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'''For patient information page click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information page click [[{{PAGENAME}} (patient information)|here]]'''
 
{{Paraphimosis}}
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==[[Paraphimosis overview|Overview]]==


==[[Paraphimosis historical perspective|Historical Perspective]]==


==[[Paraphimosis pathophysiology|Pathophysiology]]==


==Overview==
==[[Paraphimosis causes|Causes]]==
 
'''Paraphimosis''' is a medical condition where the [[foreskin]] becomes trapped behind the [[glans penis]], and cannot be pulled back to its normal flaccid position covering the glans penis. If the condition persists for several hours or there is any sign of a lack of blood flow, paraphimosis should be treated as a [[medical emergency]], as it can result in [[gangrene]] or other serious complications.
 
Paraphimosis can often be reduced by manipulation. This involves compression of the glans, then movement of the foreskin to its normal position, perhaps with the aid of a lubricant. If this fails, the foreskin may need to be cut (dorsal slit procedure) or removed by [[circumcision]]. An alternate method, the Dundee technique, entails placing multiple punctures in the swollen foreskin with a fine needle, and then expressing the edema fluid by manual pressure.
 
Prevention of recurrence is through education of the patient and his care givers on the need to pull back the foreskin over the glans after it has been retracted (for example, when cleaning the [[glans penis|glans]] or passing a [[Foley catheter]]), or through elective [[circumcision]] or [[preputioplasty]].


==See also==
==[[Paraphimosis differential diagnosis|Differentiating Paraphimosis from other Diseases]]==
* [[phimosis]]
* [[circumcision]]
* [[preputioplasty]]


==External links==
==[[Paraphimosis epidemiology and demographics|Epidemiology and Demographics]]==
 
*''[http://www.blackwell-synergy.com/links/doi/10.1046/j.1464-410x.1999.00119.x/full/ Reduction of paraphimosis the simple way - the Dundee technique]'' J.M.Reynard & J.M.Barua, British Journal of Urology, Volume 83, Number 7, Pages 859-860. (contains pictures of a medical procedure and penis)


==[[Paraphimosis risk factors|Risk Factors]]==


==[[Paraphimosis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==Diagnosis==
[[Paraphimosis history and symptoms|History and Symptoms]] | [[Paraphimosis physical examination|Physical Examination]]
==Treatment==
[[Paraphimosis medical therapy|Medical Therapy]] | [[Paraphimosis surgery|Surgery]] | [[Paraphimosis primary prevention|Primary Prevention]] | [[Paraphimosis secondary prevention|Secondary Prevention]] | [[Paraphimosis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Paraphimosis future or investigational therapies|Future or Investigational Therapies]]
== Case Studies ==
[[Paraphimosis case study one|Case #1]]


==Related Chapters==
* [[Phimosis]]
* [[Circumcision]]
* [[Preputioplasty]]


[[Category:Andrology]]
[[Category:Andrology]]
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[[Category:Penis]]
[[Category:Penis]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Disease]]


[[de:Paraphimose]]
[[de:Paraphimose]]

Latest revision as of 19:54, 15 February 2013

For patient information page click here

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Overview

Historical Perspective

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Steven C. Campbell, M.D., Ph.D.

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Paraphimosis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

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Case #1

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