In the case of paraphimosis, the foreskin can not be pushed forward again after being pushed back over the glans - an emergency!


The so-called paraphimosis is a very painful condition: The foreskin, which is stripped back over the glans, can no longer be traced back to its original position. She laces the tip of the penis. This is what the doctor calls "Spanish collar". A paraphimosis is considered an emergency - without rapid treatment threatening severe damage to the glans! Find out here about symptoms and therapy of paraphimosis!

ICD codes for this disease: ICD codes are internationally valid medical diagnosis codes. They are found e.g. in doctor's letters or on incapacity certificates. N47

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  • Paraphimosis - an emergency

  • What to do with paraphimosis?

  • disease

  • Paraphimosis: prevention

Paraphimosis - an emergency

In paraphimosis, the foreskin can not be moved back to its original position after pushing back behind the glans penis. As a result, blood vessels are pressed, causing a blood and water backlog in the glans - the glans swells. As a result, the foreskin can be pushed back into its original position even more difficult. The glans and foreskin become blue to black due to the congestion. If this condition persists, severe damage to the penis, especially the glans penis, may occur. For this reason, paraphimosis is a urological emergency!

How does a paraphimosis come about?

The paraphimosis occurs especially in an already existing foreskin constriction (phimosis): If an attempt is made to loosen the too narrow foreskin of the glans and push back (for example, during washing), it can happen that the foreskin then can not move forward again, Also when laying a bladder catheter or during sexual intercourse there is a risk of paraphimosis.

What to do with paraphimosis?

First of all, one can try to move the foreskin forward or with the help of relatives. Even if this succeeds, a urologist should be consulted in a timely manner in order to prevent paraphimosis in the future (eg by circumcision).

As soon as possible to the doctor you should with a paraphimosis, which can not be solved. If necessary, it makes sense to go directly to a hospital with a urology department! On the way to the doctor, the glans should be cooled.

The doctor will gently squeeze the swollen glans under anesthesia or anesthesia, because the whole thing is often very painful for the patient. After squeezing, the foreskin can be easily returned to its original position.

Less painful is the slow expression of glans swelling with a soaked in saline compress over ten minutes. This can also be done in awake patients who have just received anesthesia of the penile nerves.

In severe cases it may be necessary to make an incision in the foreskin to resolve the paraphimosis. This is very rarely the case. However, circumcision is often performed or advised to prevent scarring and to resolve paraphimosis in the same step. But this is not always necessary!


If the paraphimosis is not treated, the glans may become infected. In addition, it can lead to the formation of ulcers (ulceration) and the death of tissue in the area of ‚Äč‚Äčthe glans. Will one paraphimosis but resolved quickly, no long-term consequences are to be expected.

Paraphimosis: prevention

You should never try to force back a too tight foreskin. Especially before puberty, there is usually no compelling reason to have to push back the foreskin.

If the foreskin is pushed back over the glans for washing, make sure that it returns to its original position.

To a (renewed) paraphimosis to prevent foreskin constriction, a phimosis-Op can be useful.

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