Paraphimosis N47.x3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Collar Spanish; Spanish collar

Definition
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Strangulating constriction of the glans penis by compression of the dorsal vein and the lymphatic vessels with the prepuce pulled back and not repositionable.

Etiopathogenesis
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Forced reduction of the prepuce in relative phimosis, inflammatory paraphimosis in venous infection.

Clinical features
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Blue-red, swollen and painful glans penis (congestion of blood reflux from the glans penis), reddened, edematous, distended, ring-shaped foreskin. Initially severe pain.

Therapy
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  • If it lasts for a few hours, first try to compress the penis from distal to proximal until the edema disappears, then push the glans back under the foreskin with the bell handle.
  • If the condition persists for several days, surgical severing of the lacing ring over a probe. Circumcision after the swelling and inflammation has subsided.

Progression/forecast
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Risk of necrosis.

Outgoing links (1)

Circumcision;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020