RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57716146
T1 Chapter 148. Paraphimosis Reduction
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57716146
RD 2023/06/04
AB A  paraphimosis  is  defined  as  the  inability  to  reduce  a  proximally  positioned  foreskin  over  the  glans  penis  and  back  to  its  normal  anatomic  position.  The  most  common  causes  for  a  paraphimosis  are  iatrogenic.  Following  examination  or  instrumentation  of  the  penis,  medical  personnel  may  forget  to  reduce  the  foreskin  over  the  glans.  This  is  particularly  true  of  patients  who  are  sedated,  confused,  demented,  delirious,  or  in  a  nursing  home.  Patients  may  fail  to  reduce  their  foreskin  after  intercourse  or  urination.  In  infants  and  toddlers,  the  foreskin  does  not  become  fully  mobile  until  after  3  years  of  age.  This  predisposes  them  to  a  paraphimosis  when  well-meaning  caregivers  forcibly  retract  the  foreskin  during  cleaning.  A  paraphimosis  may  also  occur  when  a  narrowed  (phimotic)  foreskin  is  retracted  and  unable  to  be  reduced.