Paraphimosis


  • Emergency

  • Phimotic foreskin retracted so lodges in coronal sulcus and cannot be reduced

  • Progressive oedema of glans and foreskin excerbates

  • blood flow reduced to distal phallus

  • common when foreskin not pulled down after catheterisation

Treatment

  • manual compression of glans (apply lignocaine jelly first) +/- incision of tight ring

  • circumcision / preputioplasty

 

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