Paraphimosis revisited: is chronic paraphimosis a predominantly third world condition?

Abstract

Paraphimosis is an acute condition characterized by all the signs of inflammation. Here we describe a 'chronic' variant of paraphimosis where patients often present many days after the initial injury. The aim of this study is to identify and possibly classify this new variation of paraphimosis - the chronic condition. We studied 68 patients with this condition between 1997 and 2005. In all, the prepuce was fibrous and bunched up behind the glans penis and, in some cases, with ulcerations. All patients were treated by excision of the fibrous flap and circumcision, under local anaesthesia. Patients were discharged on the same day on which the excision was done. Follow-up was on the third, seventh and ninetieth days. Long-term follow-up was possible in only 22 patients. This technique of modified circumcision was effective in treating this condition and we think a new classification of paraphimosis is warranted - acute and chronic.

Double scrotum? A rare ignored paraphimosis - Case report

“…Paraphimosis is usually a acute painful condition necessitating emergency urological intervention 1 . Most often in conservative nation like India patient ignore and postpone medical attention to the extent possible for the fear of social stigma attached to it 2 . Here we present a case of chronic paraphimosis 2 who similarly postponed the medical attention until he found it to hinder with his coital activity.…”

“…Laboratory parameters were all within normal range. A diagnosis of chronic paraphimosis 2 was entertained. Conservative management in form of manual reduction 1 of paraphimosis was tried which failed.…”

Critical Urologic Skills and Procedures in the Emergency Department

“…54,55 Retracted foreskin obstructs lymphatic drainage of the distal penis, causing edema of the retracted foreskin; venous obstruction followed by arterial flow may develop within hours to days. If not corrected in a timely fashion, penile necrosis, infraction of the glans, or gangrene can occur, followed by autoamputation.…”