Paraphimosis (non-retractable foreskin narrowing)

Paraphimosis is a serious but rare complication in which the foreskin becomes trapped behind the glans and cannot be retracted
This condition requires immediate medical attention as it can cause painful swelling and, if left untreated, permanent damage.

Possible causes of paraphimosis

  • Retraction of the foreskin during intimate hygiene or sexual intercourse
  • After medical procedures (e.g., catheterization), if the foreskin is not retracted over the glans
  • Pre-existing phimosis (foreskin tightening)

Treatment of paraphimosis

Paraphimosis is a urological emergency and should be treated immediately.

Conservative Treatments

Manual repositioning (pull-back of the foreskin) under local anesthesia

Icing, pain medication, and decongestant measures

Surgical Treatments

If repositioning is unsuccessful, a small incision may be necessary to relieve pressure. In some cases, circumcision is recommended to prevent recurrence.

FAQ - About Paraphimosis

Is paraphimosis dangerous?

Yes – if left untreated, it can lead to circulatory disruption and, in extreme cases, tissue death. Therefore, prompt medical attention is crucial.

Does retraction hurt?

Retraction is usually performed under local anesthesia. The faster it is done, the easier the procedure is.

How can I prevent paraphimosis?

If you have a tight foreskin, you should be particularly careful when retracting it and should always retract it after intimate hygiene or examinations.

When is circumcision advisable?

If problems occur repeatedly or if there is significant phimosis, circumcision is an effective preventative measure. This can be performed on an outpatient basis by a specialist.

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