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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.<refname="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><refname="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><refname="Berk">Berk DA, Lee R. [http://www.aafp.org/afp/20040215/letters.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>[http://www.nocirc.org/publish/6pam.pdf ''Answers to Your Questions About Premature (Forcible) Retraction of Your Son's Foreskin'']. San Anselmo: NOCIRC, 2000.<name="NOCIRCpretract"/ref>

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 DA, Lee R. [http://www.aafp.org/afp/20040215/letters.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.<"/ref> The foreskin can then be brought forward to its normal position. Application of ice may also be helpful.<ref>[http://www.nocirc.org/publish/6pam.pdf ''Answers to Your Questions About Premature (Forcible) Retraction of Your Son's Foreskin'']. San Anselmo: NOCIRC, 2000.<refname="NOCIRCpretract"/ref>

There is a number of hospital treatment options available. Injection of hyaluronidase has been shown to be successful.<ref>name="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><refname="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 DA, Lee R. [http:" //www.aafp.org/afp/20040215/letters.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref> Hyaluronidase works by reducing the oedema, after which the foreskin may be returned to its normal position. When the foreskin has been returned to its normal position, no further treatment is necessary.<ref>name="Berk DA, Lee R. [http:" //www.aafp.org/afp/20040215/letters.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref>

Reynard and Barua recommend the puncture technique.<refname="Reynard">Reynard JM, Barua JM. [http://www.cirp.org/library/treatment/phimosis/reynard1/ Reduction of paraphimosis the simple way - the Dundee technique]. ''BJU'' Int 1999;83(7):859-860.</ref> Incisions are not necessary. Improved cosmetic outcome is claimed. Again no circumcision is necessary.<ref>name="Berk DA, Lee R. [http://www.aafp.org/afp/20040215"/letters.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref>

Turner ''et al''. recommend using Adson forceps to apply traction to return the prepuce to its normal forward position.<refname="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>

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 JM, Barua JM. [http://www.cirp.org/library/treatment/phimosis/reynard1/ Reduction of paraphimosis the simple way - the Dundee technique]. ''BJU'' Int 1999;83(7):859-860.<" /ref> The foreskin should be returned to the forward position after cleaning or sexual intercourse.<refname="Choe">Choe JM. [http://www.aafp.org/afp/20001215/2623.html Paraphimosis: current treatment options]. ''Am Fam Physician'' 2000;62:2623-2628.</ref><ref>name="Berk DA, Lee R. [http://www.aafp.org"/afp/20040215/letters.html Paraphimosis in a middle-aged adult after intercourse]. ''Am Fam Physician'' 2004;69(4):807.</ref>