Paraphimosis, Surgically Treated 

Paraphimosis is a problem that can occur in an uncircumcised or partially circumcised male child or adult when the foreskin is pulled back and won’t return to the forward position. This causes the tissues to swell. It can become severe enough to stop blood flow to the glans (head of penis).

If the healthcare provider is not able to manually correct this problem, a surgical procedure may be done to release the foreskin. Either a “dorsal slit incision” or a full circumcision is the surgery used. After the procedure, some swelling is normal during the first few days. A clear or reddish crust will probably form over the area. It normally takes 7 to 10 days for the penis to heal after this surgery.

Home care

  • No baths during the first 2 days. Just clean the penis daily with water. (For infants, clean the penis with each diaper change.)

  • After the first 2 days, bathe normally with soap and water. (For infants, continue cleaning with each diaper change for the first week.)

  • Be sure you understand if and when your healthcare provider wants you to start retracting the foreskin again.

Follow-up care

Schedule an appointment with your healthcare provider in the next 2 days for a wound check, or as advised. If the paraphimosis was manually reduced without surgery, talk with your healthcare provider about ways to prevent it from happening again.

When to seek medical advice

Call your healthcare provider if any of the these occur:

  • Blood stain in the diaper larger than a quarter

  • Redness or swelling of the penis

  • Pain with urination

  • Pus or fluid draining from the incision

  • Fever of 100.4°F (38°C) oral or 101.4°F (38.5°C) rectal or higher, or as directed by your healthcare provider

  • Decreased flow or urine

  • Vomiting

  • You are worried about your son's penis or are unsure of the proper care

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