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Paraphimosis

Última revisão: 18 Aug 2025
Última atualização: 10 Jan 2023

Resumo

Definição

Anamnesis y examen

Principales factores de diagnóstico

  • penile pain
  • band of retracted foreskin tissue beneath the glans
  • swollen glans penis
  • indwelling catheter
Todos los datos

Otros factores de diagnóstico

  • erythema
  • black tissue on the glans
  • nonpliable glans penis
  • inability to urinate freely
Todos los datos

Factores de riesgo

  • lack of circumcision
  • urinary catheterization
  • dependence on a caregiver for daily hygiene
  • tight foreskin
  • phimosis
  • poor hygiene
  • bacterial infection
  • parasitic infections
  • lichen sclerosis
  • diabetes
  • penile piercing
  • hemangiomas of the penis
  • peripheral vascular disease
  • inadequate circumcision
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • clinical diagnosis
Todos los datos

Algoritmo de tratamiento

Agudo

with ischemia and necrosis

acute type without ischemia and necrosis

chronic type without ischemia and necrosis

Colaboradores

Autores

Ranjiv Mathews, MD
Ranjiv Mathews

Associate Professor

Pediatric Urology

SIU School of Medicine

Springfield,

IL

Divulgaciones

RM declares that he has no competing interests.

Revisores por pares

Wesley Baas, MD

Assistant Professor of Urology

University of Cincinnati College of Medicine

Cincinnati

OH

Divulgaciones

WB declares that he has no competing interests.

John Thomas, MD

Assistant Professor of Urologic Surgery

Division of Pediatric Urology

Monroe Carell Jr. Children's Hospital at Vanderbilt

Nashville

TN

Divulgaciones

JT declares that he has no competing interests.

Vincent Gnanapragasam, MBBS, BMedSci, PhD, FRCSEng, FRCSEd(Urol)

Lecturer in Uro-oncology and Consultant Urological Surgeon

Department of Urology

Addenbrooke's Hospital

Cambridge

UK

Declarações

VG declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

European Association of Urology. Paediatric urology. Mar 2022 [internet publication].Texto completo

Manjunath AS, Hofer MD. Urologic emergencies. Med Clin North Am. 2018 Mar;102(2):373-85. Resumo

British Association of Paediatric Urologists. Management of foreskin conditions. 2017 [internet publication].Texto completo

Artigos de referência

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