Paraphimosis
Paraphimosis is a disease in which the narrowed foreskin on the penis infringes on the head and cannot return to its normal position naturally. It is believed that this pathology is not an independent disease. In most cases, it occurs against the background of congenital phimosis or acquired phimosis. Phimosis is a condition during which it is not possible to remove the head of the penis, since the ring of the prepuce squeezes and pinches it around the circumference. Immediately it should be noted that paraphimosis is a rather severe and very dangerous condition.
The content of the article:
Causes of paraphimosis
Symptoms of paraphimosis
Paraphimosis treatment and diagnosis
Paraphimosis
With paraphimosis, the head of the penis is squeezed by the foreskin, which is very tight for it, as a result of which it will quickly swell. At the same time, the foreskin is too narrowed and rather tight, it cuts into the penis itself even more and this constantly increases the swelling. Without medical intervention and timely assistance, such a kind of vicious circle can very often lead to the death of tissues (necrosis) of the genital organ, which leads to their subsequent amputation. Such a deviation as paraphimosis initially will not bring serious consequences to the patient, but only if, with the help of doctors, the foreskin will be quickly set in its usual place. But otherwise, extremely serious consequences will be possible.
Causes of paraphimosis
The main reason for which this deviation may appear is the improper conduct of hygiene procedures by adults in young children. In particular, there are forced attempts by parents to remove the head of the boy’s penis in order to better wash it.
It is also necessary to remember about such an important reason as sexual piercing. Recently, intimate piercing has become very popular, but it should be remembered that decorating the penis in this way, jewelry lovers risk encountering such a disease as paraphimosis.
Also, this condition can develop as a result of improper circumcision of the foreskin or trauma received during masturbation and during sexual contact. The development of paraphimosis is possible as a result of medical manipulations on the penis, which require exposing the head of the penis for a long time, these may be procedures such as cystoscopy and catheterization of the bladder. A similar swelling occurs with genital allergies and with primary syphilis. Most often the reason is the disdainful attitude of most men to their health, as well as to the recommendations and recommendations of a urologist.
Symptoms of paraphimosis
With paraphimosis, the head of the genital organ is very painful, then swells and acquires a bluish color — this occurs due to a violation of normal blood circulation in it. In some cases, the symptoms are combined with urinary retention.
The head of the genital organ itself with such a disease as paraphimosis increases in size and looks stagnant, with a circular edematous ring. A similar squeezing and pinching ring of tissues is located just behind the head of the penis.
After a while, the acute pain may stop for a while, but this in no way means that the paraphimosis has been cured. On the contrary, this is a bad symptom, it means that the tissues on the head of the penis have begun to die off.
In the later stages of paraphimosis, the head of the penis becomes dark purple or even black, and ulcers may also appear on it. In such a case, amputation of dead tissues is necessary. The main symptoms of paraphimosis depend on the time that has already passed since the appearance of such a condition.
Initial symptoms of paraphimosis:
The patient observes a squeezing ring around the penis head, which is formed by the foreskin, a change in the appearance of the penis and the color of the penis head;
The patient notes a feeling of discomfort, a feeling of constriction or some kind of pulling of the penis in a particular place.
It should be noted that small patients initially behave quite calmly and only adults can notice complications.
Secondary symptoms of paraphimosis are:
The increase in swelling of the penis head. At the same time, the head of the penis noticeably increases in size and independent adjustment to its usual place becomes impossible;
The head of the penis acquires a purple and even bluish color. In general, the more time passes, the head of the penis will become darker and larger. The pain will constantly increase.
It is at the second stage of this disease that young children become restless, cry, try to push adults away when trying to look at an organ or touch a penis.
In cases where the reduction of the compressed head of the penis was not carried out in a conservative way in a timely manner, the symptoms of the disease become more dangerous and threatening.
With the running version of paraphimosis , the symptoms will be as follows:
The appearance of spots on the sexual organ, which indicates that there is a necrosis of the areas of the head;
Loss of sensitivity of the affected areas;
There is the appearance of ulceration and even crusts;
The parts of the penis darken so much that they can even turn black;
There is a specific unpleasant smell. Such a smell is the result of the fact that the tissues in the genital organ began to rot;
There may be the development of gangrene of the penis. In this case, there will be general weakness, fatigue, body temperature may rise, and necrosis foci will constantly increase in size.
Paraphimosis treatment and diagnosis
For modern medicine, the diagnosis of paraphimosis in boys and adult men is not a problem. The diagnosis of “paraphimosis” can be made by a surgeon or urologist against the background of an obvious clinical picture of the disease. Most experienced urologists are able to diagnose such a disease as paraphimosis already at the first visual examination. In the case when the diagnosis of paraphimosis was established quickly, that is, at an early stage, this condition can easily be eliminated by conventional manual techniques that are combined with other conservative techniques. However, in patients who are faced with a prolonged acute pathological process, the use of simple methods will be ineffective. In difficult cases, an immediate dorsal dissection of the narrow formed ring of the foreskin will be required. In the future, doctors may suggest that the patient undergo circumcision, which will be aimed at eliminating phimosis.
If the swelling and the first symptoms were detected in a boy or a man very quickly, then you can try to set the head to its usual place on your own. To do this, it is necessary to lubricate its surface with vaseline, oil, glycerin or ordinary cream and gently squeezing the head to try to return it to its usual place under the foreskin.
If you have not been able to achieve the desired result within 5-10 minutes, you should immediately consult a doctor, since tissue necrosis begins after half an hour.
A surgeon treats paraffinosis, but do not worry, the use of surgical intervention is not necessary.
Doctors at the initial stage recommend to remove the swelling of the head to overlay the genital organ with ice bags for a short period of time or to apply a bandage to the organ with the addition of a hypertonic solution to it. Some recommend immediately performing a local injection of hyaluronidase, it also quickly relieves swelling. After reducing the edema, lidocaine is injected into the base of the genital organ, then the surgeon will manually adjust the head. If nothing works out, the doctor is obliged to resort to surgical intervention. Young boys are often given general anesthesia. The foreskin of the penis is incised or excised, then the wound is treated with antiseptics and a bandage is applied. If the surgeon made only an incision, the patient is prescribed washing with potassium permanganate. They can be done at home, so the patient is released. If the visit to the doctor was made very late, it will require not only dissection, but also removal of all dead tissues on the penis. In the most neglected case, even amputation. After the operation, the patient is prescribed antibiotics and left in the hospital for several days for observation.
The only prevention for such a disease as paraphimosis is the timely treatment of phimosis in adults, and as for young boys, parents should regularly show children to pediatricians and adhere to accuracy in hygienic procedures.
