Paraphimosis can sometimes be adjusted independently: it should be done immediately - the sooner, the better. If you fix the problem in 1-2 minutes, you can avoid the appearance of swelling and severe pain.
To increase the effectiveness of the procedure and alleviate the pain, you need to apply a little vaseline or vegetable oil, or a baby cream, to the penis head. In the process of correction, the pain will increase, so you need to be ready for it. If the paraphimosis could not be corrected for three or four minutes, it is better not to waste time, but to urgently consult a medical specialist. It should be borne in mind that this condition is really urgent, and even ten minutes is enough to cause necrotic disorders in the tissues of the head and foreskin.
Qualified correction of paraphimosis can be done by a surgeon, using local anesthesia with novocaine or lidocaine. With paraphimosis in childhood, there is sometimes a need for general anesthesia.
Previously, the doctor will try to correct the problem manually: in the absence of a positive result, a small surgical procedure is performed, the essence of which is to dissect the foreskin with further insertion of the head. With this development, the patient will experience a recovery period with the use of non-steroidal anti-inflammatory drugs and the local application of antimicrobial external agents. In addition, it is recommended to irrigate and wash the head with disinfectant solutions - for example, a weak solution of potassium permanganate or furacilin.
Manual adjustment of paraphimosis is a one-stage removal of pinching: the head is pushed through the restrained ring, and the foreskin returns to its original place. In most cases, this procedure is done without anesthesia, only sometimes you have to resort to non-long-term methods of analgesia.
The technique of correction is as follows:
- the victim is laid horizontally, if necessary, fixed;
- the head with the foreskin is treated with vaseline or vegetable oil;
- a person who guides the paraphimosis, places the thumbs on the head of the penis, while others grab the restrained ring;
- gently, without excessive force, you should press on the head, trying to push it through the hole, after which you need to push the skin of the foreskin onto it.
Do not pressure the head with sharp and vigorous jerks. It is better to provide a constant slight pressure, which will help reduce the swelling of the head to its free passage through the restrained ring.
After successful manual adjustment of paraphimosis, the affected person should do penile lavage with warm water with a weak solution of potassium permanganate, twice a day until relief of painful symptoms.