Name of the Condition

• Paraphimosis

Summary

• Paraphimosis is a urological emergency where the foreskin cannot be pulled back over the glans of the penis after being retracted. This can lead to swelling and restricted blood flow, necessitating prompt medical attention.

Causes

• Paraphimosis often occurs due to improper handling during medical examinations, catheterization, or personal hygiene practices. It may also happen if the foreskin is left retracted for an extended period.

Risk Factors

• Risk factors include being uncircumcised, younger age (in boys), older age (in men due to reduced elasticity), and recurrent urinary infections. Trauma or vigorous sexual activity may also contribute.

Symptoms

• Symptoms include pain and swelling at the tip of the penis, inability to pull the foreskin forward, and a constricting band of tissue around the shaft.

Diagnosis

• Diagnosis is typically through physical examination. History of the condition’s onset and any precipitating events can assist in the assessment.

Treatment Options

• Initial treatment involves manual reduction of the foreskin. In more severe cases, surgical intervention (such as circumcision or a dorsal slit) may be necessary. Pain management and anti-inflammatory medications can support the treatment process.

Prognosis and Follow-Up

• With prompt treatment, the prognosis is generally good, with symptoms resolving quickly. Follow-up may involve ensuring proper hygiene and foreskin management to prevent recurrence.

Complications

• Untreated paraphimosis can lead to serious complications, such as restricted blood flow leading to tissue death (necrosis), infection, or permanent damage to the penis.

Lifestyle & Prevention

• Prevention includes proper hygiene practices and gently returning the foreskin over the glans after retraction. Educating caregivers and patients about foreskin management is also crucial.

When to Seek Professional Help

• Immediate medical attention is necessary if there is swelling, severe pain, or an inability to reposition the foreskin. Such scenarios can indicate the need for urgent intervention.

Additional Resources

• For further information, consider visiting websites of medical organizations such as the American Urological Association or consulting patient support groups focused on urological health.

Tips for Medical Coders

• Ensure accurate coding by confirming the diagnosis through documented physical examination findings consistent with paraphimosis.
• Be aware of potential confusion with other penile or urological conditions, ensuring proper differentiation in coding.