Acute Paraphimosis
Medically reviewed by Drugs.com. Last updated on Jul 7, 2024.
AMBULATORY CARE:
Acute paraphimosis
is abnormal tightness of the foreskin. The foreskin covers the glans (tip) of the penis. The foreskin can be pulled back onto the penis to uncover the tip. Acute paraphimosis prevents your foreskin from being pushed back over the tip.
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Common symptoms include the following:
- Swollen tip and shaft
- Bluish or dark tip
- Pain in your penis
- Pain when you urinate, or problems urinating
Seek care immediately if:
- You have sudden pain or swelling in your penis.
- You lose feeling in your penis.
- You have an open wound on your penis.
Call your doctor if:
- Your signs and symptoms return or worsen.
- You have pain during sexual activities.
- You have questions or concerns about your condition or care.
Treatment for acute paraphimosis
may not be needed. The swelling in your penis should decrease after your foreskin has returned to its normal position. You may need the following treatments if your foreskin does not return to its normal position:
- Medicines may help decrease pain or swelling.
- An ice pack may be placed on the foreskin and tip for 5 to 10 minutes to decrease inflammation.
- Tight pressure may be needed for a short period of time. This will help decrease inflammation. Healthcare providers may wrap your penis with a bandage for 5 to 10 minutes. A bandage with numbing medicine may be used.
- Procedures may be needed to move your foreskin back into position over the tip. Another procedure may be needed to decrease severe swelling.
- Surgery may be needed if other treatments do not work. During surgery, the foreskin is placed in the correct position so pressure and swelling are relieved. You may need a circumcision after this procedure because cutting the foreskin will change how your penis looks.
Treatment options
The following list of medications are related to or used in the treatment of this condition.
Self-care:
- Do not have sex until your healthcare provider says it is okay. Do not have any sexual activity for 7 to 10 days, to allow the penis to heal. Sexual activity includes intercourse and masturbation. Ask when you can go back to your usual sexual activities.
- Keep your penis clean. Clean your penis every day by removing the smegma around the tip. Ask for more information about foreskin care.
- Gently move your foreskin back to the normal position. Every time your foreskin is pulled back, make sure it returns to its original position. The foreskin must always cover the tip. Do not force the foreskin back over the tip. Force can cause scars to form on the penis.
- Do not use penile rings. Penile rings can cause swelling and infection.
Follow up with your doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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