Paraphimosis is an uncommon medical condition in which the foreskin of a penis becomes trapped behind the glans penis, and cannot be reduced If this. SOURCES OF INFORMATION. This paper is based on selected findings from a MEDLINE search for literature on phimosis and circumcision referrals and on our . Phimosis is nonretraction of prepuce. It is normally seen in younger children due to adhesions between prepuce and glans penis. It is termed.

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It serves many functions; the main being protective, immunologic, and erogenous.

Kelainan Fimosis (Phimosis)

Any history of self-retraction should also be elicited. Penile Development and Anatomy Penile formation starts from 7th week of gestation and is complete by 17th week [ 8 ]. Thus preputial retractability improves with increasing age. Although this is a rare presentation, it can cause considerable grief for patients; hence urologic consultation should be sought for residual phimosis among teenagers. See My Options close.

The patient must be asked whether he has been circumcised or partially circumcised. Lateral preputioplasty for phimosis.

Pathologic and physiologic phimosis

Muller I, Muller H. Kodega G, Kus G. Reassurance and Vigilance When it is certain that phimosis in the child is not pathologic, it is vital to reassure the parents on normalcy of the condition in that age group.

Hematospermia Retrograde ejaculation Postorgasmic illness syndrome. If a patient has concomitant balanitis or balanoposthitis, depending on the etiology, he may be treated with topical antibiotics or antifungals [ 60 ].


Occasionally, enuresis or urinary retention is noticed.

Journal List Can Fam Physician v. Male diseases of the pelvis and genitals N40—N51— Lichen sclerosus et atrophicus. See My Options close Already a member or subscriber?

Pathologic and physiologic phimosis

Paraphimosis must be distinguished from phimosis, a nonemergency condition in which the foreskin cannot be pulled back.

Most of the time retraction is prevented by persistence of preputial adhesions. Acceptance and success of topical betamethasone for phimosis as an alternative to circumcision. Usia Fimosis dan parafimosis dapat terjadi pada semua usia.

All of these techniques are geared toward reducing the swelling so that manual reduction can be performed.

Background Phimosis refers to the inability to retract the distal foreskin over the glans penis. Miskin kebersihan dan episode berulang balanitis atau memimpin balanoposthitis luka parut dari lubang preputial, menyebabkan phimosis patologis. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Once the swelling has subsided, the wrap should be removed. Mild soap can be used, but avoid strong soaps as it could lead to chemical irritant dermatitis and further phimosis. All providers of adult care should be made aware of the risk of paraphimosis associated with bladder catheterization. Parents should be made aware of these measures to treat phimosis.

In physiologic phimosis, the preputial orifice is unscarred and healthy appearing. Drawbacks to this method include the risk of anaphylaxis and shock and the lack of availability of hyaluronidase in many EDs. Parafimosis klasik menyajikan parafimosiss penis, kelenjar bengkak yang menyakitkan pada pasien disunat atau sebagian disunat.


Prevention of balanitis in the adult. Paravimosis able to distinguish between pathologic and physiologic phimosis would greatly reduce unnecessary, costly referrals. Parents are often overtly anxious and over-concerned about this nonretractability in their infant or toddler.

The Scientific World Journal. Recurrence Posthitis Necrosis and gangrene of the glans[4] Autoamputation Prognosis Complete resolution is expected with appropriate treatment.

Phimosis in Children

The one absolute indication for performing a circumcision remains pathologic phimosis. But this risk is minor considering the fact that parafimosiss amount of steroid cream used and surface area of application is small. Choe also completed a clinical fellowship in female urology, urodynamics and neurourology at Beth Israel Hospital and New England Deaconess Hospital, both in Boston. Puncture method This method requires the use of a to gauge needle to puncture openings into the foreskin to allow edematous fluid to escape from the puncture sites during manual compression.

The remainder of the penile shaft is flaccid and unremarkable. Hal ini membebaskan cincin konstriksi dan memungkinkan untuk pengurangan mudah parafimosis tersebut. Balloon dilation treatment of phimosis in boys. Osmotic method Substances with a high solute concentration can be used to osmotically draw out fluid from the edematous glans and foreskin prior to manual reduction.

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