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Foreskin Problems (cont.)

Foreskin Problems Self-Care at Home

At this time, there is no recommended home therapy for phimosis except to practice good hygiene. Keep the groin area clean and dry.

Self-care treatment for paraphimosis includes applying ice to the penis to reduce swelling. One method is to place ice in a rubber glove and then place the penis inside the glove. After cold application, apply pressure to the glans while simultaneously pulling forward on the foreskin. If this does not resolve the problem, then immediately contact a doctor or go to an Emergency Department. If this is a recurrent problem, contact a doctor for an appointment.

Foreskin Problems Treatment

Phimosis treatment: a doctor can use certain tools to attempt to open or to expand the stuck foreskin. Usually, a doctor will do this only if there are problems urinating.

Paraphimosis: the doctor may repeat the ice with direct pressure technique.

  • If that does not free the foreskin, the doctor will, in most instances, contact a urologist for surgical treatment.
  • Local anesthetic will be introduced into the penis with a fine needle.
  • An incision then will be made through the area of constriction, allowing the foreskin to return to its original position.

However, there are other methods available that do not involve incisions; these may be performed in an Emergency Department or a doctor's office, although many physicians choose to have a urologist perform these procedures.

  • Osmotic method: This technique uses the concept that fluids will flow from a lower osmotic area to a higher osmotic area. A hypertonic solution will cause the fluid from the penis to flow towards the hypertonic solution applied to the penis, therefore reduce the swelling.
  • Hyaluronidase method: This method uses injections of hyaluronidase into swollen tissue.
  • Aspiration method: This method uses a penile tourniquet and needle aspiration of about 12 ml of blood from the penis to reduce swelling.
  • Puncture method: This method uses needles to puncture holes to allow edema fluid escape from swollen foreskin.
Medically Reviewed by a Doctor on 2/19/2016

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