Please enable JavaScript.
Coggle requires JavaScript to display documents.
paraphimosis-singapore-treatment-clinic-2-1-600x600 Healthline.com …
Healthline.com
ScienceDirect.com
(Mogotlane, S. (ed), et al., 2015)
Definition
Failure of the tight foreskin to return to its origin after retraction.
Forskin stucks behind glans penis
Pathophysiology
• Preputial ring & oedema increase penile weight causing rectration reluctance
• Irritation occurs on the exposed tissue
• Oedema with penis & prepuce occurs
• Damaged tissue develops fibrosis
• Penile exposure for a long time impairs venous & lymphatic drainage
• Heavy tissue weight cause pudendal nerve damage resulting in paralysis
Causes
• May occur due to masturbation
• Sexual intercourse
• Catheter insertion
• Cystoscopy
• Cleaning of glans penis
Nursing management
Soak in warm water
encourage circumcision
Careful cleaning of prepuial ring and glans
Careful attempt of returning foreskin to its position
administer analgesics to relieve pain
Rest in a supine position
Use ice packs to compress swelling
Medication
Analgesics
Antibiotics
Local Anesthesia & Sedatives
Manifestations
Redness & tenderness
Unable to urinate
Pain & discomfort
Swelling behind glans penis
Reluctance to pull back prepuce over glans penis
