Role of Primary Circumcision Versus Reduction  with Elective Circumcision or Dorsal Slitting in  Paraphimosis, A Comparative Study

Dr.Sandip Eknath Jadhav; Dr. Sujata Sandip Jadhav; Dr. Milind Madhav Chakne

Volume : III, Issue : XI, November - 2013

Role of Primary Circumcision Versus Reduction with Elective Circumcision or Dorsal Slitting in Paraphimosis, A Comparative Study

Dr. Sandip Eknath Jadhav, Dr. Sujata Sandip Jadhav, Dr. Milind Madhav Chakne

Abstract :

The various options available for treatment of paraphimosis are emergency reduction and then elective circumcision, or emergency circumcision. In this study we have performed emergency circumcision rather than treating paraphimosis in two different stages. We have compared two groups of patients in respect to wound infection, intraoperative bleeding and immediate post operative bleeding. This has prevented recurrence of paraphimosis after initial treatment and also increased patients comfort and convenience to greater extend. The risk of wound infection and other associated morbidities were insignificant. Emergency circumcision can be the most reliable and definitive treatment for paraphimosis, but there is slight increase in the risk of post operative complications. Still this risk is insignificant and can be managed effectively without much morbidity to patient. Emergency circumcision should be performed for the paraphimosis if 1) Reduction of paraphimosis is not possible 2) There is no evidence of frank infection like prepucial ulceration or balanitis. 3) There is history of recurrent episode of paraphimosis. However in cases where there is clear cut evidence of infection like ulceration, posthitis, balanitis it is safer to reduce paraphimosis. In these cases circumcision should be done electively at a later stage.