Paraphimosis - Revision history

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2025-06-18T20:37:36Z

Add category.

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	[[Category:Medical condition]]		[[Category:Medical condition]]
			[[Category:Teen]]
	[[Category:From IntactWiki]]		[[Category:From IntactWiki]]

WikiModEn2: /* Prevention */

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Prevention

← Older revision		Revision as of 17:52, 27 May 2025
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	== Prevention ==		== Prevention ==

	Education concerning proper care and development of the prepuce is the most effective way of preventing paraphimosis from occurring. Parents, doctors, and other caretakers should be instructed to never [[forced retraction\|forcibly retract]] a boy's foreskin. In older males, the forcible retraction of a narrow [[foreskin]] should be avoided.<ref name="Reynard" /> The [[~~foresk~~ should be returned to the forward position after cleaning or sexual intercourse.<ref name="Choe">Choe JM. [http://www.aafp.org/afp/20001215/2623.html Paraphimosis: current treatment options]. ''Am Fam Physician'' 2000;62:2623-28.</ref> <ref name="Berk"/>		Education concerning proper care and development of the prepuce is the most effective way of preventing paraphimosis from occurring. Parents, doctors, and other caretakers should be instructed to never [[forced retraction\|forcibly retract]] a boy's foreskin. In older males, the forcible retraction of a narrow [[foreskin]] should be avoided.<ref name="Reynard" /> The [[foreskin]] should be returned to the forward position after cleaning or sexual intercourse.<ref name="Choe">Choe JM. [http://www.aafp.org/afp/20001215/2623.html Paraphimosis: current treatment options]. ''Am Fam Physician'' 2000;62:2623-28.</ref> <ref name="Berk"/>

	Some doctors recommend [[Adolescent and adult circumcision\| circumcision]] as prevention, but there is no evidence in the medical literature to support this recommendation. Furthermore, this sacrifices the prepuce, where patients may seek to preserve its [http://www.intactaus.org/information/functionsoftheforeskin/ function] and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.		Some doctors recommend [[Adolescent and adult circumcision\| circumcision]] as prevention, but there is no evidence in the medical literature to support this recommendation. Furthermore, this sacrifices the prepuce, where patients may seek to preserve its [http://www.intactaus.org/information/functionsoftheforeskin/ function] and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.

WikiModEn2: /* Video */ Add video.

2025-05-27T17:49:12Z

Video: Add video.

← Older revision		Revision as of 17:49, 27 May 2025
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	===Doctor explains Paraphimosis - aka swollen foreskin that you can't pull back...===		===Doctor explains Paraphimosis - aka swollen foreskin that you can't pull back...===
	<youtube>?v=-9khXKpSyqY&t=16s</youtube>		<youtube>?v=-9khXKpSyqY&t=16s</youtube>
			===How to fix a Foreskin that is stuck behind the glan - Paraphimosis (tight foreskin)===
			<youtube>v=E60FcH83uic</youtube>

	== Prevention ==		== Prevention ==

WikiModEn2: /* Video */ Remove obsolete text; add video.

2024-10-02T20:52:28Z

Video: Remove obsolete text; add video.

← Older revision		Revision as of 20:52, 2 October 2024
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	==Video==		==Video==
	~~Dr. Pravin H. Shinde demostrates paraphimosis reduction without surgery.~~
	~~<br><br>~~
	~~<youtube>A21gDqW5e4E</youtube>~~

	Paraphimosis reduction without surgery.		===Paraphimosis reduction without surgery.===
	<youtube>v=xBE8UmREne0</youtube>		<youtube>v=xBE8UmREne0</youtube>
			===Doctor explains Paraphimosis - aka swollen foreskin that you can't pull back...===
			<youtube>?v=-9khXKpSyqY&t=16s</youtube>

	== Prevention ==		== Prevention ==

WikiModEn2: Wikify.

2023-12-26T00:52:19Z

Wikify.

← Older revision		Revision as of 00:52, 26 December 2023
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	[[File:Paraphimosis.jpg\|200px\|thumb\|right\|Paraphimosis in a young adult.]]		[[File:Paraphimosis.jpg\|200px\|thumb\|right\|Paraphimosis in a young adult.]]

	Paraphimosis is a condition where a [[retraction of the foreskin\|retracted]] [[foreskin]] becomes trapped behind the head of the [[penis]], and thus unable to return to its forward position covering the glans. If the condition is prolonged, paraphimosis can become an emergency.<ref name="DeVries">DeVries CR, Miller AK, Packer MG. [http://www.cirp.org/library/treatment/phimosis/devries/ Reduction of paraphimosis with hyaluronidase]. ''Urology'' 1996 48(3):464-465</ref> <ref name="NOCIRCpretract">[http://www.nocirc.org/publish/6pam.pdf ''Answers to Your Questions About Premature (Forcible) Retraction of Your Son's Foreskin'']. San Anselmo: NOCIRC, 2000.</ref> <ref name="Berk">Berk DA, Lee R. [https://www.aafp.org/afp/2004/0215/p807.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref> The tissue may become oedematous and swell thus further aggravating the problem.<ref name="NOCIRCpretract"/>		Paraphimosis is a condition where a [[retraction of the foreskin\|retracted]] [[foreskin]] becomes trapped behind the head of the [[penis]], and thus unable to return to its forward position covering the [[glans]]. If the condition is prolonged, paraphimosis can become an emergency.<ref name="DeVries">DeVries CR, Miller AK, Packer MG. [http://www.cirp.org/library/treatment/phimosis/devries/ Reduction of paraphimosis with hyaluronidase]. ''Urology'' 1996 48(3):464-465</ref> <ref name="NOCIRCpretract">[http://www.nocirc.org/publish/6pam.pdf ''Answers to Your Questions About Premature (Forcible) Retraction of Your Son's Foreskin'']. San Anselmo: NOCIRC, 2000.</ref> <ref name="Berk">Berk DA, Lee R. [https://www.aafp.org/afp/2004/0215/p807.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref> The tissue may become oedematous and swell thus further aggravating the problem.<ref name="NOCIRCpretract"/>

	== Cause ==		== Cause ==
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	Turner et al. recommend using Adson forceps to apply traction to return the prepuce to its normal forward position.<ref name="Turner">Turner CD, Kim HL, Cromie WJ. [http://www.cirp.org/library/treatment/paraphimosis/turner1/ Dorsal band traction for deduction of paraphimosis]. ''Urology'' 1999;54:917-8.</ref>		Turner et al. recommend using Adson forceps to apply traction to return the prepuce to its normal forward position.<ref name="Turner">Turner CD, Kim HL, Cromie WJ. [http://www.cirp.org/library/treatment/paraphimosis/turner1/ Dorsal band traction for deduction of paraphimosis]. ''Urology'' 1999;54:917-8.</ref>

	Some doctors recommend circumcision as treatment, but there is no evidence in the medical literature to support this recommendation. Additionally, this radical form of treatment sacrifices the prepuce, where patients may seek to preserve its function and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.		Some doctors recommend [[circumcision]] as treatment, but there is no evidence in the medical literature to support this recommendation. Additionally, this radical form of treatment sacrifices the [[prepuce]], where patients may seek to preserve its function and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.

	==Video==		==Video==
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	== Prevention ==		== Prevention ==

	Education concerning proper care and development of the prepuce is the most effective way of preventing paraphimosis from occurring. Parents, doctors, and other caretakers should be instructed to never [[forced retraction\|forcibly retract]] a boy's foreskin. In older males, the forcible retraction of a narrow foreskin should be avoided.<ref name="Reynard" /> The ~~foreskin~~ should be returned to the forward position after cleaning or sexual intercourse.<ref name="Choe">Choe JM. [http://www.aafp.org/afp/20001215/2623.html Paraphimosis: current treatment options]. ''Am Fam Physician'' 2000;62:2623-28.</ref> <ref name="Berk"/>		Education concerning proper care and development of the prepuce is the most effective way of preventing paraphimosis from occurring. Parents, doctors, and other caretakers should be instructed to never [[forced retraction\|forcibly retract]] a boy's foreskin. In older males, the forcible retraction of a narrow [[foreskin]] should be avoided.<ref name="Reynard" /> The [[foresk should be returned to the forward position after cleaning or sexual intercourse.<ref name="Choe">Choe JM. [http://www.aafp.org/afp/20001215/2623.html Paraphimosis: current treatment options]. ''Am Fam Physician'' 2000;62:2623-28.</ref> <ref name="Berk"/>

	Some doctors recommend [[Adolescent and adult circumcision\| circumcision]] as prevention, but there is no evidence in the medical literature to support this recommendation. Furthermore, this sacrifices the prepuce, where patients may seek to preserve its [http://www.intactaus.org/information/functionsoftheforeskin/ function] and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.		Some doctors recommend [[Adolescent and adult circumcision\| circumcision]] as prevention, but there is no evidence in the medical literature to support this recommendation. Furthermore, this sacrifices the prepuce, where patients may seek to preserve its [http://www.intactaus.org/information/functionsoftheforeskin/ function] and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.

	Manual [[stretching]] of the tight tip of the [[foreskin]] to widen the narrow part will prevent recurrence of paraphimosis. [[Stretching]] is not complete until the foreskin will [[Gliding action\|glide smoothly back and forth]] while the penis is in a state of [[erection]].		Manual [[stretching]] of the tight tip of the [[foreskin]] to widen the narrow part will prevent recurrence of paraphimosis. [[Stretching]] is not complete until the [[foreskin]] will [[Gliding action\|glide smoothly back and forth]] while the [[penis]] is in a state of [[erection]].

	{{SEEALSO}}		{{SEEALSO}}

WikiModEn2: Wikify.

2023-12-19T13:35:20Z

Wikify.

← Older revision		Revision as of 13:35, 19 December 2023
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	[[File:Paraphimosis.jpg\|200px\|thumb\|right\|Paraphimosis in a young adult.]]		[[File:Paraphimosis.jpg\|200px\|thumb\|right\|Paraphimosis in a young adult.]]

	Paraphimosis is a condition where a [[retraction of the foreskin\|retracted]] [[foreskin]] becomes trapped behind the head of the penis, and thus unable to return to its forward position covering the glans. If the condition is prolonged, paraphimosis can become an emergency.<ref name="DeVries">DeVries CR, Miller AK, Packer MG. [http://www.cirp.org/library/treatment/phimosis/devries/ Reduction of paraphimosis with hyaluronidase]. ''Urology'' 1996 48(3):464-465</ref> <ref name="NOCIRCpretract">[http://www.nocirc.org/publish/6pam.pdf ''Answers to Your Questions About Premature (Forcible) Retraction of Your Son's Foreskin'']. San Anselmo: NOCIRC, 2000.</ref> <ref name="Berk">Berk DA, Lee R. [https://www.aafp.org/afp/2004/0215/p807.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref> The tissue may become oedematous and swell thus further aggravating the problem.<ref name="NOCIRCpretract"/>		Paraphimosis is a condition where a [[retraction of the foreskin\|retracted]] [[foreskin]] becomes trapped behind the head of the [[penis]], and thus unable to return to its forward position covering the glans. If the condition is prolonged, paraphimosis can become an emergency.<ref name="DeVries">DeVries CR, Miller AK, Packer MG. [http://www.cirp.org/library/treatment/phimosis/devries/ Reduction of paraphimosis with hyaluronidase]. ''Urology'' 1996 48(3):464-465</ref> <ref name="NOCIRCpretract">[http://www.nocirc.org/publish/6pam.pdf ''Answers to Your Questions About Premature (Forcible) Retraction of Your Son's Foreskin'']. San Anselmo: NOCIRC, 2000.</ref> <ref name="Berk">Berk DA, Lee R. [https://www.aafp.org/afp/2004/0215/p807.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref> The tissue may become oedematous and swell thus further aggravating the problem.<ref name="NOCIRCpretract"/>

	== Cause ==		== Cause ==
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	* [[Foreskin]]		* [[Foreskin]]
	* [[Gliding action]]		* [[Gliding action]]
			* [[Penis]]
	* [[Phimosis]]		* [[Phimosis]]
	* [[Reduction of paraphimosis]]		* [[Reduction of paraphimosis]]

WikiModEn2: /* First aid */ Wikify.

2023-12-18T16:11:02Z

First aid: Wikify.

← Older revision		Revision as of 16:11, 18 December 2023
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	== First aid ==		== First aid ==

	First aid for this condition is simple. The head of the penis must be squeezed very tightly between thumb and forefinger. This forces blood out of the head and reduces the size.<ref name="Berk"/> The [[foreskin]] can then be brought forward to its normal position. Application of ice may also be helpful.<ref name="NOCIRCpretract"/>		First aid for this condition is simple. The head of the [[penis]] must be squeezed very tightly between thumb and forefinger. This forces blood out of the head and reduces the size.<ref name="Berk"/> The [[foreskin]] can then be brought forward to its normal position. Application of ice may also be helpful.<ref name="NOCIRCpretract"/>

	See the Video section for additional methods of reducing paraphimosis.		See the Video section for additional methods of reducing paraphimosis.

WikiAdmin: wikify stretching

2023-06-19T14:27:04Z

wikify stretching

← Older revision		Revision as of 14:27, 19 June 2023
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	Some doctors recommend [[Adolescent and adult circumcision\| circumcision]] as prevention, but there is no evidence in the medical literature to support this recommendation. Furthermore, this sacrifices the prepuce, where patients may seek to preserve its [http://www.intactaus.org/information/functionsoftheforeskin/ function] and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.		Some doctors recommend [[Adolescent and adult circumcision\| circumcision]] as prevention, but there is no evidence in the medical literature to support this recommendation. Furthermore, this sacrifices the prepuce, where patients may seek to preserve its [http://www.intactaus.org/information/functionsoftheforeskin/ function] and value, and protection of the individual from unnecessarily radical surgery is always a doctor's prerogative.

	Manual [[stretching]] of the tight tip of the [[foreskin]] to widen the narrow part will prevent recurrence of paraphimosis. Stretching is not complete until the foreskin will [[Gliding action\| glide smoothly back and forth]] while the penis is in a state of [[erection]].		Manual [[stretching]] of the tight tip of the [[foreskin]] to widen the narrow part will prevent recurrence of paraphimosis. [[Stretching]] is not complete until the foreskin will [[Gliding action\|glide smoothly back and forth]] while the penis is in a state of [[erection]].

	{{SEEALSO}}		{{SEEALSO}}
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	* [[Stretching]]		* [[Stretching]]
	* [[Tissue expansion]]		* [[Tissue expansion]]

	{{LINKS}}		{{LINKS}}
	* {{REFjournal		* {{REFjournal

WikiModEn2: Add links in SEEALSO section.

2023-06-11T12:36:39Z

Add links in SEEALSO section.

← Older revision		Revision as of 12:36, 11 June 2023
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	{{SEEALSO}}		{{SEEALSO}}
			* [[Foreskin]]
	* [[Gliding action]]		* [[Gliding action]]
			* [[Phimosis]]
	* [[Reduction of paraphimosis]]		* [[Reduction of paraphimosis]]
	* [[Stretching]]		* [[Stretching]]

WikiModEn2: /* First aid */ Add text.

2023-06-11T12:32:33Z

First aid: Add text.

← Older revision		Revision as of 12:32, 11 June 2023
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	First aid for this condition is simple. The head of the penis must be squeezed very tightly between thumb and forefinger. This forces blood out of the head and reduces the size.<ref name="Berk"/> The [[foreskin]] can then be brought forward to its normal position. Application of ice may also be helpful.<ref name="NOCIRCpretract"/>		First aid for this condition is simple. The head of the penis must be squeezed very tightly between thumb and forefinger. This forces blood out of the head and reduces the size.<ref name="Berk"/> The [[foreskin]] can then be brought forward to its normal position. Application of ice may also be helpful.<ref name="NOCIRCpretract"/>

			See the Video section for additional methods of reducing paraphimosis.

	== Hospital treatment ==		== Hospital treatment ==