
Originally Posted by
shree2006
Paraphimosis is a medical emergency. The exposed penis becomes swollen, dry, and painful. If untreated, sores, tissue death, or gangrene may develop. If recognized early, before severe edema (tissue swelling) and pain develop, paraphimosis is easily treated. Treatment includes cleansing and lubrication of the penis and replacement inside the prepuce by gently sliding the sheath first in a posterior direction, extruding the penis further – this everts the skin at the preputial opening; then the prepuce usually slides easily over the penis. With paraphimosis due to other causes, or of longer duration, sedation or general anesthesia is required. It may be necessary to incise (cut) the preputial skin to thoroughly examine the preputial cavity, to remove restricting material, and relieve venous obstruction. Afer circulation has been reestablished, bathing the exposed penis in cool water or hypertonic solutions may also help reduce swelling. The penis is then replaced in the preputial cavity, and the incision is closed. If the urethra has been damaged, an indwelling urethral catheter may be needed to prevent stricture (scar tissue closing the urethral diameter) formation. If tissues have died or become gangrenous, amputation of the penis and prepuce, and castration, may be necessary.
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