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Paraphimosis: Clinical manifestations, diagnosis, and treatment

Authors
Matthew Tews, DO
Jonathan I Singer, MD
Section Editors
Laurence S Baskin, MD, FAAP
Anne M Stack, MD
Deputy Editor
James F Wiley, II, MD, MPH

INTRODUCTION

This topic discusses the clinical features, diagnosis, and treatment of paraphimosis.

Other pathologic conditions of the foreskin (eg, phimosis) and the care of the uncircumcised penis are discussed separately. (See "Care of the uncircumcised penis", section on 'Pathologic conditions' and "Care of the uncircumcised penis".)

DEFINITION

The terms paraphimosis and phimosis are often confused:

Paraphimosis refers to a retracted foreskin in an uncircumcised or partially circumcised male that cannot be returned to normal position (picture 1).

Phimosis is defined as a tight foreskin that cannot be retracted to expose the glans penis. In young children, phimosis is normal or physiologic. In older patients, infections such as balanoposthitis or other inflammatory conditions result in scarring and pathologic phimosis that requires urologic referral. (See "Care of the uncircumcised penis", section on 'Physiologic phimosis' and "Care of the uncircumcised penis", section on 'Pathologic phimosis'.)

                       

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Literature review current through: Nov 2016. | This topic last updated: Tue Nov 29 00:00:00 GMT 2016.
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