Paraphimosis is best described as which of the following?

• A. Urologic emergency
• B. Chronic condition
• C. Cosmetic issue
• D. Not urgent

Answer: (A)

Paraphimosis is an urgent urologic problem because a foreskin that has been retracted behind the glans can become tight and constrict the penis, trapping the glans and cutting off venous return. This rapid constriction causes swelling and can progress to ischemia of the glans if not quickly relieved. Because time matters, it’s treated as an emergency requiring prompt reduction of the foreskin and relief of the constriction.

Understanding the scenario helps: this occurs when the foreskin is pulled back and left behind the glans, which is common after medical procedures or with improper handling, especially in uncircumcised individuals. The goal is to return the foreskin to its normal position and restore blood flow. Initial management involves lubrication and gentle manual reduction to slide the foreskin forward over the glans; if swelling prevents this, measures to reduce edema or, if needed, urgent urologic intervention such as a dorsal slit or circumcision may be required. It is not a chronic condition, a cosmetic issue, or something not urgent.