Urology
Phymosis and paraphymosis
Phymosis. Paraphymosis.
Inability to Inability to pull
Retract the Retracted
Prepuce prepuce
(Foreskin). forward.
Phymosis
Etiology-
Congenital
Chronic balanophosthitis (inflammation of glans penis and prepuse)
Chancre (painless ulcer due to infection)
Carcinoma
Clinical features
Ballooning of penis
Can't retract the skin over penis (prepuce)
Might in turn lead to balanophosthitis
Complications
Ca penis
Paraphymosis
Treatment- circumcision.
Paraphymosis
Pathogenesis
The non retractable skin forms a ring and compresses veins (venous congestion), causing glans penis to swell.
Causes - after urinary catheterization, after sexual inter course.
Clinic features- pain, swelling and edema of prepuce and glans penis.
Treatment
Injection hydrluronidase (250 units) on the ring then after swelling subsides physical manipulation.
Circumcision later.
Complication - ulcer and gangrene.
I was scrolling through a binary option group ,then i saw a post by Robert Seaman about Forex and binary trading and how i could earn much more than i can imagine, i got in touch with him and he made every step clear to me and how his strategy would work magic. and it really did!! i got $16k my first week after i invested just $750 if you are having difficulties in trading, she can also manage your broker account,which you will also have your ACCESS LOGIN so as to enable you to check your trade records and balance daily contact Sir Robert through Email: Robertseaman939@gmail.com
ReplyDelete