Paraphimosis - Altmeyers Encyclopedia - Department Dermatology

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.

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Dermatology

Folliculitis with initial erysipelas and lymphangitits.

Lymphangitis acuta

Inflammation of the superficial lymph vessels after the spread of bacteria in the draining lymph vessels wi...

Clinic
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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.