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Paraphimosis

MedGen UID:
14611
•Concept ID:
C0030483
•
Disease or Syndrome
Synonym: Paraphimoses
SNOMED CT: Paraphimosis (13758004)
 
HPO: HP:0100588
Monarch Initiative: MONDO:0006889

Definition

The foreskin becomes trapped behind the glans penis, and cannot be pulled back to its normal flaccid position covering the glans penis. [from HPO]

Professional guidelines

PubMed

Acupuncture as a Nonpharmacologic Treatment for Pain in a Pediatric Emergency Department.
Tsai SL, Reynoso E, Shin DW, Tsung JW
Pediatr Emerg Care 2021 Jul 1;37(7):e360-e366. doi: 10.1097/PEC.0000000000001619. PMID: 30247457
Treatment options for paraphimosis.
Little B, White M
Int J Clin Pract 2005 May;59(5):591-3. doi: 10.1111/j.1742-1241.2004.00356.x. PMID: 15857356
Paraphimosis: current treatment options.
Choe JM
Am Fam Physician 2000 Dec 15;62(12):2623-6, 2628. PMID: 11142469

Recent clinical studies

Etiology

Heineke-Mikulicz Preputioplasty: Surgical Technique and Outcomes.
Xu AJ, Mishra K, Zhao LC
Urology 2022 Aug;166:271-276. Epub 2022 Apr 14 doi: 10.1016/j.urology.2022.03.030. PMID: 35430235
Complications associated with intimate body piercings.
Lee B, Vangipuram R, Petersen E, Tyring SK
Dermatol Online J 2018 Jul 15;24(7) PMID: 30261561
Mannitol for paraphimosis reduction.
Anand A, Kapoor S
Urol Int 2013;90(1):106-8. Epub 2012 Dec 19 doi: 10.1159/000343737. PMID: 23257575
Prepuce: phimosis, paraphimosis, and circumcision.
Hayashi Y, Kojima Y, Mizuno K, Kohri K
ScientificWorldJournal 2011 Feb 3;11:289-301. doi: 10.1100/tsw.2011.31. PMID: 21298220Free PMC Article
The circumcision question.
Robson WL, Leung AK
Postgrad Med 1992 May 1;91(6):237-42, 244. doi: 10.1080/00325481.1992.11701325. PMID: 1579530

Diagnosis

Penile Emergencies.
Offenbacher J, Barbera A
Emerg Med Clin North Am 2019 Nov;37(4):583-592. Epub 2019 Aug 16 doi: 10.1016/j.emc.2019.07.001. PMID: 31563196
Urologic Emergencies.
Manjunath AS, Hofer MD
Med Clin North Am 2018 Mar;102(2):373-385. Epub 2017 Dec 20 doi: 10.1016/j.mcna.2017.10.013. PMID: 29406065
Urologic Emergencies.
Ludvigson AE, Beaule LT
Surg Clin North Am 2016 Jun;96(3):407-24. doi: 10.1016/j.suc.2016.02.001. PMID: 27261785
Penile emergencies.
Dubin J, Davis JE
Emerg Med Clin North Am 2011 Aug;29(3):485-99. doi: 10.1016/j.emc.2011.04.006. PMID: 21782070
Prepuce: phimosis, paraphimosis, and circumcision.
Hayashi Y, Kojima Y, Mizuno K, Kohri K
ScientificWorldJournal 2011 Feb 3;11:289-301. doi: 10.1100/tsw.2011.31. PMID: 21298220Free PMC Article

Therapy

Preputioplasty as a surgical alternative in treatment of phimosis.
Osmonov D, Hamann C, Eraky A, Kalz A, Melchior D, Bergholz R, Romero-Otero J
Int J Impot Res 2022 May;34(4):353-358. Epub 2021 Dec 1 doi: 10.1038/s41443-021-00505-9. PMID: 34853437Free PMC Article
Adenovirus-associated paraphimosis.
Pollack A, Varma R
Int J STD AIDS 2019 Jul;30(8):825-827. Epub 2019 May 9 doi: 10.1177/0956462419842448. PMID: 31072279
Complications associated with intimate body piercings.
Lee B, Vangipuram R, Petersen E, Tyring SK
Dermatol Online J 2018 Jul 15;24(7) PMID: 30261561
Mannitol for paraphimosis reduction.
Anand A, Kapoor S
Urol Int 2013;90(1):106-8. Epub 2012 Dec 19 doi: 10.1159/000343737. PMID: 23257575
Adult circumcision.
Holman JR, Stuessi KA
Am Fam Physician 1999 Mar 15;59(6):1514-8. PMID: 10193593

Prognosis

Development and Implementation of Urologic Care Army/Air Force/Navy Provider Education, a Urologic Emergency Simulation Curriculum.
Hafer AS, Sweeney WB, Battista AL, Meyer HS, Franklin BR
Mil Med 2023 Mar 20;188(3-4):817-823. doi: 10.1093/milmed/usac003. PMID: 35043957
Heineke-Mikulicz Preputioplasty: Surgical Technique and Outcomes.
Xu AJ, Mishra K, Zhao LC
Urology 2022 Aug;166:271-276. Epub 2022 Apr 14 doi: 10.1016/j.urology.2022.03.030. PMID: 35430235
Comparative risk of genital infections associated with sodium-glucose co-transporter-2 inhibitors.
Dave CV, Schneeweiss S, Patorno E
Diabetes Obes Metab 2019 Feb;21(2):434-438. Epub 2018 Oct 11 doi: 10.1111/dom.13531. PMID: 30207042Free PMC Article
Histopathological examination of the prepuce after circumcision: Is it a waste of resources?
Naji H, Jawad E, Ahmed HA, Mustafa R
Afr J Paediatr Surg 2013 Apr-Jun;10(2):164-6. doi: 10.4103/0189-6725.115045. PMID: 23860069
Subcutaneous cod liver oil injection for penile augmentation: review of literature and report of eight cases.
Al-Ansari AA, Shamsodini A, Talib RA, Gul T, Shokeir AA
Urology 2010 May;75(5):1181-4. Epub 2010 Feb 6 doi: 10.1016/j.urology.2009.11.023. PMID: 20138344

Clinical prediction guides

Comorbidities in patients with Unverricht-Lundborg disease (EPM1).
Sipilä JOT, Kälviäinen R
Acta Neurol Scand 2022 Nov;146(5):690-693. Epub 2022 Sep 13 doi: 10.1111/ane.13706. PMID: 36097839Free PMC Article
Paraphimosis Pain Treatment with Nebulized Ketamine in the Emergency Department.
Barberan Parraga C, Peng Y, Cen E, Dove D, Fassassi C, Davis A, Drapkin J, Hossain R, Mahl E, Motov S
J Emerg Med 2022 Mar;62(3):e57-e59. Epub 2022 Jan 31 doi: 10.1016/j.jemermed.2021.12.011. PMID: 35094900
Cosmetic results of circumcision and scar wrinkling: Do we exaggerate in terms of hemostasis and sutures?
Taş T, Çakıroğlu B, Ekici U
Urologia 2022 Feb;89(1):108-113. Epub 2021 Mar 17 doi: 10.1177/0391560320911526. PMID: 33729060
Comparative risk of genital infections associated with sodium-glucose co-transporter-2 inhibitors.
Dave CV, Schneeweiss S, Patorno E
Diabetes Obes Metab 2019 Feb;21(2):434-438. Epub 2018 Oct 11 doi: 10.1111/dom.13531. PMID: 30207042Free PMC Article
Plastibell circumcision.
Owen ER, Kitson JL
Br J Clin Pract 1990 Dec;44(12):661. PMID: 2102180

Recent systematic reviews

Circumcision devices versus standard surgical techniques in adolescent and adult male circumcisions.
Hohlfeld A, Ebrahim S, Shaik MZ, Kredo T
Cochrane Database Syst Rev 2021 Mar 31;3(3):CD012250. doi: 10.1002/14651858.CD012250.pub2. PMID: 33786810Free PMC Article

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