Acute Paraphimosis

WHAT YOU SHOULD KNOW:

Acute paraphimosis is abnormal tightness of the foreskin when it is pulled back. The foreskin is the skin that covers the head (glans) of the penis. The foreskin can usually be pulled back onto the penis. When the foreskin is pulled back, the glans is uncovered. Acute paraphimosis prevents your foreskin from being pulled back.

AFTER YOU LEAVE:

Medicines:

  • Pain medicine: You may need medicine to take away or decrease pain.

    • Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it.

    • Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease.

    • Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Self care:

  • Postpone sexual activity: Do not have any sexual activity for 7 to 10 days, to allow the penis to heal. Sexual activity includes intercourse and masturbation. Ask your primary healthcare provider or urologist when you can go back to your usual sexual activities.

  • Keep your penis clean: Clean your penis every day by removing the smegma around your glans. Ask for more information about foreskin care.

  • Move your foreskin back to the normal position: Every time your foreskin is pulled back, make sure it returns to its original position. The foreskin must always cover the glans. Do not force the foreskin back over the glans. Force can cause scars to form on the penis.

  • Consider circumcision: This procedure may prevent paraphimosis from happening again. It may also help keep your penis clean and prevent an infection.

  • Do not use penile rings: Penile rings can cause swelling and infection.

Follow up with your primary healthcare provider or urologist as directed:

Write down your questions so you remember to ask them during your visits.

Contact your primary healthcare provider or urologist if:

  • Your signs and symptoms return or worsen.

  • You have pain during sexual activities.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You have sudden pain or swelling in your penis.

  • You lose feeling in your penis.

  • You have an open wound on your penis.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Acute Paraphimosis (Discharge Care)

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