A 35-year-old uncircumcised man presents 6 hours after reducing a prolonged phimosis. The glans is now markedly edematous, congested, and painful with a constricting ring proximal to the glans. What is the diagnosis?
- A Paraphimosis ✓
- B Phimosis
- C Balanitis xerotica obliterans
- D Penile fracture
Correct answer: A. Paraphimosis
Explanation
Paraphimosis occurs when a tight retracted foreskin cannot be reduced over the glans, causing constriction, venous congestion, and distal edema. It is a urological emergency requiring urgent manual reduction or dorsal slit. Phimosis is inability to retract the foreskin. BXO is a chronic sclerotic condition. Penile fracture involves corporal rupture.
Reference: Bailey and Love's Short Practice of Surgery, 28th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.