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PARAPHIMOSIS
PARAPHIMOSIS
PARAPHIMOSIS
DEFINITION
• Inability to place back
(cover) the retracted
prepucial skin over the
glans is called as
paraphimosis.
• It causes ring like
constriction proximal to the
corona and prepuceal skin.
CAUSES
• after sexual intercourse
• iatrogenically after
urethral catheterisation.
CLINICALFEATURES
• As a result the glans will be
swollen
• Oedematous
• severe painand tenderness.
• Oftenglans will undergo
necrosis or becomes
gangrenous.
TREATMENT
• Manual reductionof
prepuceal skin is to be
tried.
• If not possible, initial dorsal
slit is made to relieve the
oedema and compression.
• Antibiotics and analgesics
• Circumcision is done after
3 weeks.
• Sedation and
hyaluronidase injection
in 10 ml saline into the
constriction ring
• multiple needle punctures
over the oedematous part,
reduces the oedema and
makes the paraphimosis to
get reduced. Later
circumcisionshould be
done.
REFERENCE
1. SRB's Manual of Surgery
by SriramBhat M
2. A Manual on Clinical
Surgeryby Das
3. A Concise textbookof
Surgeryby Das
A
Special Thanks
To A Very
Special Doctor

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Paraphimosis by Dr.K.AmrithaAnilkumar

  • 1. en love da Homoeopathy PARAPHIMOSIS
  • 3. PARAPHIMOSIS DEFINITION • Inability to place back (cover) the retracted prepucial skin over the glans is called as paraphimosis. • It causes ring like constriction proximal to the corona and prepuceal skin. CAUSES • after sexual intercourse • iatrogenically after urethral catheterisation.
  • 4. CLINICALFEATURES • As a result the glans will be swollen • Oedematous • severe painand tenderness. • Oftenglans will undergo necrosis or becomes gangrenous. TREATMENT • Manual reductionof prepuceal skin is to be tried. • If not possible, initial dorsal slit is made to relieve the oedema and compression. • Antibiotics and analgesics • Circumcision is done after 3 weeks. • Sedation and hyaluronidase injection in 10 ml saline into the constriction ring
  • 5. • multiple needle punctures over the oedematous part, reduces the oedema and makes the paraphimosis to get reduced. Later circumcisionshould be done. REFERENCE 1. SRB's Manual of Surgery by SriramBhat M 2. A Manual on Clinical Surgeryby Das 3. A Concise textbookof Surgeryby Das
  • 6. A Special Thanks To A Very Special Doctor