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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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lunes, 5 de septiembre de 2016

Paraphimosis

ALiEM
ALiEM - By Jonathan Fu J, Watts M and Coralic Z - August 22, 2016
"Paraphimosis occurs when a retracted foreskin can’t be reduced back over the glans of the penis. Risk factors for paraphimosis include scarring, vigorous sexual activity, chronic balanoposthitis, and forgetting to replace the foreskin after catheterization or manipulation.
Paraphimosis can be a urological emergency as the tight ring formed by the foreskin can cause ischemia to the tip of the penis and eventually gangrene. Timely reduction is of high importance. Treatment involves gentle compression of the glans and gradual manual foreskin retraction. Unfortunately, as time goes on, more swelling occurs making traditional reduction techniques more difficult...
TRICK OF THE TRADE
Sugar solution for non-reducible paraphimosis
  1. Mix 50 mL of 50% dextrose solution with 2% lidocaine jelly (a.k.a. Urojet®).
  2. Place a gauze into the solution.
  3. Place soaked gauze on the glans of penis.
  4. Cover with condom or condom foley.
  5. Wait 1 hour.
  6. Reduce the paraphimosis."
paraphimosis