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Colegio de Medicos y Cirujanos República de Costa Rica
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2012, Number 604

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Rev Med Cos Cen 2012; 69 (604)

Parafimosis

Murillo MM
Full text How to cite this article

Language: Spanish
References: 11
Page: 477-480
PDF size: 297.34 Kb.


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ABSTRACT

Paraphimosis is a urological emergency produced by the inflammation and swelling of the foreskin of the penis, which prevents the lining of the glans after their forced retraction that produces a constriction or strangulation of the glans by a ring of the foreskin that has been retracted, with a risk of necrosis of the glans, which can lead to its loss. It is relatively frequent in adults with urinary catheterisation and in children after their first penile manipulation. Inflammatory changes progress in the portion retained under pressure (glans) and wont cease until its manual or surgical reduction. The maneuver of reversal is a quick method that can be performed in the emergency medical service and must be known by the general practitioners to provide relief and prevent penile complications if it is performed in time.


REFERENCES

  1. Ellsworth Pamela. Tarascón Pocket Urológica. Pág. 77

  2. Emil A. Tanagho. Jack W. Mc. Aninch. Urología General de Smith. 14a edición. Pág.: 657.

  3. Florez F, Uribe J. Fundamentos de Cirugía: Urología, 2da ed., 2000, pp. 177, 226, 200-201.

  4. Flórez F, Uribe J. Fundamentos de Cirugía: Urología 3ª edición. Pág. 515.

  5. González M et al: Azúcar: Tratamiento de elección en la parafimosis irreductible. Actas Urol Esp. 25 (5): 393-395, 2001.

  6. h t t p : / / e m e d i c i n e . m e d s c a p e . c o m / article/777539-treatment. Phimosis and Paraphimosis treatment and management.

  7. McGregor TB, Pike JG, Leonard MP. Pathologic and physiologic phimosis: approach to the phimotic foreskin.Can Fam Physician. Mar 2007; 53(3):445-8. [Medline].

  8. Shwartz. Manual de Cirugía. 8ª edición. Página 1066.

  9. Siroky M et al, Manual of Urology: Diagnosis and Therapy, 2 Ed, Lippincott 1999, pp. 265.

  10. Tews M, Singer JI. Paraphimosis: Definition, pathophysiology, and clinical features. www.utdol.com [database. online]. UpToDate Online; 9/20/2008. Updated 6/11/2008.

  11. Wein. Kavoussi. Novick. Partin. Peters. Campbell-Walsh. Urología. 9ª edición. Tomo I. pág. 1044.




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Rev Med Cos Cen. 2012;69