What Is the Treatment of Paraphimosis? First-Line Manual Reduction
Paraphimosis is the inability to return a retracted foreskin to its normal position over the glans penis. It requires timely, urgent intervention to relieve swelling, restore normal blood flow, and prevent complications.
Clinical Goals
Successful management means the foreskin is returned to its normal position over the glans penis with full resolution of penile oedema, restoring tissue perfusion and relieving discomfort.
Treatment Approach (Partial Overview)
First-line management involves a manual, hands-on reduction technique. A lubricating agent is applied to facilitate the procedure. The complete step-by-step protocol — including specific technique, sequencing, and escalation criteria — is available in the structured regimen below.
References
- Paraphimosis is the inability to return a retracted foreskin to its position over the glans penis.
- Timely and appropriate management of paraphimosis is essential and involves urgent intervention to reduce swelling and restore normal blood flow to alleviate patient discomfort as well as to prevent complications that can lead to increased morbidity and healthcare utilisation.
- Attempt to reduce foreskin by manipulation.
- Instillagel can be used as a lubricant.