidity units of hyaluronidase is injected into each lateral aspect of the swollen ring of prepuce. 15 minutes later the swelling is much reduced and in early cases reduction can be accomplished with ease. If the above measure fails, under general anesthesia, constricting band is to be incised and the narrow cuff of skin which formed the constricting band should be excised. Then broad cuff of normal skin poximal to the gap should be removed and unite the cut free edges, thus performing circumcision. |
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