Paraphimosis is also known as Spanish collar . It is a term in which the prepuce ( foreskin ) stays in a retract position behind the glans penis . Prolonged retraction of the foreskin behind the phallus leads to oedema of the foreskin and the glans with secondary vascular engorgement leading to ischaemia of the glans . It is a medical hand brake and require immediate medical attention and treatment . If leave behind untreated , then it may lead to sphacelus and gangrene with subsequent autoamputation of the glans penis .
What is The Prognosis for Paraphimosis?
Paraphimosis is a rarified stipulation , which needs to be addressed straight off ; otherwise it may head to slough of glans and subsequently auto - amputation of the glans penis . However , prompt aesculapian treatment with successful reducing of the foreskin to its anatomical position has an splendid prognosis . The prognosis also reckon on the underlying etiology moderate to paraphimosis . The holdup in handling will subsequently worsen the medical prognosis .
The knottiness of paraphimosis let in necrosis and gangrene of the glans and subsequent autoamputation of the summit of the penis .
Paraphimosis can be prevented by reduce the foreskin to its anatomic position after clinical examination , cystoscopy and catheter placement . It can also be prevented by maintaining good personal hygiene and treating any perennial infection . clean the genital organ may serve in maintaining personal hygiene in the longsighted run . Refraining from varying intimate activity as well as penial piercings / rings can also prevent paraphimosis . It can also be prevent by circumcision and straightaway medical attention . Once find , care should be taken to avoid forcibly pulling the foreskin over the glans phallus as this might complicate the position further or else of resolving it .
What is The Treatment for Paraphimosis?
The discourse of paraphimosis calculate on the severity of the status . It can be lead up with a bourgeois glide path after app of local anesthesia . The buttoned-down attack employed include manual handling to reduce the foreskin to its normal anatomic position . Ice packs or compaction of the glans can be undertaken to deoxidise the edema , so that the reduction of foreskin can be accomplish without much difficultness . If manual manipulation break down , then puncture technique can be utilise in which the prepuce is punctured at several points in the prepuce for the outlet of edematous fluid . Hyaluronic Zen shot can be used as an adjunct to puncture therapy to boil down hydrops . If materialistic methods are unsuccessful at come down the prepuce , then operative reduction along with January 1 is the last resort . Surgical reduction requires incising the phimotic closed chain of the foreskin , so that decrease can be achieve easily under the influence of universal / local anaesthesia .
What is The Pathophysiology of Paraphimosis?
The entrapment of foreskin behind the glans penis over a protract menstruum of prison term can lead to formation of a tight and constricting stripe of tissue paper . This constrict band of tissue can intervene with the blood and lymphatic menstruum to and from the glans and prepuce . This can result in vascular engorgement and reduced ancestry flow to the glans leading to secondary inflammation of the glans and foreskin . If no attentiveness is paid to this , then it can result to ischaemia and mortification result in sphacelus and autoamputation of the glans penis in several days to week .
What are The Symptoms of Paraphimosis?
Paraphimosis award as an rubor of the foreskin and glans penis . This leads to inflammation , swelling , irritation and pain in the area without involvement of the calamus of phallus . The prepuce stay draw back with the presence of a phimotic ring behind the glans penis . Infants and kid unremarkably present with symptoms of urinary obstruction with a sensation of uncomplete voiding , weak urinary stream and delayed voiding . The glans member may turn dreary black with ischemia and protrude show sign of necrosis , if pull up stakes untreated . If not followed by a doctor , then it may lead to gangrene and autoamputation of the glans phallus .
