Paraphimosis

Paraphimosis is the entrapment of a tight retracted foreskin proximal to the coronal sulcus in uncircumcised males. The tight retracted foreskin cannot return to its normal position and forms a tight constricting ring over the distal shaft of penis. It causes vascular and lymphatic obstruction leading to redness and swelling of the penis and prepuce distal to the constricting prepuce ring. Paraphimosis is a medical emergency requiring urgent attention. With time, severe vascular and lymphatic obstruction could lead to penile infarction/necrosis, gangrene and rarely auto amputation if untreated.

If you encounters paraphimosis, please find an experienced doctor for immediate medical treatment, e.g. paraphimosis reduction, dorsal slit or circumcision.

Precautions for Paraphimosis surgery

For surgery performing in the hospital:

Before surgery:

• Inform doctor for special medical condition(s) and current drug(s) use
• Shave the pubic hair and have a shower in the morning before surgery to reduce the bacterial load around the wound
• Keep nil by mouth six hours before operation
• Void immediately before surgery and relax

After surgery:

• Take a rest and learn the steps for wound care
• Expect to leave on the same day or the day after
• Wear tight underwear (for reduction of penile movement) and loose pants
• Follow up in the clinic 3-7 days after operation
• Keep wound dry all the time

For surgery performing in the clinic:

Before surgery:

• Inform doctor for special medical condition(s) and current drug(s) use
• Shave the pubic hair and have a shower in the morning before surgery to reduce the bacterial load around the wound
• Have a light breakfast before operation
• Void immediately before surgery and relax

After surgery:

• Take a rest of about 15-30 minutes
• Expect to leave after learning the steps of wound care
• Wear tight underwear (for reduction of penile movement) and loose pants
• Follow up in the clinic 3-7 days after operation
• Keep wound dry all the time

Please seek medical advice if you have any problem about the wound.