Paraphimosis

Paraphimosis is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • The entrapment of the retracted foreskin proximal to the glans of the penis
  • Leads to lymphatic congestion and venous obstruction, which may result in arterial compromise to the glans
  • Paraphimosis is a urologic emergency

Etiology

  • A number of conditions of the foreskin may predispose to paraphimosis, including:
    • Phimosis
    • Inflammation
    • Trauma
    • Sexually naive may be unaware of the need to reduce foreskin after intercourse
  • Commonly iatrogenic, from failure to replace the foreskin after exam, catheterization, or cleaning

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Basics

Description

  • The entrapment of the retracted foreskin proximal to the glans of the penis
  • Leads to lymphatic congestion and venous obstruction, which may result in arterial compromise to the glans
  • Paraphimosis is a urologic emergency

Etiology

  • A number of conditions of the foreskin may predispose to paraphimosis, including:
    • Phimosis
    • Inflammation
    • Trauma
    • Sexually naive may be unaware of the need to reduce foreskin after intercourse
  • Commonly iatrogenic, from failure to replace the foreskin after exam, catheterization, or cleaning

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