Paraphimosis: Difference between revisions

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[[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 ==

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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>

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==

~~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>

===Doctor explains Paraphimosis - aka swollen foreskin that you can't pull back...===

<youtube>?v=-9khXKpSyqY&t=16s</youtube>

===How to fix a Foreskin that is stuck behind the glan - Paraphimosis (tight foreskin)===

== 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 [[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.

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]].

* [[Foreskin]]

* [[Gliding action]]

* [[Penis]]

* [[Phimosis]]

* [[Reduction of paraphimosis]]

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[[Category:Medical condition]]

[[Category:Teen]]

[[Category:From IntactWiki]]

@@ Line 2: / Line 2: @@
 [[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 ==
@@ Line 42: / Line 42: @@
 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==
-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>
+===Doctor explains Paraphimosis - aka swollen foreskin that you can't pull back...===
+<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 ==
-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 [[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.
-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}}
 * [[Foreskin]]
 * [[Gliding action]]
+* [[Penis]]
 * [[Phimosis]]
 * [[Reduction of paraphimosis]]
@@ Line 109: / Line 111: @@
 [[Category:Medical condition]]
+[[Category:Teen]]
 [[Category:From IntactWiki]]