In initial phase it can be reduced manually but in those patients who presents very late with severe paraphimosis and severe edema of glans, in such case surgery may require.
In most of the cases it can be corrected manually without surgery , but in some case it may require small surgery like dorsal slit/ and reduction or rarely circumcision.
I got swelling on foreskin earlier because of paraphimosis. But then I somehow managed to pull my foreski
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