Paraphimose (unable to pull the foreskin over the penis) - EMERGENCY

Paraphimosis occurs when an initially tight foreskin is pulled back over the glans penis. This constricts the glans somewhat and makes it swell.

If the foreskin can then no longer be pulled back over the glans, paraphimosis occurs. It is a real vicious circle, in which the arterial blood is pumped under high pressure into the glans while the venous low-pressure system is clamped by the constriction. Ultimately, a kind of "strangulation" of glans occurs accompanied by necrosis of the front part of the penis.

Diagnostics

Paraphimosis is visually easy to identify.

Therapy

The constriction band is cut and expanded, which can be done under local anesthesia.

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