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.
