PARAPHIMOSIS
What is it?
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.
Treatment
Medical therapy for paraphimosis involves reassuring the patient, reducing the preputial edema, and restoring the prepuce to its original position and condition. Several methods of reducing the penile swelling have been described. Ice packs, penile wraps, and manual compression mechanically disperse the penile and preputial edema, while osmotic agents, such as granulated sugar, have been reported as effective agents to reduce swelling. Hyaluronidase has been effectively used in the pediatric population as a method of increasing fluid diffusion, thus decreasing local edema.
Regardless of the method chosen, when the preputial swelling and edema have subsided, correct the paraphimosis by gentle manual reduction. If manual reduction fails, surgical management via a dorsal slit technique must be attempted.
Reference
http://emedicine.medscape.com/article/442883-treatment
What is it?
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.
Treatment
Medical therapy for paraphimosis involves reassuring the patient, reducing the preputial edema, and restoring the prepuce to its original position and condition. Several methods of reducing the penile swelling have been described. Ice packs, penile wraps, and manual compression mechanically disperse the penile and preputial edema, while osmotic agents, such as granulated sugar, have been reported as effective agents to reduce swelling. Hyaluronidase has been effectively used in the pediatric population as a method of increasing fluid diffusion, thus decreasing local edema.
Regardless of the method chosen, when the preputial swelling and edema have subsided, correct the paraphimosis by gentle manual reduction. If manual reduction fails, surgical management via a dorsal slit technique must be attempted.
Reference
http://emedicine.medscape.com/article/442883-treatment