Gourt > Health > Men's Health > Circumcision > Medical Views
Paraphimosis is a medical condition where the foreskin becomes trapped behind the glans penis, and cannot be pulled back to its normal flaccid position covering the glans penis. If the condition persists for several hours or there is any sign of a lack of blood flow, paraphimosis should be treated as a medical emergency, as it can result in gangrene or other serious complications.
Paraphimosis can often be reduced by manipulation. This involves compression of the glans, then movement of the foreskin to its normal position, perhaps with the aid of a lubricant. If this fails, the foreskin may need to be cut (dorsal slit procedure) or removed by circumcision. An alternate method (the Dundee technique) entails placing multiple punctures in the swollen foreskin with a fine needle, and then expressing the edema fluid by manual pressure.
Prevention of recurrence is through education of the patient and his care givers on the need to pull back the foreskin over the glans after it has been retracted (for example, when cleaning the glans or passing a Foley catheter), or through elective circumcision or preputioplasty.
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AAP Circumcision Policy Statement - Features American Academy of Pediatrics full text policy about circumcision.
American Medical Association: Report 10 (Neonatal Circumcision) - AMA policy statement on circumcision, December 1999.
Meta Description: [ Analyzes the benefits/risks of circumcision and discusses the provision of anesthesia during this procedure. ]
Ask Dr Sears: Circumcision - Provides information to assist in the decision of whether to circumcise your baby.
BBC News: Routine Circumcision Ruled Out - There is no evidence to justify routine circumcison of babies, a group of US paediatricians report in a detailed study.
Meta Description: [ There is no evidence to justify routine circumcison of babies, an influential group of US paediatricians has said in the most detailed study of its kind. ]
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British Medical Association: Law and Ethics of Male Circumcision - BMA guidance for doctors on the law and ethics of male circumcision, March 2003.
eMedicine Health: Circumcision - Provides information on the methods and health implications of surgical removal of the penis' foreskin.
Meta Description: [ Circumcision is the surgical removal of the foreskin of the penis. The foreskin is a fold of skin that covers the end (the glans) of the penis. Circumcision of infant ... ]
FDA: EMLA Cream and Circumcision - FDA warning about the use of this local anaesthetic cream for circumcision surgery.
FDA: Potential for Injury from Circumcision Clamps - U.S. Food and Drug Administration warning about circumcision clamps.
Meta Description: [ Injury, Circumcision Clamps ]
Infants Feel and Remember Circumcision Pain - Offers a brief article detailing a study about infants and pain relating to circumcision.
Informed Consent for Medically Necessary Circumcision - Article including information about the procedure, risks, outcomes and documentation for consent.
Lysozyme, the Foreskin and HIV Protection - A summary of the evidence that the foreskin and the sub-preputial wetness under the foreskin (prepuce) may protect against human immunodeficiency virus. By George Hill.
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Royal College of Surgeons of England: Statement on Male Circumcision - Includes natural history, indications, and criteria.
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