Paraphimosis is a urological emergency. When the opening of the foreskin is not very large, with effort it can be pulled behind the crown of the glans. The latter can lead to penile entrapment and compression. Most often, this condition occurs in patients with phimosis. It is extremely important to know that after every examination or every intervention, the foreskin must be returned to its anatomical position. More unusual causes that can lead to the development of paraphimosis are: Penile piercing; Infection caused by Plasmodium falciparum; Contact dermatitis; Infection caused by Haemophilus ducreyi; Placement of balls in the area of the foreskin. As a result of pressing the penis, circulatory disorders occur. Swelling of the foreskin and glans occurs, with severe pain. If the normal state and location of the foreskin is not returned in time, it is possible to reach gangrene of the glans penis. This situation requires immediate medical intervention. If the entrapment is recent, manual adjustment may be attempted, otherwise the situation necessitates transversal cutting of the constricting ring and subsequent restoration of the foreskin to its normal condition. After performing the surgical intervention, it is necessary to carry out general and local anti-inflammatory treatment. NEWS_MORE_BOX What is a “short gem” and what are its consequences? The foreskin is a thin skin that holds the foreskin to the head of the penis in a relaxed state. In erection, it should be of sufficient length to allow the head of the penis to be exposed freely. In the case of a short foreskin, often combined with phimosis, the exposure of the head is disturbed. As a result, an inflammatory process develops or paraphimosis occurs. A short penis can be an obstacle to normal intercourse. The treatment is operative.
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