Phimosis And Paraphimosis: An Overview
Feb 24, 2025
Phimosis and Paraphimosis: An Overview

Phimosis and paraphimosis are two distinct medical conditions affecting the male genitalia, specifically the foreskin of the penis. These conditions can cause discomfort and require prompt medical attention. In this comprehensive article, we will explore the definitions, causes, symptoms, and treatment options for phimosis and paraphimosis, with insights from Dr. Gaurav Sangam, a leading General Surgeon and Consulting Proctologist specializing in anorectal diseases and ZSR stapler circumcision.


Phimosis:


1. Definition:


Phimosis is a condition where the foreskin of the penis is too tight, making it difficult or impossible to retract it fully over the glans (the head of the penis). This condition can be present at birth (congenital) or develop later in life (acquired).


2. Causes:


  • Congenital phimosis is commonly observed in infants and young boys. It occurs due to the natural adhesion between the inner surface of the foreskin and the glans, which typically resolves on its own as the child grows.


  • Acquired phimosis can develop due to inflammation or infection of the foreskin, known as balanitis. Other causes may include repeated forceful retraction of the foreskin, poor hygiene, or scarring from injury.


3. Symptoms:


The main symptom of phimosis is the inability to retract the foreskin over the glans. This may result in difficulty urinating, discomfort during sexual activity, or recurrent infections.


4. Treatment:


Treatment options for phimosis depend on the severity and underlying cause. In mild cases, topical steroid creams may be prescribed to reduce inflammation and facilitate foreskin retraction. In more severe cases, a surgical procedure called circumcision may be recommended. Dr. Gaurav Sangam is well-versed in performing ZSR stapler circumcision, a minimally invasive and highly effective technique that offers faster recovery and reduced post-operative pain.


Paraphimosis:


1. Definition:


Paraphimosis is a medical emergency where the foreskin becomes trapped behind the glans, leading to a tight constricting ring. This condition occurs when the foreskin is forcibly retracted and cannot be pulled back over the glans.


2. Causes:


Paraphimosis is typically a result of a failed attempt to retract a tight foreskin or leaving the foreskin retracted for an extended period. It can also occur following medical procedures or trauma to the genital area.


3. Symptoms:


The hallmark symptom of paraphimosis is the presence of a swollen and constricting ring behind the glans, causing pain and discomfort. If left untreated, paraphimosis can lead to impaired blood flow to the glans, potentially causing tissue damage.


4. Treatment:


Paraphimosis requires immediate medical attention. Treatment options include manual reduction, where a healthcare professional gently compresses the swelling to push the foreskin back over the glans. In severe cases, a dorsal slit procedure may be performed to relieve the constriction. Timely intervention is crucial to avoid complications and preserve genital health.


Consultation with Dr. Gaurav Sangam:


If you or your loved ones are experiencing symptoms of phimosis or paraphimosis, seeking expert advice from Dr. Gaurav Sangam is paramount. As a distinguished General Surgeon and Consulting Proctologist specializing in anorectal diseases and ZSR stapler circumcision, Dr. Sangam provides comprehensive consultations and personalized treatment plans tailored to each patient's unique needs.


Conclusion:


Phimosis and paraphimosis are two distinct conditions affecting the male genitalia, necessitating prompt medical attention. Understanding the causes, symptoms, and treatment options for these conditions can help individuals seek timely and effective care. Dr. Gaurav Sangam.


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