WHAT IS PARAPHIMOSIS

Paraphimosis is the trapping of the foreskin in the retracted position. It is a medical emergency for males who are uncircumcised. The foreskin is unable to pull towards the tip of the penis to cover the glans penis as it gets stuck at the back. 

Paraphimosis is initially treated for reducing the swelling in the penile head. Ice may be applied and the penis head is bandaged tightly around the penis. Doctors may use a sterilized needle to drain blood and pus. Hyaluronidase enzyme can also be injected to -reduce swelling.

what is paraphimosis

CAUSES

  • Tight foreskin
  • Pulling the foreskin back for cleaning
  • Catheterization
  • Cystoscopy
  • Penile injuries
  • Coital trauma

SYMPTOMS

  • Inability to pull the foreskin back to its initial position
  • Swelling in the penile head
  • Discoloration of the tip of the penis (pale, dark bluish color)
  • Painful in the penile structure
  • Erythema
paraphimosis symptoms

DIAGNOSIS

Physical examination of the penis and foreskin

Patient history of catheterization and penile cleaning


DO's
Practice proper hygiene
Get complete circumcision
Clean the penis tip after every urination or sexual intercourse
DONT's
Never leave the foreskin at the back of the penis.
Do not apply any ointment without prescription
Avoid wearing same under garments for long.

TREATMENTS

NON-SURGICAL TREATMENTS

Manual procedure to reduce paraphimosis

Mild paraphimosis can be reduced manually with care. The procedure is facilitated by simply compressing the swollen or edematous glans penis.

In addition to this, doctors may treat it in the following manner:

  • Ice may be applied, and the penis head is bandaged tightly around the penis. 
  • Doctors may use a sterilized needle to drain blood and pus. 
  • Hyaluronidase enzyme can also be injected to -reduce swelling.



SURGICAL TREATMENTS

Slit incision in the foreskin 

A surgical procedure in which an incision is made along the length of the penis to relieve penile tightness and prevent retraction.

Elective full circumcision

Significant paraphimosis that cannot be treated otherwise is treated with complete circumcision to prevent its recurrence. The surgical procedure ensures no problem with the retraction as the foreskin is removed completely.



RISKS AND COMPLICATIONS

The following risk factors increase the chances of paraphimosis:

  • Age: Age is an important risk factor for paraphimosis.
  • Diabetes: Older people with diabetes has greater chances of paraphimosis
  • Catheterization: Patients who have a history of catheterization are also at greater risk of paraphimosis


Paraphimosis may lead to the following complications:

  • Serious infections
  • Damage to penile tissue
  • Death of the penile tissue
  • Loss of penis head or tip.



paraphimosis risks and complications

IF LEFT UNTREATED

Paraphimosis may cause serious health complications if it is not treated on time. The flow of blood to the penile tissues may get obstructed, making the tissue oxygen deprived eventually leading to necrosis or death of the tissue. Other possible consequences of untreated paraphimosis include:

  • Difficult to urinate or engage in sexual activity.
  • Gangrene wherein tissuee dies and begins to rot
  • Urinary Obstruction that leads to the buildup of urine in the bladder

COST

The average cost of circumcision to treat paraphimosis is ₹30,000-₹40,000. The variable cost depends on the emergency situation of the person and the hospitals or clinics wherein the treatment is taken. 

Financial Options

No Cost EMI

Cashless
(Insurance)

Reimbursement
(Insurance)

paraphimosis treatment cost

INSURANCE COVERAGE

The surgical treatment for paraphimosis is circumcision, which is covered under health insurance. 

Most of the time, the insurer will cover a particular amount for the surgery. However, the amount of coverage depends on the type of policy. 

It is important to know that non-surgical treatments that include topical medications other than surgical treatment (circumcision) for paraphimosis will not be covered under your insurance.

paraphimosis treatment insurance plan

Know more about Paraphimosis

Paraphimosis is an emergency that affects uncircumcised men because of the trapping of the foreskin for a longer time. The condition may lead to serious health issues like strangulation, painful glans, edema, venous engorgement, and necrosis.

It can be prevented by:

  • Pulling down the foreskin if the person is catheterized.
  • Ensuring pulling back of foreskin after coming from the toilet, doing exercises, or sex

Paraphimosis may cause serious health complications if it is not treated on time. Consult a doctor before it gets more complicated. If you are looking for permanent treatment of paraphimosis, you can contact Glamyo Health as it offers the best Phimosis Treatment, Phimosis Surgery with 0% EMI. 

Circumcision is a minor urological surgery that is performed by expert surgeons at Glamyo Health to overcome the diseases of foreskin like phimosis, paraphimosis, and balanitis. Book your free consultation with Glamyo Health today and get your surgery done with our expert doctors.

To improve erectile dysfunction and other men's health-related issues, you can get contact expert urologist at Glamyo Health


Frequently Asked Questions

Acute paraphimosis can go on its own with time as swelling on the penis head decreases, and the foreskin returns to normal position. Certain painkillers may help normalise discomfort and pain by the time the swelling goes.

There are various ways to treat paraphimosis, and it depends on the severity of the condition which procedure will suit. Some of them include the following: Using medicated solution to lessen the swelling and squeezing the penis head to move the foreskin at its position. The surgeon might use the method of making a slight slit into the foreskin so as to move the foreskin back onto the glans penis. Circumcision is the best treatment to fix the problem of paraphimosis. The procedure involves the complete or partial removal of the foreskin.

In paraphimosis, the glans become swollen, and the tip of the penis may appear blue or darker due to restricted blood flow to the tissue. The foreskin appears to be stuck abnormally.

It is extremely dangerous to leave paraphimosis untreated. When the foreskin is stuck and cannot be retracted back to its normal position, the blood flow to the tissue is obstructed, and it may lead to the death of the affected tissue.

Yes, it is crucial to take medical help in case of paraphimosis as it may lead to a more complex condition. Untreated paraphimosis may lead to cut-off blood flow to the affected tissue leading to necrosis.

To treat paraphimosis without surgery, steroid creams can be applied to the foreskin for a particular period to ease the stretching of the foreskin. Acute paraphimosis can be treated without surgery, but there are always chances of recurrence. Surgery is considered a reliable option to help the paraphimosis without any recurrence.

Paraphimosis can occur at any time and can land a person in a medical emergency. The condition is serious as the foreskin is trapped in an abnormal position that makes the penis head swollen and painful.

Generally, people with partially circumcised or uncircumcised penis suffer from paraphimosis. It happens as a result of the trapping of the foreskin behind the penis head.

Paraphimosis can be easily treated surgically and non-surgically. Hence, there is no need to remain in pain and discomfort caused by the stuck foreskin of the penile head. Chronic paraphimosis must be treated with circumcision so that it does not recur.