A Family Doctor's Tale - PHIMOSIS

DOC I HAVE PHIMOSIS


PHIMOSIS is a congenital or acquired constriction of the prepuce of the penis that cannot be retracted.

Paraphimosis is retracted foreskin which cannot be reduced over the glans penis.

The cause of PHIMOSIS is due to:
1.congenital narrowing of the preputial opening associated with long foreskin

2.inflammation of undersurface of prepuce

3.scarring following inflammation of the glans penis(balanitis)

Paraphimosis occur :
1.after accidentally from retraction of prepuce

2.after circumcision

Symptoms :
Phimosis:
1.tight prepuce with difficulty in urination

2.ballooning of prepuce during urination

Paraphimosis:
1.tight prepuce retracted cannot be reduced

2.glans engorged and edematous

3.bluish discoloration of glans

4.severe pain and difficulty in urination

Treatment:
Phimosis:
regular retraction

use of steroid to help retraction

circumcision

Paraphimosis:
cold compress
lubricant
adrenaline inj
reduction
incision of constricting band
circumcision

Prognosis:
cure after appropriate treatment