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About Jonathan Fu, MD

Emergency medicine resident
UCSF-San Francisco General Hospital EM Residency Program
22 08, 2016

Trick of the Trade: Paraphimosis – Pour Some Sugar On Me

2016-11-11T19:47:08+00:00

paraphimosisParaphimosis 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.1 Unfortunately, as time goes on, more swelling occurs making traditional reduction techniques more difficult.

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