PARAPHIMOSIS

PARAPHIMOSIS

Definition of paraphimosis

1. Paraphimosis is a painful condition where the foreskin of the penis becomes stuck behind the glans penis.
2. It is a medical emergency that requires prompt treatment to prevent permanent damage.

Types of paraphimosis

1. Primary paraphimosis: It occurs in a penis without any pre-existing foreskin condition.
2. Secondary paraphimosis: It occurs in a penis with pre-existing foreskin conditions, such as phimosis.

Causes of paraphimosis

1. Tight foreskin
2. Infection
3. Trauma
4. Allergic reactions
5. Certain medical conditions

Clinical features of paraphimosis

1. Pain
2. Swelling
3. Redness
4. Difficulty urinating
5. Difficulty retracting the foreskin
6. Bleeding
7. Prolonged erection

Investigations for paraphimosis

1. Physical examination
2. Imaging studies (e.g., ultrasound)
3. Blood tests (e.g., to check for infection)

Complications of paraphimosis

1. Permanent damage to the foreskin
2. Scarring
3. Infection
4. Difficulty urinating
5. Erectile dysfunction

Management of paraphimosis

1. Medical management: Antibiotics, pain relief medications, and manual reduction
2. Surgical management: Circumcision, dorsal slit, and preputioplasty

Surgical management of paraphimosis

1. Step 1 → Anesthesia is administered to the patient.
2. Step 2 → The foreskin is dissected and the constricting band is identified.
3. Step 3 → The constricting band is cut or removed.
4. Step 4 → The foreskin is advanced and secured to the glans penis.
5. Step 5 → The wound is closed.

Homoeopathic therapeutic medicines for paraphimosis

1. Arnica montana - 30 CH: For pain and swelling
2. Belladonna - 30 CH: For inflammation and redness
3. Calendula - 30 CH: For wound healing and prevention of infection
4. Chamomilla - 30 CH: For anxiety and stress
5. Graphites - 30 CH: For scarring and adhesions

Note: Homoeopathic medicines are not a substitute for medical treatment. Paraphimosis is a medical emergency that requires prompt treatment by a healthcare professional.