Foreskin Hypertrophy or Phimosis or Paraphimosis

Foreskin Hypertrophy, Phimosis and Paraphimosis: Therapy

General Measures Observance of the general hygiene measures! Conventional non-surgical therapy methods Stretching treatment for phimosis/foreskin stenosis (first-line therapy) Procedure as follows: Retraction of the prepuce (foreskin) to release adhesions (adhesions): Foreskin – once or twice a day for about 5-10 minutes – carefully pull back with two fingers as far as this is possible … Foreskin Hypertrophy, Phimosis and Paraphimosis: Therapy

Foreskin Hypertrophy, Phimosis and Paraphimosis: Medical History

Anamnesis (medical history) represents an important component in the diagnosis of foreskin hypertrophy, phimosis, paraphimosis. Family history Social anamnesis Current anamnesis/systemic anamnesis (somatic and psychological complaints). Do you have any pain? If yes, when does the pain occur? Where is the pain localized? Is there pain during urination? Do you notice ballooning (the foreskin may … Foreskin Hypertrophy, Phimosis and Paraphimosis: Medical History

Foreskin Hypertrophy, Phimosis and Paraphimosis: Complications

The following are the most important diseases or complications that may be contributed to by phimosis: Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Balanitis (acorn inflammation). Balanoposthitis – inflammation of the glans and foreskin. Ballooning of the foreskin during micturition (urination). Urinary tract infections (UTI) Preputial stones – stone formation under the foreskin, consisting of … Foreskin Hypertrophy, Phimosis and Paraphimosis: Complications

Foreskin Hypertrophy, Phimosis and Paraphimosis: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Inspection and palpation (palpation) of the abdomen (belly), inguinal region (groin region), etc. (pressure pain?, knock pain?, release pain?, cough pain?, defensive tension?, hernial orifices?, … Foreskin Hypertrophy, Phimosis and Paraphimosis: Examination

Foreskin Hypertrophy, Phimosis and Paraphimosis: Surgical Therapy

In boys with only a nonretractable foreskin-due to foreskin adhesions-preoperative therapy should be attempted with an ointment containing corticosteroids (see “Further Therapy” below). The following surgical procedures are available: Preputioplasty – foreskin plastic (foreskin-preserving). Circumcision (foreskin circumcision) – the foreskin can be removed completely (radical Z.) or partially (partial Z.) In the case of a … Foreskin Hypertrophy, Phimosis and Paraphimosis: Surgical Therapy

Foreskin Hypertrophy, Phimosis and Paraphimosis: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate phimosis: Pathognomonic (evidencing a disease). The prepuce (foreskin) cannot be retracted over the glans penis or can only be retracted to a very limited extent The following symptoms and complaints may indicate paraphimosis: Pathognomonic (evidencing a disease). The prepuce can no longer be advanced over the glans penis. … Foreskin Hypertrophy, Phimosis and Paraphimosis: Symptoms, Complaints, Signs

Foreskin Hypertrophy, Phimosis and Paraphimosis: Causes

Pathogenesis (development of disease) Foreskin hypertrophy is an enlarged foreskin covering the glans penis. Phimosis refers to the narrowing of the foreskin. This makes it impossible to strip back the prepuce (foreskin) over the glans penis. In 10-40 % of the operated phimosis a lichen sclerosus (chronic disease of the connective tissue, which probably belongs … Foreskin Hypertrophy, Phimosis and Paraphimosis: Causes