Paraphimosis in infants and children | Paraphimosis

Paraphimosis in infants and children

In early infancy and childhood, the foreskin is often glued to the glans (96%). One should not try to separate the foreskin then by force from the glans. This early foreskin agglutination or foreskin constriction dissolves by itself in most boys at the age of three to five years.

Only in 8% of male children the phimosis is still present. With increasing age, the frequency of the occurrence of phimosis decreases. If the foreskin does not come off easily from the glans, do not try to push the foreskin back forcibly, because the tight foreskin can then wrap itself around the shaft of the penis and paraphimosis can develop.

Paraphimosis in adults

In an adult man, the foreskin should be easily and painlessly guided over the glans and back again in any condition. If this is not the case, one speaks of a phimosis, which can either be congenital or may have developed during life through scarring. With foreskin constrictions in adulthood, erections are painful for the person affected. In adults, paraphimosis often develops as a result of erections or when the foreskin is forgotten to slide back over the glans after nursing or medical interventions.

Consequences of paraphimosis

The consequences of paraphimosis depend on how long this condition has existed. If a paraphimosis can be reduced quickly, the consequences are minor. Infections can develop on the foreskin or the glans, but this should prevent urological aftercare.

Even if in this case the obvious consequences or consequential damages fortunately did not occur, the patient or his relatives should talk to the doctor about circumcision to prevent further paraphimosis. If a paraphimosis had to be surgically reduced, care must be taken in the healing process to ensure a problem-free wound healing in order to prevent infection. Paraphimoses that persist too long can cause the death of the foreskin and glans.

The skin initially discolors bluish-blackish. At this stage surgery is absolutely necessary and the consequences are dramatic. From this follows: In order to prevent permanent consequences of paraphimosis, one should attempt a reduction as early as possible and, if this is not successful, go to the doctor immediately. Shame or embarrassment in this case leads to dramatic consequences, which could have been avoided with professional help.