Many men are not by hearsay familiar with such pathology as paraphimosis. This disease is diagnosed when the foreskin is shifted and squeezes the head of the penis along the circumference. This condition refers to the urgent, and usually develops as a complication of the pathological narrowing of the foreskin. If you do not take emergency measures, then this condition can cause the death of the head tissue. The disease can not be called particularly common, because it is infrequent. But the danger, which it represents, is rather difficult to underestimate. Therefore, paraphimosis requires an urgent intervention of a specialist.
What is the cause of parasymosis
There are many causes of pathology, but all of them lead to infringement and swelling of the head. In boys, paraphimosis most often develops as a result of physiological phimosis, with which, according to statistics, half of male kids are born. But by the end of the puberty stage, almost all the narrowing of the foreskin passes by itself. Some impatient parents try to help the foreskin to reveal themselves completely, and they provoke the development of paraphimosis.
For pathology is characterized by an acute onset and a strong symptomatology. In this case, the foreskin under the head becomes similar to a swollen roller of a dense consistency.
In adult men, the factors that provoke pinching are much greater. Among them most often occur:
- Phimosis caused by scar formation. In this case it is usually possible to open the head, but to return the foreskin to its previous position is no longer possible;
- Primary forms of syphilis, gonorrhea and other pathologies of a similar nature. In the presence of one of these diseases on the foreskin develops an inflammatory process, which causes ulcers, after healing, passing into the scars. It is because of such scars that the foreskin becomes narrower and becomes pinched;
- Balanoposthitis, which is characterized by inflammation of the foreskin, leading to its wrapping behind the head. As a result, paraphimosis occurs;
- Defects of the bridle like a shortened length or insufficient elasticity;
- Genital allergy;
- Sexual trauma due to coarse sexual intercourse or masturbation, adolescent masturbation;
- Systemic skin pathologies, which are manifested in the foreskin, narrow it;
- Medical procedures associated with prolonged head opening( cystoscopy, catheterization, ureteroscopy, etc.).
In general, the mechanism of the appearance of pathology is very simple - the foreskin narrows and shifts. The disease requires early action. If the foreskin is left for a long time in the wrong position, then paraphimosis can lead to the death of the head and the pinched ring.
How the
manifests The disease is characterized by a strong symptom, so it is simply impossible not to notice it. Due to compression by the narrowed flesh, the head of the penis becomes swollen, which further increases the pressure. As a result, necrotic tissue of the penis may occur, requiring amputation.
Warning! It is not necessary to combine pathology with ordinary phimosis. In phimosis, a man is unable to open the head of the penis due to congenital or genetic traits or traumas, and paraphimosis is a complication of such a disease.
Forced removal of the head from the narrow foreskin will soon lead to the appearance of the following symptoms:
- Slowly growing pain syndrome;
- Cyanosis of the head;
- Strong, rapidly increasing puffiness.
If in such a clinical picture the patient is not provided with timely help, then the soreness begins to pass independently. This phenomenon indicates the beginning of withering away of the tissues of the penis. In this case, the head becomes almost black and begins to ulcerate. In such a situation, paraphimosis can be stopped only by amputation.
Than
is dangerousIf the head is refilled in time, then no complications arise. Further progression of the symptomatology, as a rule, leads to the death of the organ. In this case, the doctor will remain the only and compulsory measure - excision of necrotic tissues and amputation of the penis. Such a measure is irreversible, so it is necessary to take the necessary measures in time to avoid such an outcome.
An important role in paraphimosis is given to first aid, which presupposes independent correction of the clamped head and elimination of edema. If the event is successfully carried out, paraphimosis disappears.
Due to a long squeezing, the clamped head often begins to become covered with ulcers, which can cause an infectious process, which will only complicate the course of the pathology.
How to treat
Paraphimosis is treated by self-reinforcing the restrained head. Do this as soon as possible to avoid further complications. For this, several sequential manipulations must be performed:
- The head of the genital organ is abundantly lubricated with oil or petroleum jelly;
- It is necessary to pinch the penis between the index and middle finger;
- Now it is necessary to simultaneously press on the head and pull the bag on it.
Because such manipulations can bring a lot of painful sensations, it is recommended to take care of anesthesia beforehand. This can be general or local anesthesia. If you can not solve the problem yourself, you need to call a doctor. Further therapy is already in the hospital.
Important! All medical measures must be carried out in the first few hours after being squeezed, so it is so important to be able to distinguish this pathology.
If you can not manually fix the head, then in order to avoid necrosis of the penis, a small operation similar to circumcision is performed, and involves the dissection of the pinch ring. Then the head is placed correctly and after the edema is eliminated, the dissected flesh is sewn. Usually during the operation, the foreskin is simply removed. If the parafymosis is heavy, the doctors have to amputate the penis.
How to avoid
Prophylaxis of pathology involves the timely diagnosis and treatment of phimosis. If detected in childhood, young patients should be regularly shown to a specialist. A prerequisite for prevention is the rejection of masturbation or masturbation.
Warning! In the presence of phimosis it is extremely important to abandon the forced shift of the prepuce. This will help avoid a dangerous complication.
As practice shows, paraphimosis occurs mainly due to neglect of medical instructions and own health. In addition, preventive measures include the timely treatment of inflammatory and infectious processes in the genitourinary system( prostatitis, cystitis, balanoposthitis, urethritis, etc.), adherence to intimate hygiene, prevention of sexual diseases( such as syphilis, gonorrhea, chlamydia, etc.), timely antidiabetic therapyetc.
