Symptoms and treatment of paraphimosis
Paraphimosis is a serious pathology that occurs in men. With this pathology, the head of the penis is pinched backward by the prepuce. This pathology occurs against the background of other diseases. Most often it develops after phimosis or other dangerous diseases that have not been cured in a timely manner.
What causes parafyphosis?
This pathology can be felt during sexual intercourse, as well as during personal hygiene procedures. The severity of the consequences of the disease directly depends on how soon the foreskin of the man was placed in the right place. The longer the foreskin is not adjusted, the more serious the complications will be. If the foreskin is pressed for a long time on the penis, then the case can even reach the amputation of the genital. Also because of this pathology on the penis may form sores that lead to inflammation.
Sometimes paraphimosis begins to develop after the last opening of the head, which is done when examined by a doctor. Also, the disease can begin to progress with cytoscopy in people with catheterization of the urethra or phimosis. Therefore, doctors are always extremely cautious during the procedures.
The sooner pathology is identified, the more likely a successful outcome. In the early stages, the problem can be eliminated using manual techniques that are combined with conservative treatment methods. With complications, conservative methods are rarely helpful, so in such cases, doctors decide on a surgical procedure. The patient is urgently cut by the narrowed prepuce. Also, the patient can be assigned and regular circumcision, which is also quite effective in this pathology.
Symptoms and signs of parafymosis
The main symptom of the disease is pain in the penis. An acute form of urinary retention and the formation of obstruction of the entire urinary tract can also occur. Along with these symptoms, a pronounced increase in the glans penis is observed. Outwardly, the head looks very swollen and immediately behind it is a formed edematous ring of foreskin. The proximal part of the penis, as a rule, remains unchanged.
If for a long time to ignore the disease and not carry out any treatment, then there can be very serious consequences. Without proper treatment, necrosis of the head of the penis occurs, which forces the doctors to amputate the distal region of the penis.
Once the head of the penis is removed from the narrowed foreskin, then almost immediately the man is in pain. After a while, this part of the penis acquires a dark red or bluish tinge. Then there is an increase in volume. If the head is not refilled, it will increase in size. Puffiness is formed due to a violation of blood and lymph circulation.
Because of the sharp increase in the size of the head, the pain becomes stronger, so the head needs to be fixed back for 10 minutes, otherwise it can start the process of necrosis of the tissues. This time is critical for this pathology. As soon as the necrosis of the nerve endings begins, the pain disappears. After a while on the head of the penis appear necrotic ulcers, which gradually increase in size. Thus the head changes color from bluish to violet or even black. If you do not immediately take any measures, the consequences can lead to a complete amputation of the penis and even to infection of the blood.
Later on the penis begin to appear spots, which indicate that some parts of the penis already deadened. In this area there is a complete lack of sensitivity. In some patients, ulcers and cramps appear on the glans penis. The tissues in this area of the penis begin to decay and decompose, resulting in a sharp and unpleasant odor. In this case, the color of the penis head becomes very dark. Perhaps even the development of gangrene.
With this course of the disease a person begins to experience strong weakness and general deterioration of the condition. There is rapid fatigue, nausea and dizziness. The body temperature also rises. There are also cases when self-amputation of the penis occurs.
How parafymosis is treated
From the above, it becomes clear to any person that it is impossible to start this disease. As soon as symptoms of a pathology appear, you should immediately consult a doctor. Treatment depends on the severity of the symptoms, as well as on the stage of the disease. In this case, different methods of treatment can be prescribed - conservative and surgical.
With conservative methods, the usual correction of the glans penis is most often used. If paraphimosis is already at the stage when surgical intervention is necessary, then in the area of infringement the doctors make a cut of the foreskin of the penis. If the time does not take up treatment, the consequences can be very serious, up to the complete necrosis of the head tissue.
In order not to begin swelling at the first minutes of development of this pathology, it is necessary to try to fix the head of the penis independently. To relieve discomfort and improve the glide, you can use a lubricant. If it was not at hand, then you can use vegetable oil, petroleum jelly or any cream. It is necessary to apply a lubricant to the damaged area of the body, and then, gently squeezing the head, it should be tried to push back to the foreskin. It should be understood that such manipulation is very painful. Therefore, if this could not be done during the first minutes, then it is necessary to contact the surgeon as soon as possible. If this is not done, the head may become dead. It will happen in ten minutes.
Surgical intervention is performed as follows:
- The patient is given pain medication. It is injected under the skin in the region of the base of the penis. As an anesthetic, lidocaine, novocaine, and other drugs can be used. If the operation is done to the child, general anesthesia is done.
- Once the anesthesia has worked, the surgeon attempts to fix the glans penis manually. If this can not be done, then they resort to a surgical method of treating this pathology. At the same time, the restrained foreskin is cut off or an incision is made on it.
- The resulting wound is treated with special ointments and disinfectants. For the first time an anti-inflammatory dressing is applied.
- After the operation, the patient needs to constantly do the washing, which will help to avoid infection. Such washing can be done in a hospital or at home.
- If you have to remove too many tissues, the patient is prescribed antibiotics and it is recommended to undergo treatment in the hospital until the wound is fully healed.
Prevention of paraffimosis
Most often, this disease develops due to poor personal hygiene. It can also develop due to neglect of male health. Therefore it is very important to visit a doctor and follow all his recommendations.
If pathology began to develop in childhood, then it is recommended that it be removed surgically. In childhood, the operation passes quickly and safely and almost never after it there are complications. Much more serious consequences can be, if not to eliminate this pathology.
