Paraphimosis is a urologic emergency in which the retracted foreskin of an uncircumcised male cannot be returned to its normal anatomic position.
Medical therapy for paraphimosis involves reassuring the patient, reducing the preputial edema, and restoring the prepuce to its original position and condition. Several methods of reducing the penile swelling have been described. Ice packs, penile wraps, and manual compression mechanically disperse the penile and preputial edema, while osmotic agents, such as granulated sugar or mannitolhave been reported as effective agents to reduce swelling.
Surgical therapy includes The puncture technique,a minimally invasive procedure, and blood aspiration are common therapies used to decompress the edematous prepuce.
Paraphimosis does not recur after a proper circumcision.
Outcome after a dorsal slit procedure or a circumcision is excellent.