What is paraphimosis?
The foreskin has been pulled behind the glans and a tight ring prevents it from moving forward again. Swelling makes the constriction worse and delay can compromise blood flow.
Typical signs
- Rapid swelling and pain of the glans and foreskin
- A tight band behind the glans
- Dark, blue or purple color change
- Sometimes difficulty urinating
What to do while seeking care
Do not repeatedly pull, use sharp objects or attempt to cut the skin. Do not delay because of embarrassment. Early reduction of swelling and replacement can prevent more serious ischemic injury.
Follow-up after reduction
The cause should be reviewed, such as forced retraction, failure to replace the foreskin after cleaning or catheterization, or an underlying tight ring. Later treatment may include observation, cream or surgery depending on the child.
Medical references
- Royal Children’s Hospital Melbourne: Paraphimosis
- American Academy of Pediatrics: Genital pain and foreskin emergencies
Frequently asked questions
Should I keep pushing hard to get the foreskin forward?
If there is marked swelling or a gentle attempt fails, repeated force can worsen injury. Seek urgent medical care.
Can paraphimosis wait until tomorrow’s clinic?
A painful swollen foreskin that cannot be replaced may impair blood flow and should not wait for a routine appointment.