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Acute Paraphimosis

AMBULATORY CARE:

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. Usually, the foreskin can be pulled back onto the penis and uncover the glans. Acute paraphimosis prevents your foreskin from being pulled back.

Common symptoms include the following:

  • Swollen glans and shaft
  • Bluish or dark glans
  • Pain in your penis
  • Pain when you urinate, or problems urinating

Seek care immediately if:

  • You have sudden pain or swelling in your penis.
  • You lose feeling in your penis.
  • You have an open wound on your penis.

Contact your healthcare provider if:

  • Your signs and symptoms return or worsen.
  • You have pain during sexual activities.
  • You have questions or concerns about your condition or care.

Treatment for acute paraphimosis

may not be needed. The swelling in your penis should decrease after your foreskin has returned to its normal position. You may need the following treatments if your foreskin does not return to its normal position:

  • Medicines may help decrease pain or swelling.
  • An ice pack may be placed on the foreskin and glans for 5 to 10 minutes to decrease inflammation.
  • Tight pressure may be needed for a short period of time. This will help decrease inflammation. Healthcare providers may wrap your penis with a bandage for 5 to 10 minutes. A bandage with numbing medicine may be used.
  • Procedures may be needed to move your foreskin back into position over the glans. Another procedure may be needed to decrease severe swelling.
  • Surgery may be needed if other treatments do not work. During surgery, the foreskin is placed in the right position. pressure and swelling are relieved. You may need a circumcision after this procedure because cutting the foreskin will change how your penis looks.

Self care:

  • Do not have sex until your healthcare provider says it is okay. Do not have any sexual activity for 7 to 10 days, to allow the penis to heal. Sexual activity includes intercourse and masturbation. Ask 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.
  • Gently 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.
  • Do not use penile rings. Penile rings can cause swelling and infection.

Follow up with your healthcare provider as directed:

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

© 2016 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.

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