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Paraphimosis

WHAT YOU SHOULD KNOW

If the foreskin of the penis is tight and gets stuck behind the head, the condition is known as paraphimosis (PAIR-uh-fim-OH-sis).

Causes

The problem may occur during sex, result from an infection, or happen when the foreskin is pulled back so the tip of the penis can be washed.

Signs/Symptoms

The condition can cause pain and swelling at the tip of the penis and lead to problems with urination. The tip of the penis may turn red or blue.

Care

Sometimes the foreskin can be worked back into place manually. However, the doctor may need to make a slit in the foreskin to relieve the pressure. Removal of the foreskin (circumcision) is often recommended.

WHAT YOU SHOULD DO

  • If the doctor slits the foreskin, keep the dressing clean and dry and leave it in place until you return to the doctor.
  • Apply ice packs to the penis to reduce swelling.
  • You may take over-the-counter pain medicines such as aspirin, acetaminophen, or ibuprofen. You doctor may prescribe additional medication.
  • Do not try to pull back the foreskin until after your follow-up visit.
  • Avoid sexual intercourse for 7 to 10 days.
  • In uncircumcised babies, the foreskin is normally tight. It usually doesn't start to loosen enough to be pulled back until the baby is at least 18 months old. Until then, leave the foreskin alone. Later, you may gently pull back the foreskin during bathing.

Call Your Doctor If...

  • The pain gets worse.
  • The foreskin stays swollen for 24 hours, or the swelling gets worse.
  • You have increasing redness, swelling, or drainage from the area. These are signs of infection.

Seek Care Immediately If...

  • You are unable to urinate.
  • You develop severe pain.
  • You have bleeding from the area that will not stop with gentle pressure.
  • You have a high temperature.

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