Yes. Paraphimosis is an emergency condition, which occurs in uncircumcised males, in which the foreskin gets stuck behind the head of the penis and forms a tight band of constricting tissues. If left untreated, paraphimosis can lead to severe consequences. When paraphimosis is suspected, the first thing to do is to visit a urologist for prompt evaluation and treatment. Untreated paraphimosis and phimosis also increase the risk of penile cancer. If left untreated, paraphimosis can lead to increased swelling, and in extreme cases, gangrene (tissue death due to loss of blood supply), and the loss of penis.
When to call a urologist if you suspect paraphimosis?
Call a urologist right away if you have the following signs-
- Difficulty in pulling back the foreskin
- Foreskin stuck behind the head of the penis
- inflammation of the penis
- Unable to clean under your foreskin
- An infection under the foreskin
What is the treatment for paraphimosis in Delhi?
After evaluation and diagnosis, the urologist will decide if the condition can be treated with nonsurgical treatment options or if surgery is needed. Typically, urologists suggest nonsurgical treatment options to treat paraphimosis first but if a patient has severe paraphimosis, immediate circumcision surgery is suggested. If nonsurgical techniques to reduce swelling are successful or if the urologist feels a faster reduction in the swelling is necessary, a small surgical slit might be made in the back side of the constrictive skin, which is usually followed by a circumcision procedure the same day to avoid a recurrence.
Types of circumcision procedures
Circumcision is the surgical removal of the foreskin of the penis which fully exposes the tip of the penis. Circumcision surgery can be performed by three different approaches, the traditional circumcision, ZSR circumcision or laser circumcision.
● Open surgery
Open surgery is the conventional procedure for circumcision surgery. Traditional circumcision or the dorsal slit technique is an invasive surgical procedure in which the surgeon makes a large incision to remove the tip of the penis. .
Open surgery is often followed by postoperative discomfort and complications. Patients often develop infections or experience a lot of pain and swelling in the penile region after traditional circumcision surgery. Complete recovery after traditional circumcision surgery is also very long and often takes up to 5 weeks.
- ZSR Circumcision
ZSR or stapler circumcision is a safe technique of circumcision which has high efficacy and cuts the foreskin with the use of a circular stapler which results in minimal blood loss and high precision. ZSR circumcision in Delhi is an advanced type of circumcision procedure in comparison to traditional circumcision surgery. The procedure is completed in less than 30 minutes and is not accompanied by postoperative pain or other complications.
- Laser Circumcision
Laser circumcision is the most advanced and minimally invasive technique for circumcision. During a laser circumcision, the surgeon cuts the foreskin with a laser device which results in minimal blood loss, high precision, minimal trauma to the nearby tissues and low risk of infections. Laser circumcision surgery in Delhi does not carry out any big incisions or cuts. The individual can resume his normal lifestyle the next day after the surgery. However, complete recovery and healing after laser circumcision takes about 3 weeks.
| Circumcision Procedure | Open circumcision | ZSR Circumcision | Laser circumcision |
| Complexity | High level of complexities.
Involvement of wounds and scars. |
Not at all complex.
No wounds or scarring. |
Minimally invasive (not complex)
Uses only laser energy. No wounds, bleeding or scarring |
| Recovery period | Takes 3-4 weeks to recover
The period can prolong if any infection occurs. |
Full recovery within a week | Complete recovery in just 3-5 days |
| Complications | High chances of complications after the surgery if the patient does not take precautions. | Nil
|
Nil |
What if I delay treatment for paraphimosis?
Untreated paraphimosis is likely to lead to serious complications. Paraphimosis can lead to reduced blood flow to the penis, which deprives the tissues of oxygen and can result in:
● Damage to the tip of the penis
● Loss of blood flow or impaired blood flow
● Gangrene (tissue death due to loss of blood supply)
● Loss of the penis tip
If diagnosed early, paraphimosis can be treated easily with simple manual reduction in combination with some other nonsurgical measures. Patients with severe paraphimosis that cannot be treated with conservative therapy will require a circumcision procedure to save the penis. Circumcision surgery in Delhi and various other metro cities can be performed in the hospital room at the same day after diagnosis and is a day care procedure.
