ParaphimosisN47.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

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DefinitionThis section has been translated automatically.

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

EtiopathogenesisThis section has been translated automatically.

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

Clinical featuresThis section has been translated automatically.

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

TherapyThis section has been translated automatically.

  • 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/forecastThis section has been translated automatically.

Risk of necrosis.

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Last updated on: 29.10.2020