Phimosis, Paraphimosis

Phimosis is a narrowing of the foreskin that does not allow full exposure of the head of the penis. There are congenital and acquired phimosis.

There are two main forms of phimosis:

1. Hypertrophic phimosis is a congenital elongation and narrowing of the foreskin, under which inflammation easily occurs. This leads to impaired urination and the development of complications such as balanitis, balanoposthitis. Characteristic of congenital phimosis.

2. Atrophic phimosis is a narrowing of the foreskin due to age-related atrophy or chronic inflammation. Characteristic of acquired phimosis.

With severe phimosis, during urination, the preputial sac becomes inflated with urine. This leads to stagnation of urine and the development of infection, as well as the formation of stones. Long-term phimosis contributes to the development of penile tumors.

Treatment of phimosis is circumcision, i.e. excision of the foreskin. The prognosis is favorable.

Paraphimosis is the pinching of the glans penis by the retracted foreskin. There is a disruption of the blood supply to the head and its swelling.

Complications of paraphimosis: if not treated in a timely manner, necrosis of the glans penis may develop.

Treatment of paraphimosis: an attempt to reduce the edematous head; if unsuccessful, dissection of the pinching ring and, after the edema subsides, circumcision.