Paraphymosis

Question 1

What is paraphymosis?

Answer 1

Painful swelling of the foreskin distal to a phimotic ring (When foreskin is pulled back)

Question 2

What is phimosis?

Answer 2

Constriction of the foreskin around the glans penis when the foreskin is forward

Question 3

What usually causes paraphymosis?

Answer 3

Often happens after foreskin retracted for catheterisation or cystoscopy and staff member forgets to replace it in its natural position

Question 4

How can paraphymosis be managed?

Answer 4

• Iced glove, granulated sugar for 1-2 hours, multiple puntures in oedematous skin
• Under penile block, manual compression of glans with distal traction on oedematous skin
• If fails - dorsal slit