Causes and treatment of paraphimosis

Paraphimosis: Symptoms and Treatment

Category: Men's zabolevaniyaProsmotrov: 9309

Paraphimosis men - a pathogenic condition is caused by compression of the head of the penis foreskin shifted, which entails the appearance of puffiness and circulatory disorders of the head. This process can lead to tissue death of the penis. In medicine, this pathology is considered to be a complication of phimosis, ie. E. narrowing of the foreskin. This disease can be congenital or acquired, why it is not uncommon in children.

Causes can be multiple - injury during sexual intercourse or masturbation, genital allergy or primary syphilis. The main symptoms of the disease symptoms are considered - swelling and cyanosis of the head, painful process of peeing. Possible to establish the diagnosis without much difficulty, based on the examination of the penis.

The International Classification of Diseases (ICD-10) is a disorder has its own index - N47. Treat paraphimosis in several ways - for setting, incising the foreskin or tissue puncture anti-inflammatory therapies.

Since such a condition is urgent, then the occurrence of the first symptoms and the external manifestations of the disease must be addressed as soon as possible for professional help.

In any case it is impossible to undertake independent attempts to eliminate the symptoms at home, as this can only complicate the situation and cause symptoms of complications.

Etiology

The main factor in the formation paraphimosis is the presence of a man of phimosis - narrowing ring of the foreskin. This means that the head can not be completely bare. Other causes of disease manifestations are:

• forced exposure of the head;
• trauma during intercourse. It depends on the frequency and speed of movement and posture partners;
• masturbation, particularly masturbation in boys;
• diabetes;
• the scars that have appeared as a result of burns or injuries of the penis;
• inelasticity short bridle;
• systemic dermatological diseases;
• Incorrect performance of hygienic procedures in children by opening the head. This is due to the fact that at the birth of each boy's present physiological phimosis - bonding head with the inner layer of the foreskin. Spontaneous disclosure is carried out between the ages of three to seven years. But in most cases, parents try to make it happen as soon as possible, using the bath procedures;
• complications after cystoscopy or urethral catheterization when necessary to forcibly strip the head;
• allergic reactions;
• primary syphilis;
• piercing - is extremely rare, but still can cause this disease.

symptoms

paraphimosis

Paraphimosis is characterized by acute onset and the course with an intense manifestation of the symptoms:

• swelling;
• a marked increase in the volume of the head - against a background of strong squeezing a ring of tissue of the foreskin;
• head becomes cyanotic hue;
• It expressed a strong pain. The degree is significantly enhanced when it touches and emission of urine. The children developed acute retention of urine;
• posture in which the man or boy - widely spaced legs and the torso is tilted forward.

If a person ceases to feel pain, it talks about the development of tissue death. In such cases, cyanosis flows into a darker shade of purple or black. In such cases, treatment paraphimosis impossible penis to be amputated.

complications

Often, the effects caused by the problem of delayed treatment in a medical facility on the background of mistaken belief that the symptoms will pass on their own, or when trying to self-eliminate the symptoms at home conditions. Thus, complications paraphymosis are:

• death of tissue of the head, which is why it is impossible to reposition of paraphimosis;
• ulceration, so that the body can be entered infection;
• Infection progression - possibly partial removal of the distal portion of the penis.

Diagnostics

Diagnosis paraphimosis is not easy by the fact that the disease has a characteristic external signs in boys and men. Often diagnostic measures include:

• information collection and analysis of patient complaints. The doctor needs to know the time of onset of the first symptoms and their intensity;
• direct examination of the penis;
• Further consultations surgeon.

Treatment

Before you call an ambulance to bring the victim to the hospital, it is necessary to provide first help - to make ice to the injury site, apply slimming bandage of elastic bandage and antiseptic solution. This can reduce the expression of pain and swelling of the head.

Treatment of paraphimosis feasible in several ways:

• conservative techniques;
• surgery.

If the victim time to see a specialist, the reduction is carried paraphimosis. This was done under local anesthetic for children - under the general. Before manipulation is necessary to lubricate the head of the penis with petroleum jelly or glycerine. If necessary, the puncture is performed to remove accumulated liquid. After reposition appointed healing baths and packs of camphor oil.

In cases where several attempts to reposition failed, paraphimosis treatment is carried out using a longitudinal incision of the foreskin.

In order to avoid recurrence of such a disorder in a few months it held circular excision - cutting.

With the latest technology this procedure is completely painless, because it is performed by laser radiation or radiosurgery laser.

In order to prevent deeper surgery without symptoms should be dealt with at home - should immediately call an ambulance or try to yourself to get to the nearest health institutions. Because after half an hour of paraphimosis may occur necrosis of tissues.

prevention

Preventive measures for men and boys to prevent this unpleasant disorder, is to comply with simple rules:

• elimination of phimosis, infection and inflammation of the urogenital system;
• regular and proper implementation of rules of personal hygiene, especially in children up to seven years;
• refraining from injuries of the penis and groin area;
• not to make love in a state of alcohol or drugs;
• passing checkup at the clinic several times a year, at a diabetes - every three months.

With timely treatment paraphimosis holding a favorable prognosis. Phimosis to identify children and adolescents should be inspected at the children's urologist, andrologist.

Diseases with similar symptoms:

Candida balanoposthitis (coincident symptoms: 3 out of 6)

Candida balanoposthitis - disease which affects male urogenital system. Caused by the fungus Candida. They penetrate the mucous membranes and human skin, resulting in formation of multiple filamentous forms. This disease affects men of all ages.

... Kidney stones (coincident symptoms: 2 out of 6)

Kidney stones - this is one of the most common forms of kidney stone disease in which the kidneys are formed salt concretions actually rocks.

Kidney stones whose symptoms are manifested in the form of attacks of renal colic, pyuria (pus in the urine), haematuria (blood in the urine) and pain can be eliminated for both by means of conservative therapy, the effects of which allows you to dissolve them, and by the surgical exposure, in which the stones are removed operative method.

... Thrush in men (overlapping symptoms: 2 of 6)

Irritation of the genital organs, provoked by yeast-like fungi of Candida, called the disease "thrush".

This type of ailment may affect both female and male sexual organs and mucous cavity.

Depending on the sex disease manifests itself in different ways, so let us consider what is thrush in men, what are the ways to show and whether treatments at home.

... hydrocele (hydrocele) (coincident symptoms: 2 out of 6)

Hydrocele (hydrocele) - a disease as a result of which the fluid accumulates in the egg. This pathological process results in a significant increase in the size of male sexual organ. Hydrocele can occur not only in the adult members of the stronger sex, but also infants.

... pyelitis (coincident symptoms: 2 out of 6)

Pyelitis - urological disease, which is characterized by inflammation of the kidney is the cups and pelvis. This disease can develop in adults and in children. Pielit observed in children quite often. The risk group includes pregnant women as well as men who have had a surgery on the prostate gland.

…

A source: http://SimptoMer.ru/bolezni/muzhskie-zabolevaniya/1827-parafimoz-simptomy

Why there is paraphimosis and what treatments are most effective

Paraphimosis - a narrowing of the foreskin of the penis

What is paraphimosis and what can be complications

paraphimosis - a complicated stage of phimosis (narrowing of the foreskin of the penis) with jamming and compression of the penis.

Around the head is formed a dense ring of the foreskin, which prevents its movement along the penis and causes pathological condition male penis.

The disease develops when the available physiological phimosis, which men can live a lifetime, but paraphimosis fraught with edema and cyanosis of the head, blood circulation in the body and complete atrophy of sexual authority.

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Possible consequences of the disease

Paraphimosis always accompanied by pain in the head of the penis

Self reposition the head of the penis is possible if there is no aggravating circumstances pathology:

1. infectious and inflammatory diseases of the inside and outside of the penis;
2. not the primary pinched head when the swelling starts to grow rapidly;
3. the last stage of phimosis, where the foreskin is fused with much connective tissue and its motion can not be on the head;
4. damage to the penis - ulcers, wounds;
5. plight of the patient with necrosis of organ tissue.

Paraphimosis always manifests the symptom of pain in the penis head. But it could be painful symptoms subsided and the increase of the ring of the foreskin. This is a bad sign. Gradual necrosis of the head will lead to surgery to remove the penis.

How to avoid and prevent the emergence of pathology

The root cause is a congenital phimosis paraphimosis. Pathology has different stages, but if you do not treat the disease sooner or later lead to paraphimosis. If the boy was diagnosed phimosis, it is necessary to eliminate the pathology as soon as possible. Men with problems of motion of the foreskin is necessary to go to the reception to the urologist or surgeon, to avoid serious consequences.

Another important factor to prevent paraphimosis is the correct implementation of hygiene when it is too strong stretching of the foreskin or forcible opening of the head can cause clamping head and make it difficult to reposition it back. Injury to the penis and the skin disease on the body to be eliminated, that there was no inflammation and tissue necrosis of epithelial cells.

A source: http://AptekaMan.ru/blog/parafimoz-simptomy-lechenie-posledstviya.html

paraphimosis

Paraphimosis - it's infringement of the penis head occurs due to narrowing of the ring foreskin. Paraphimosis leads to swelling of the glans penis and the violation of its blood supply.

The disease may be either congenital or acquired. Common in the genital and allergy in primary syphilis. Paraphimosis uncommon for injuries of the penis that occur during sexual intercourse or masturbation.

Causes of

The main reason is paraphymosis phimosis (narrowing ring the foreskin of the penis). The head of the penis can not be entirely (or partially) bare. Paraphimosis occurs when the glans penis is forcibly laid bare. In this case, the foreskin was transferred by the head of the penis, which leads to disruption of the blood supply.

Phimosis in turn is caused by the presence of the following factors:

• The decrease in elasticity of the skin of the foreskin that occurs as a result of balanoposthitis. Balanoposthitis is an inflammation of the foreskin. Skin elasticity of the foreskin may also occur due to diseases, sexually transmitted diseases.
• Scarring occurring after burns and injuries of the penis.
• Diabetes.
• Systemic diseases of the skin, leading to a narrowing of the foreskin.

symptoms paraphimosis

The main symptoms are swelling paraphimosis (swelling) and blueness of the glans penis. These symptoms arise from the fact that the restriction of the foreskin slips off the head of the penis, then there is her (head) infringement and violation of blood circulation in it.

As a rule, paraphimosis is accompanied by severe pain in the head of the penis.

Diagnostics

Diagnosis paraphimosis is easy. A mere examination of the patient. Initially, the doctor asks about the complaints: how long worried about the swelling; how long there have been signs of inflammation; as the bared head of the penis before, etc.

On examination, the doctor of sexual member assesses whether head swelling and color change. In some cases, as shown, and consulting surgeon.

types of diseases

The disease is not subject to classification.

patient action

If the infringement of the glans penis (as well as pathological phimosis), you must consult your doctor. It is advisable to consult a doctor as soon as possible, since the infringement of the glans there is the danger of necrosis of the head of the penis tissues.

treatment of paraphimosis

If paraphimosis often resort to surgical treatment. Performed circumcision - a circular incision of the foreskin of the penis and suturing. When necrosis of the glans penis (rare) held its removal.

In some cases, you can do without surgery. Glans penis can push back ago. To this end, the head of the penis and Vaseline smeared fingers pressed into the area below the restrained ring. However, if associated with paraphimosis phimosis, it is likely to need surgery.

complications

Paraphimosis dangerous complication is necrosis of the head of the penis, causing the need for disposal. In this regard, paraphimosis needs immediate medical intervention.

Prevention paraphimosis

The main preventive measure is reduced to the timely and adequate treatment of phimosis. It is also necessary to observe the basic rules of personal hygiene and timely treat infectious and inflammatory diseases of the urogenital system (diseases such as urethritis, prostatitis, balanoposthitis, cystitis, etc.).

Exclusion of casual sex, the use of barrier methods of contraception and the prevention of penile injuries will significantly reduce the likelihood of developing paraphimosis.

In the presence of diabetes requires constant monitoring of blood sugar levels and adherence to diet with restriction of consumption of sweet and pastry dishes.

A source: http://www.likar.info/bolezni/Parafimoz/

paraphimosis

Paraphimosis different severe pain at the site of entrapment, as well as an increase in head size and its blueness. It also swells the foreskin and difficult urination. The pathology is diagnosed by physical examination, as well as the collection of medical history.

Therapy should include conservative procedure bimanual reposition the head, as well as surgical procedures - puncture edema localization prepuce skin incision along or circular section.

Paraphimosis appears as a complication of phimosis, which develops due to jamming glans penis prepuce fabric portion having the dense structure. Also this condition can develop in the complete withdrawal of the skin of the flesh outside the coronal sulcus. How to retract and move the head back is impossible.

A serious complication is paraphimosis development of gangrenous and necrotic changes in head. All this makes paraphimosis acute condition that requires immediate medical care. Often pathology appears in childhood and adolescence, in adults diagnosed very rarely.

Causes

It is a pathological condition - the result of phimosis. Paraphimosis can have both congenital and acquired causes. Normal physiological state requires an independent branch of the foreskin, which occurs during the period from birth to sexual maturity.

For the first years of life, phimosis is a normal physiological phenomenon, which occurs due to the splice head of the penis with the inner portion of the surface of the flesh. It goes to the beginning of school-age child.

Phimosis often occurs due to intensive early move aside foreskin, because of which the head of the penis is exposed. Pathology manifested in phimosis 1-3 degrees, in rare cases - the first degree, never - at the fourth. The fourth degree is characterized by a total inability to head the output member.

Paraphimosis often manifested in the daily hygiene - often the parents ahead of time trying to move the skin of the foreskin beyond the coronal sulcus. In adults, a pinched head of the penis develops during masturbation or intercourse.

The reason is considered to be expressed paraphymosis inelasticity bridle small length, which greatly complicates the derivation of the head body and the subsequent process of returning to the usual state.

When channel urethral catheterization or bladder, as well as when there is iatrogenic Paraphimosis cystoscopy. These procedures involve the forced withdrawal of the glans penis.

Considered a rare cause of primary syphilis. In this case, syphilitic defeat preputial tissue causes inability of the skin displacement. In rare cases, the pathology manifested as a result of an allergic condition. There are cases to identify paraphimosis after the procedure of piercing the intimate area.

symptoms

Entrapment of the head of the circular nature of a member inevitably causes stagnation - venous and lymphatic. As a result of swelling developing rapidly, and the arterial blood supply is broken. Paraphimosis begins acutely.

Symptomatic signs:

• swelling of the foreskin - it becomes like a thick cushion located under the head;
• edema, and increase the head size of the penis;
• gain compression head prepuce ring;
• severe pain, worse when touched;
• bluish member covers;
• the patient usually is in a reasonable position - legs apart, his body leaning forward;
• difficulty of urination;
• signs of acute urinary retention, intoxication;
• poor circulation in the tissues of the head member of their dying, in rare cases - the progression of gangrenous changes of the skin of the foreskin;
• autoamputatsiya upper parts of the penis.

With this pathological condition proximal (lower) portion of the member is not subjected to changes.

Diagnostics

When the manifestation of the first symptoms of paraphimosis should immediately consult a doctor. They are competent in this matter: the surgeon, urologist and andrologist. Diagnosis with adequate anamnestic information in conjunction with medical examination data.

Treatment

Pathology is a medical emergency that requires immediate provision of medical care.

FIRST AID MEASURES:

• attachment in the form of cold ice compresses;
• superposition of tissue or gauze bandage soaked in hypertonic saline - it helps to relieve swelling;
• the imposition of elastic compression bandage;
• the use of local anesthetic agents;
• injection of hyaluronidase in place edema localization.

Such measures when paraphimosis help reduce symptoms of pain and contribute to the decay of edema.

Events of medical care:

• conservative measures involve reduction of the head member back to pinch the ring using suitable lubricants. Preliminary procedure is to puncture edema, which promotes the outflow of liquid. Sometimes his conduct is not required. After manipulations required local treatment of the penis weak disinfectant, emollient and anti-inflammatory agents.
• operational (Surgical) measures carried out if conservative measures have failed. First the longitudinal section of the foreskin. Since paraphimosis involves deformation of the skin of the foreskin, for the prevention of relapse performed circumcision. Manipulation can be one and a half months after the acute condition.
• Certain methods are surgical dissection treatments using laser and radiosurgery the scalpel.
• After primary treatment appointed antibiotic therapy and restorative procedures.

prevention

Prevention paraphimosis is early diagnosis and treatment of phimosis. explanatory talks should be held with the parents also to prevent premature move aside the skin of the foreskin of the child.

Urologic procedures should be carried out with extreme caution. must conduct regular preventive check-ups by a doctor. Children should be seen by a pediatrician, which in case of the onset of symptoms can direct them to the urologist or andrologist.

Forecast

The forecast is favorable for early treatment to the expert and timely detection of the first symptoms of the pathology. Late paraphymosis diagnosis and delayed treatment can lead to poor circulation and necrosis with subsequent development gangrene. In these cases there is a need for amputation of the glans penis.

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A source: http://pillsman.org/21687-parafimoz.html

What is paraphimosis?

Paraphimosis - what is it? So called acute condition that occurs when the infringement head of the penis foreskin, which can not return to its normal position. The disease is characterized by severe pain, swelling and cyanosis of the head of the penis, difficulty urinating.

For the diagnosis may be sufficient visual inspection.

Treatment may be conservative - via bimanual reposition or surgical - puncture foreskin to eliminate swelling, incision or circumcision - a longitudinal or circular excision at flesh.

Paraphimosis - not an independent disease, and a complication of phimosis.

To accurately represent what a paraphimosis men and boys need to know what is phimosis.

The narrowing of the foreskin in children often is innate. With this disease, expressed slightly, 50% born male babies. When the boy grows up, the sexual apparatus doformirovyvaetsya, head of the penis is exposed herself. For 13 years the disease remains at 2% of adolescents.

The causes of infringement could be attempts to parents, in that whatever was to pull the foreskin.

These manipulations are carried out for the implementation of hygiene measures - removing the smegma, accumulated under the skin on the rim of the penis; or because of the fear that the head itself is not open.

Dispense with the first manipulation can not be - at the cluster of smegma increases the possibility of a bacterial infection, but it should perform very carefully - thin skin on the genitals of children is very delicate and any microtrauma can cause complications - the appearance of edema, the beginning of the inflammatory process, the general increase temperature.

The release of the head in early pregnancy is not considered appropriate - as mentioned earlier, when the children grow up, it opens itself. Speed ​​up the process should not be.

Aid in the removal of the foreskin is needed only if accompanied by phimosis symptoms: swelling of the head, redness, painful urination.

But in this case, first, it is desirable to consult with a pediatric urologist.

paraphimosis causes of adult men can be:

• venereal disease - primary syphilis or gonorrhea;
• chronic inflammatory processes penis noninfectious etiology - owing to the polished, dermatologic diseases, allergic reactions;
• candidiasis;
• penile injuries - including because of the self-satisfaction;
• balanoposthitis.

That is, all diseases and conditions, the consequence of which is the shortening of the frenulum of the prepuce. It is not only the disease related to the sexual apparatus, but also the general organic pathology - disruption cardiovascular system, dysfunction of the urinary system - that is, a condition in which the body delayed fluid.

In adult men paraphimosis occurs when, after retraction of the foreskin head rejected - often down, and a circular groove deepens. As the bridle is short, it prevents the foreskin back to its place.

Symptoms infringement glans: acute pain and swelling of the foreskin, which increases in size to such an extent that the ring around the head becomes like a hand-expander.

First swollen bead seemingly transparent, as though filled with liquid, then blushes, turns purple, dark. Difficult urination, pain increases.

A man has to take a characteristic pose - he is trying to tilt the body forward and spread his legs wide.

If care is not provided at this stage, the condition worsens. soft tissue swelling can cause hypoxia, and in the future - necrosis of the glans penis, and even gangrene.

Immediately I must say that to eliminate the infringement of the head of the foreskin

at home it is possible only in the initial stage. As soon as the first signs - the foreskin is tightly gripped head of the penis and does not return to the place - should immediately take the necessary measures.

Trying to reposition independent once held. Body smeared with something moving - a cream, butter - the usual cosmetic or Vaseline - it does not matter. To eliminate edema, cold applied - ice or frozen something out of the freezer.

Then head a little squeeze - not much, and try to gently push through the ring of the foreskin. Manipulation is performed for 2-3 minutes at most - if carried away, it will only increase the swelling, spasms intensify, and begin the development of necrosis.

Treatment of other household ways - by applying slurry of different herbs, lotions and compresses - this is just a waste of precious time. Therefore, whatever the reason of infringement, it is necessary to consult a doctor.

Treatment of paraphimosis should begin as early as possible - as soon as the symptoms appear: the development of edema and the appearance of pain.

Conservative treatment - reduction of the head on an outpatient basis under local anesthesia - with introduction to the base of the penis anesthetics: "Novocain", "Lidocaine", "ultrakain" or similar funds. When the reduction is not possible - this happens when the help of official medicine applied late, and has already begun the development of necrosis - use surgical treatment.

Operations are carried out under local anesthesia for adults, general anesthesia may be used for children. Frenulum incision of the foreskin, which pinches the penis.

After the operation is carried out anti-inflammatory treatment, ligation is done for 1-2 weeks. Daily carried lavage antibacterial agents (more commonly used furatsilina solution).

Also can be administered antibiotics, ointments, anti-inflammatory action. Rehabilitation period can last up to 2 weeks.

In severe cases - with the development of postoperative complications due to the development of necrosis or as a symptom of paraphimosis, may require postoperative catheter to drain urine.

Complications after surgery - if they occur - no different from the usual post-operative complications: a bacterial infection, long nezarastanie joints, bleeding, a general increase in temperature. In this case, the treatment is symptomatic.

There are diseases that can not be prevented. By paraphimosis is not the case.

To prevent development of the disease in boys, you can use the following methods.

1. Daily remove smegma that has accumulated under the foreskin. To this end, it is pulled slightly and washed whisk sexual child member running warm water.
2. While bathing the baby - with about 2 months - remove the foreskin from the glans. Actions should not cause pain in the infant - can be judged by his behavior: when babies sick, they start to cry.

If a child has symptoms: swelling of the head, its swelling, redness, weeping at the time of urination, it is necessary to appeal to a pediatric urologist.

Independently engage in the treatment of phimosis is not necessary - you can trigger the development of paraphimosis.

Preventive measures in adults:

• time being treated inflammatory and infectious diseases of the genital apparatus;
• avoid sexual abuse and trauma.

When the first symptoms of the disease necessarily go to the doctor.

A source: https://muzhiiik.ru/zabolevaniya/drugie/chto-takoe-parafimoz

Paraphimosis boys and men: ICD, causes, symptoms, diagnosis, treatment

Paraphimosis - a condition that requires immediate medical care. It is dangerous not only for the health of the man, but it can also pose a threat to his life.

A belated appeal to the physician leads to the loss of precious time, for which there is death of tissue of the penis head.

Swelling of the foreskin and the strong compression can completely block the urinary tract and cause a rupture of the bladder. In this situation, the least threatening to the patient - it is a disability.

What is a disease

Paraphimosis - not an independent disease, but a complication of phimosis. In the International Classification (ICD-10), both diseases have a code №47.

The root cause - a narrowing and seal skin folds forming the preputial sac. It fits snugly to the head of the penis and moves with difficulty. Phimosis is not always pathological. In young boys foreskin generally immobile. Physiological phimosis in 99% of cases passed to the 6 - 14 years. Pathological form is characterized by inflammation and problems with urination.

Causes of pathological forms of phimosis is not fully understood. It is believed that the opening in the foreskin in infants is narrowed, and the skin loses its elasticity and mobility of the peculiarities of the formation of connective tissue. Pathology will not work by itself. If you do not start early treatment, it can be complicated paraphimosis.

If forced to move the foreskin is tight ring "bites" into the base of the head and can not deal. This forms Paraphimosis. penis head is restrained, its blood supply is disrupted.

In the photo the head of the penis with phimosis and paraphimosis

pathology Causes

paraphymosis threat exists in step 2 and 3 of phimosis. 2 stage the foreskin does not open the head only during sexual excitement, at rest, she moved with little effort. In step 3 foreskin did not shifted or is shifted, but difficult.

The main reason for paraphimosis - it forced the liberation of the glans of the inactive and compacted skinfold. The circumstances in which it occurs in men - active masturbation and injury during sex.

Also, risk factors include:

• traumatic ptosis foreskin;
• bad intimate hygiene;
• venereal disease and skin;
• bridle defect;
• correctly configured piercing.

Paraphimosis may occur after cystoscopy procedure or catheter into the urethra.

Children paraphimosis provoke parents trying to cope without the help of a doctor with phimosis, when they forced the child's bare head of the penis with the aim to stretch the foreskin.

Such actions lead to microtraumas - cracks that cause inflammation and the appearance of scars.

If parents are not watching the hygiene of the boy, because of the accumulation of dirt in the prepuce inflamed penis head and surrounding tissue. On the skin of the foreskin formed scars. They deprive the skin elasticity and narrow hole prepuce. Adolescents with phimosis head clamped in the enforcement of the foreskin is slid at the time of masturbation.

signs paraphimosis

When shifted to the narrow opening of the foreskin pinched by the head of the penis, it is disturbed blood flow and lymphatic drainage. The first sign paraphymosis is pain, which is amplified during urination and complicates it.

External symptoms:

• swelling of the glans and bluer;
• foreskin converted into inflated cushion covering and compressing the head base;
• swelling of the entire penis;
• discomfort.

If the pain let go, and the head begins to turn black, it means the beginning of the necrotic process. Symptoms in children and adults alike.

Diagnosis and treatment

Diagnosis is based on the conventional inspection and patient complaints. Treatment paraphimosis engaged surgeon, urologist or andrologist.

Paraphimosis refers to emergency conditions. If you do not have a care in the next 20 - 30 minutes, begin rapid pathological changes associated with blood circulation. Upon detection of paraphimosis in children urgently need to contact the pediatric surgeon or urologist, and is better to call an ambulance.

If a timely start to treat the pathology, this will help avoid surgery and serious consequences in the form of amputation of the penis, respectively, treatment at home is impossible.

First aid is to reduce pain and decrease swelling. For this is applied to the penis napkin wrapped in ice or cold compress. Bandage with hypertonic solution (5 - 10% salt solution). In the presence of micro-traumas in the head saline is not used.

If there is no pronounced swelling in the first few minutes, you can try to return the head to the preputial sac on their own. A child should gently squeeze the head with your fingers and try to perform reposition it in the foreskin. Pre-exposure to cold will facilitate the process.

Adult man for this need Vaseline or baby oil, which is necessary to lubricate the head. Gently squeezing it should try to pull the foreskin in a circular motion.

Reduction of the glans penis when paraphimosis

conservative

With timely treatment to the doctor head of the penis to manually reduce a compression ring in the skin folds. For adults, it is done under local anesthesia, general anesthesia is given to children. Sometimes in order to facilitate the process with a strong swelling produced puncturing roller foreskin to drain fluid.

After successful manipulation further treatment is baths with potassium permanganate, compresses with camphor oil and applying ointment with prednisolone.

Surgical intervention

When the reduction is impossible to resort to notch roller foreskin. Further outpatient treatment. It is aimed at the prevention of inflammation and wound excision places. As a result, the foreskin is deformed and partially loses its function.

Such patients recommended further circular removal of the foreskin. The surgery is performed through one and a half months after the first intervention. Its necessity is caused by the risk of relapse paraphimosis. Circumcision is performed using a laser or radionozha. The patient left the hospital in closure to the healing process. Appointed by antibiotic therapy.

complications

Home remedies paraphimosis does not exist.

Attempts to improve the condition of using traditional medicine will lead to loss of time and the development of serious complications:

• infection;
• formation of fistulas and ulcers;
• necrosis of the penis head.

All of them have a poor prognosis in the form of amputation organ.
The video on the causes and treatment of paraphimosis:

How to avoid?

The best prevention paraphimosis - attention to their health and cleanliness. This should eliminate the risk factors in the form of promiscuity and sexually transmitted infections. The use of condoms, and timely treatment of inflammatory diseases - prostatitis, urethritis, cystitis and balanoposthitis - protect against dangerous complications.

paraphimosis Prevention in children is in the treatment of pathological phimosis and compliance features of hygiene for boys.

Prevention is as follows:

• used for cleaning the only children's hygiene products;
• Avoid exposure of the glans during bathing;
• not used for bathing foam bath, they contain irritating the delicate skin of the substance.

If skin fold under the foreskin accumulated dirt, it is necessary to carefully wash using a syringe without needle. For washing using pure water or warm furatsilina solution.

Foreskin slightly tighten up in the crack pour liquid. The procedure was repeated 1 - 2 times. Kids can not long keep in the diaper.

Urine and faeces irritate the delicate skin of the penis and cause inflammation.

Prevention and treatment of phimosis and paraphimosis prevention measures - a reliable way to avoid the worst effects of the disease.

A source: http://gidmed.com/urologiya/zabolevaniya-urolog/polovogo-chlena/parafimoz.html

paraphimosis

Content

1. Causes and symptoms
2. treatment

Paraphimosis - an acute pathological condition in men in which there is a narrowing of the foreskin on the penis. It infringes upon the head, which can not itself back to its normal position.

This disease leads to overlap the blood vessels, resulting in disrupted blood flow body head swells.

The man with the great pain, head gradually changes color - it appears bluish tint, difficult urination.

The pathology can be congenital or acquired, in congenital pathologies shows the operation in the early childhood. The definitive diagnosis is based on examination of the penis and anamnesis. The therapy uses a conservative and surgical methods.

The causes of disease development

The main reason for the occurrence paraphymosis is phimosis - a condition in which there is a narrowing ring preputial male organ tissue. Paraphimosis - pathology, following the phimosis, when the head is clamped, and is exposed for a long time.

The boys from birth observed physiological phimosis. He did not pose a threat to health of babies, as the cause of such a state is the bonding of the epithelium of the head body and the inner layer of the skin.

Normal spontaneous separation of the foreskin and head going from 3 to 7 years. Paraphimosis boys and men develops in stages 2 and 3 of phimosis. This is the result early permanent move aside preputial tissue.

The main causes paraphimosis:

• Phimosis based balanoposthitis, trauma of the penis, diabetes, dermatological diseases foreskin.
• Conducting hygienic manipulation of arbitrary move aside the skin for the end of the head (coronal sulcus). The infant must be careful to make caring for the boy's sexual organ, not trying to release the head of the prepuce.
• Masturbation, sexual intercourse.
• Medical manipulation: introduction of the catheter into the bladder or urethra, cystoscopy.
• Such diseases as primary syphilis, autoimmune reaction, localizes in the genital area.
• After the piercing on the penis.
• Short or tight frenulum foreskin. It does not allow the head of the penis returns to its initial position after the exposure of her.

manifestation of disease

Symptoms can be determined visually and on the patient's feelings. With the development of paraphimosis occurs bluish head of the male body, its swelling, edema.

Due to the constant head kinked gradually stagnant blood in the venous and lymph vessels, arterial blood flow is disrupted.

The acute course of the disease can be seen and not a specialist, as round the glans penis appears roller which gradually swells, the swelling increases. In this case, the head expands.

Pain strengths arise at the slightest contact with the head of the penis.

In appearance, the patient is also possible to conclude that the condition is typical for these symptoms to sit with wide spread legs and torso to incline slightly forward. Children diagnosed with acute urinary retention.

If time does not begin treatment, the tissue of the head will die out, and the patient will be complications such as ischemia, necrosis of the head of the local tissues. Status of the penis tissue can serve as an indication for removal of the head, or will autoamputatsiya the affected part of the male body.

Establishing diagnosis

If you experience symptoms should consult a doctor immediately andrologist or urologist, often require surgery consultation. At initial diagnosis expert evaluates the position of the head, loss of tissue of the foreskin, the duration of edema and its rate of increase.

Treatment

In this disease it is important to provide timely medical care to avoid any complications. This requires:

• Applied to swollen cold place, this can be a cold compress or ice object.
• Bandage on the wound site with hypertonic saline for decontamination, top zamatyvaetsya crepe bandage for moderate compression.
• In place of edema hyaluronidase administered to decrease;
• For ease of the patient on the skin surface of the penis with the superimposed application anesthetic drugs.

All these actions are referred to as first aid in case of paraphimosis. They are used to reduce swelling and pain relief. In this disease, said treatment direct manipulation precede squeezing head ring. It may take a conservative or surgical procedure.

Conservative treatment paraphimosis

This method is used at the initial stage paraphymosis. Doctor reduce a head in the ring of the foreskin. The process necessarily analgesic, especially in children. The surface of the penis is lubricated with Vaseline ointment, baby oil or petroleum jelly. For the outflow of fluid makes a puncture body with a strong swelling.

Tissue after reduction for some time retain swelling, pain just will not go.

To end of conservative treatment baths are appointed with pink solution of potassium permanganate (potassium permanganate), applied to the penis applications with anti-camphor oil.

For sucking and removing the swelling and inflammation can be used prednisolone ointment made of glucocorticosteroids.

Surgical intervention

To release the head restraint ring dissected with surgical instruments either have to remove a certain portion of the foreskin. In place of the incision bandage. When dissecting the patient can leave the hospital soon. If the surgeon has removed a part of the skin on the head, the patient needs to spend a few days in the hospital.

Prevention and prognosis of the disease

To prevent the development of paraphimosis should be in time to solve the problem of phimosis, as it had led to the development of acute illness. In some cultures, the best prevention is paraphimosis circumcised, sometimes compulsory.

Paraphimosis prevention is access to a doctor when the first symptoms of phimosis, it is not necessary to engage in self - it is dangerous to the health and preservation of organ function.

In children, it is impossible for the sake of hygiene to release the head - the time comes, she will be released.

And boys need to adjust to the fact that the forced move aside foreskin leads to disease and pain. Urologic manipulation should be neat.

Preventive measure is also a regular examination of urologist, andrologist in childhood and adolescence.

Favorable prognosis with timely treatment to the skilled person and treatment of disease.

If you do not contact the hospital at the first symptoms, to endure the pain, the disease can progress rapidly and then tissue death on the glans penis.

Self-medication in this case does not bring the desired results, but on the contrary, will complicate the situation and worsen the health of the patient.

Causes and symptoms

If you have any narrowing of the foreskin that makes the penis infringement, namely the head, then this condition is called paraphimosis. It is necessary to take into account the fact that, on their own process to return back to its normal position impossible.

In this case, the pathological process is observed deterioration in the quality of life, there is a sharp pain, particularly in the field of infringement, the presence of a bluish color of soft tissue. If paraphimosis diagnosed, the symptoms can be confusing for the patient at the outset of the disease. The man in the fastest possible time occurs swelling of the penis head, problems in intimate life, inability to empty properly.

The most characteristic element is the presence of the roller around the head, which clearly proves that the patient has paraphimosis.

If paraphimosis is suspected, diagnosis of the disease process is very simple. That is, diagnosis can be made on the basis of conventional visual inspection of the penis and the anamnesis of the patient.

As for treatment, there are two methods of care of the sick - conservative and operative. If treated without surgery, it is performed the usual reduction of infringement by bimanual member. If conservative treatment impossible manner doctor resorting to surgery. This is either an incision of the foreskin, for the relief of infringement, or total excision - circumcision.

paraphimosis reasons

The disease is both the birth of the baby, and can occur in adults. As soon begins to form the external genitalia in boys, it is formed of two sheets, which are divided into external and internal.

Ends this development at the stage of the final formation of the sexual characteristics. There is such a term as phimosis physiological nature. This is the norm, but for such a process to be dynamically monitored. What is paraphimosis can see in the picture.

Typically, paraphimosis, the blue does not occur. He appears only when there is phimosis at an advanced stage, it is the second or third. In the early stages of phimosis, paraphimosis appearance occurs only in rare cases.

Well and, accordingly, in the last stage of phimosis, and paraphimosis appearance is impossible, because of the actual lack of exposure of the patient head.

paraphimosis diagnostics

Most boys this pathological condition is a result of the plan of hygienic procedures. Parents force pushing the skin by tightening the furrow of the crown, to rinse thoroughly.

As for adults, such a pinching could occur due to sexual contact with a partner or masturbation. There are also facts that paraphimosis occurs as a result of reduced skin elasticity in the area of ​​the external genitalia.

The outcome of this phenomenon lies in the fact that a man can not return the tissue to its original position. The color of urine when there is normal paraphimosis. Occasionally there is a color change, owing to a running process, when there is a deep necrosis of the penis.

Urine starts to get cloudy and reddish. There have also been cases where after the piercing, there is a pathological manifestation.

paraphimosis signs

Like many other diseases from the reproduction, paraphimosis begins abruptly with a sharp picture of all clinical manifestations. If you still diagnosed paraphimosis, the clinic where the treatment will be carried out, should be in the fastest possible time to solve the tactics of the relief process.

Clinical manifestations of the disease are pronounced, increased swelling, as a result, increases the roller on the foreskin. As for the other end of the penis, when the disease is quiet, suffering only a distal end.

Also, there is a sharp pain that nothing is impossible to stop, Any painkillers powerless. This is all due to the fact that, on this exposed area is localized huge grid of nerve fibers. A slight touch thereto leads to infernal pain sensations.

If time does not begin treatment, it may cause tissue necrosis, the outcome of which will be a partial amputation of the penis.

Treatment

As soon as you suspect that you have a paraphimosis, should immediately seek medical help from doctors. It may be professionals such as a surgeon, urologist. If it is a child, according to the children's doctors of surgical profile.

Formulation of the pathological process is performed by collecting the patient's medical history, as well as inspection of inflammation at the distal portion of the penis.

Paraphimosis home treatment is strictly prohibited, if it is not recommended to your doctor.

The disease is the condition which should immediately be treated. That is, this disease refers to diseases of the urgent plan. First and foremost it is necessary to make such a patient at the distal end of the cold member. This may be to compress or cold container.

Next, it can be treated by applying a special bandage consisting of a hypertonic solution origin, elastic bandage plan. Some doctors for pain impose application of pain medication local destination.

The above first aid techniques, not only cropped pain, but also significantly reduces swelling process in the penis.

Paraphimosis have treated men there two plans. This conservative and surgical method, though the treatment strategy selects only physician according to the severity and neglect such a process. The most popular non-surgical method of treatment is reduction of the distal end of the penis by hand.

If this does not succeed, then the operation is carried out and cut in the pinch. The ring is excised and the patient in the fastest possible time recovers and lives a normal life. If certain terms are not to make any aid to the patient, or to treat yourself, it may simply happen tissue necrosis, with subsequent necrosis body.

Paraphimosis in the treatment of children is the same as in adults.

In order to prevent the disease processes and swelling phenomenon at the early stages of the occurrence of paraphimosis is necessary to try to straighten the foreskin. For convenience, you need to apply some remedy for lubrication, a liquid nature.

In this case, it can either hand cream, vegetable oil or plain petroleum jelly. Followed by neat try to push the end of the penis in the opposite direction to the fold of the skin itself. It is necessary to take into account that this reduction will be a very painful procedure.

Once produced the reduction, the pain disappears abruptly, and swelling will gradually decrease. If, on the contrary, for five minutes, you could not have the right, then as soon as possible it is necessary to seek the help of doctors. In the absence of timely reposition leads to the fact that you can just lose the distal end of the member once and for all.

Paraphimosis boys conservative treatment is also allowed, but it should do the parents. Children usually do not immediately turn to their fathers and mothers, so often already conservative straighten extremely problematic.

Here is the paraphimosis boys photo. Treatment of children must be carried out in the fastest possible time.

Operation when paraphimosis - performance technique

Surgical way to the relief of the disease is made only when there was not a conservative success, sludge treatment was later. It is also an indication for radical treatment is the presence of the patient's head necrosis or gangrene.

As soon as the patient asked for help, doctors will soon conduct the image of anesthesia. If this is an adult and an adult, he can produce a local anesthetic by administering lidocaine. An injection is made directly at the place of infringement head. As for the kids, everything is different. For all international protocols for children are anesthetized overall plan.

Once launched anesthesia, the doctor also tries to straighten the head by bimanual. If after several attempts at reduction was not successful, it is necessary to resort to radical ways. It held a small incision in the area where the infringement occurred.

Next, the patient is assigned to drugs against inflammation, as well as dynamic dressings daily. Most often drugs are prescribed in the form of gels, which included elements capable to fight against inflammation.

Dressing as needed to prevent the development of infection, doctors washed Venue operations specialized solutions. By the bright representative of solutions to fight against infection is furatsilin. In carrying out such procedures success at such diagnosis is extremely positive.

If the patient has advanced forms of paraphimosis, then spend the complete removal of the dead areas of the foreskin. Next also prescribe drugs against inflammation and prevent infection.

Many people wonder how to treat paraphimosis at home? As mentioned above, if there was infringement, the first minutes, you can own right. With a negative result, to be treated strictly prohibited. Home treatment paraphimosis carried out only at the initial stages of the disease.

If the reduction is carried out paraphimosis, the price is set individually for each, depending on the region of residence and by most clinics.

The most important element in the tactics of treatment of this disease is that, if there are certain areas of necrotic tissue, then treated conservatively is strictly prohibited. Such a state is docked only by surgery.

After surgery, there have been cases when complications arise. It was either the accession of infection or the formation of subcutaneous hematoma. But all of these complications are not threatening for the patient and if properly treat the patient, then the outcome will be favorable.

Since the surgery, the patient recovers completely already at day 20 with a favorable course.

A source: https://yrologiia.ru/parafimoz.html