Paraphimosis


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paraphimosis

[‚par·ə·fə′mō·səs]
(medicine)
Retraction and constriction, especially of the prepuce behind the glans penis. Also known as Spanish collar.
Retraction of the eyelid behind the eyeball.

Paraphimosis

 

strangulation of the glans penis by the internal layer of the prepuce that usually occurs when the prepuce is forcibly retracted from the glans. Predisposing conditions are phimosis, balanitis, and scarring of gonorrheal or chancroid ulcers along the edges of the prepuce. Constriction by the preputial ring gives rise to circulatory disturbances in the glans penis and in the internal layer of the prepuce. The glans and prepuce may undergo partial necrosis and, occasionally, become gangrenous. The treatment for paraphimosis is surgery. Prevention includes hygienic care of the prepuce and surgical correction of phimosis.

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References in periodicals archive ?
Paraphimosis occurs when the prepuce is retracted proximally and remains entrapped proximal to the corona sulcus.
Medical indications for circumcision include recurrent urinary tract infections, severe balanoposthitis, balanitis xerotica obliterans, vesicoureteral reflux, paraphimosis, and children with neuropathic bladders in whom intermittent catheterization is required (Steadman & Ellsworth, 2006).
The present article describes a case of paraphimosis in a middle aged male dog with a history of sexual activity and copulation with apparently no detectable penile abnormalities.
Treatment of paraphimosis includes supporting the extended penis, manually replacing the penis in the preputial cavity, use of emollients to cover and protect the fragile exposed tissues, hydrotherapy, physiotherapy of the penis, use of broad spectrum antibiotics, and surgical interventions such as preputiotomy, phallopexy, posthetomy, and phallectomy (Lisa and Soon, 2008).
The ability of males to inseminate females after an episode of paraphimosis is dependent upon the inciting cause.
Orovan (1988), the plaintiff underwent a circumcision to relieve paraphimosis, a condition whereby the foreskin becomes trapped behind the corona and forms a tight band of constricting tissue.
Evidence suggests that neonatal circumcision decreases the incidence of childhood urinary tract infections, phimosis, paraphimosis, balanitis and other genital dermatoses, invasive penile cancer, and the sexually transmitted diseases human papilloma virus (HPV) and HIV (strength of recommendation [SOR]: B, based on case control and cohort studies).
Among noninfectious cases, granulomatous perichondritis of the nasal ala, sarcoidlike foreign body reaction from multiple piercing, paraphimosis from a distal penis pierce, and speech impairment, together with difficulty in chewing and swallowing from oral jewelry, have been reported (1,2,9,10).
During the debilitating stay at Fort Enterprise, Adam was incapacitated by a painful foreskin swelling, paraphimosis.
After all, phimosis and paraphimosis (the latter being a conditio in which, according to one surgical textbook, "the prepuce gets behind the corona glandis, threatening the strangulation of the organ") were thought to predispose boys to impotence and sterility.
None of the patients had findings of paraphimosis or balanoposthitis on examination.
Benefits include protection against urinary tract infections, (6) penile inflammation, inferior hygiene, phimosis, and paraphimosis.