Paraphimosis

Paraphimosis

A tight foreskin once retracted may be di ffi cult to return and a paraphimosis results. In this condition, the venous and lymphatic return from the glans and distal foreskin is obstructed and these structures become oedematous, causing even more pressure within the obstructing ring of prepuce ( Figure 85.17 ). Gentle manual compression and injection of a solution of hyaluronidase in normal saline may help to reduce the swelling. A dorsal slit of the prepuce under local anaesthesia may be enough in an emergency . These patients can be treated by circumcision if careful manipulation fails.

Figure 85.17 Paraphimosis. Figure 85.18 Balanoposthitis.