Volume : III, Issue : XI, November - 2013

Clinical Study of Proportion of Predisposing Events and Causes of Paraphimosis

Dr. Sandip Eknath Jadhav, Dr. Sujata Sandip Jadhav

Abstract :

Paraphimosis is very common condition occurring at all ages though it is most common in younger age groups. Most commonly it is treated by emergency reduction and then elective circumcision. In this study we have analysed various causes for paraphimosis. We have studied patients from all age groups coming to the surgery outpatient department (OPD). Though some degree of phimosis is basic etiological factor and is the leading cause in all cases of paraphimosis. Various manipulative acts like retraction by parents during cleaning glans, post coital forceful retraction of phimotic skin, and pre catheterisation retraction of prepuce leads to forceful retraction of this phimotic prepuce over the glans penis. This phimotic skin gets stuck tightly around the coronal sulcus leading to this condition. Here we have studied various causes and predisposing events which lead to this forceful retraction of prepuce over glans penis. SUMMARY: Most common predisposing event leading to paraphimosis is forceful retraction during sexual intercourse, followed by self retraction out of curiosity or during acts like urination. Then comes post masturbation which contributes nearly of total patients. Retraction by mother to clean smegma and glans comes around. Iatrogenic (post catheterisation) cause remains least common . In small group of patient no specific cause can be found.Most common cause in paediatric age group is retraction by self out of curiosity or during handling of genitalia while in young adult age group masturbation and sexual intercourse is most common predisposing factor

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Sandip Eknath Jadhav, Dr. Sujata Sandip Jadhav / Clinical Study of Proportion of Predisposing Events and Causes of Paraphimosis / Indian Journal of Applied Research, Vol.3, Issue.11 November 2013

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