PARAPHIMOSIS

What is paraphimosis?

Paraphimosis is a serious condition that can happen only in men and boys who haven't been circumcised. Paraphimosis means the foreskin is stuck behind the head of the penis and can't be pulled back down into a normal position.

What causes paraphimosis?

Uncircumcised men ( circumcision commonly done in Muslims for religious reason) sometimes pull the foreskin back during sex, masturbation, when they go to the bathroom or when they clean their penises. Doctors and nurses might pull the foreskin back when they examine the penis or put in a catheter.

Sometimes you, a doctor or a nurse might forget to pull the foreskin back down. If the foreskin is left behind the head of the penis too long, your penis might swell so much that the foreskin is trapped behind it.

What can I do to avoid getting paraphimosis?

• After having sex, going to the bathroom or cleaning yourself, be sure to pull the foreskin back down to its natural position.

• Never leave the foreskin behind the head of your penis for any longer than you need to as it  can lead to gangrene, which is a medical emergency.

• If a catheter is put into your bladder, check afterward to be sure that the foreskin is covering the head of your penis.

What happens if I get paraphimosis?

Paraphimosis usually causes pain in your penis, but not always. You might get an infection in your penis. You might not be able to go to the bathroom at all. If you can't pull your foreskin over the head of your penis, you need to call your doctor right away.

The first thing your doctor will do is treat the swelling. This can be done by pressing your penis with a hand or by wrapping your penis in a tight bandage. After the swelling has gone away, your doctor should be able to pull the foreskin back down. If the foreskin remains stuck, your doctor might need to make a small cut in the trapped foreskin to loosen it. Steroidal creams, zink & anti-oxidents helps in increasing elasticity of skin can be used as treatment of phymosis. In recurrent paraphymosis circumcision is require for permanent cure in few cases, if medical management fails.
Dr Deshmukh