Paraphimosis is the inability to retract the prepucial skin over the glans, causing proximal constriction and potential necrosis. It can occur post-intercourse or after catheterization, leading to swelling, pain, and tenderness of the glans. Treatment includes manual reduction, dorsal slit, antibiotics, analgesics, and eventual circumcision if necessary.

1. en love da Homoeopathy
PARAPHIMOSIS

2. 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

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