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Phimosis and Paraphimosis

Phimosis and Paraphimosis

Phimosis is the inability to retract the foreskin over the glans penis, and usually due to a contracted preputial opening. Patients with phimosis may seek acute medical care when they develop signs and symptoms of infection, such as pain and swelling of the foreskin.

Paraphimosis occurs when the retracted foreskin over the glans penis cannot be returned to its usual position. The swollen band of foreskin obstructs the circulation to the glans, which in turn becomes painful and swollen. It can sometimes also cause urinary retention.

Treating phimosis usually involves the management of acute infection.

Treating paraphimosis with mild analgesic, and application of cold compression to the penis may help relieve the pain and swelling.

Circumcision may be advisable to reduce the risk of recurrence of paraphimosis.