Dr. med. Dirk Manski

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Review literature: (Choe, 2000).

Definition of Paraphimosis

Paraphimosis is a urological emergency with a prepuce being trapped behind the glans penis. Major risk factor is phimosis. The foreskin with phimosis leads to a circular narrowing at the base of the glans with swelling and decreased blood flow to the glans.

Signs and Symptoms of Paraphimosis

Painful edema of the foreskin, ischemic discoloration of the glans.

Treatment of Paraphimosis

Reduction of the Prepuce

Reduction of the prepuce is the initial treatment trial: after local anesthesia (penile block), manual compression of the glans and reduction of the forskin is done. In children, general anesthesia may be appropriate. If reduction is not possible, procede with preputioplasty.

Preputioplasty or Dorsal Slit:

Reposition will become possible after longitudinal dorsal incision of the phimotic ring [fig. dorsal slit to treat paraphimosis]. After reduction, the wound is closed with a transverse suture.


Circumcision is used for primary treatment or after resolution of the inflammation after reduction.

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Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z


Choe 2000 CHOE, J. M.:
Paraphimosis: current treatment options.
In: Am Fam Physician
62 (2000), Nr. 12, S. 2623–6, 2628

  Deutsche Version: Paraphimose