From the Research
The medical term for returning the foreskin over the glans is "reduction" or more specifically "foreskin reduction". This procedure is typically performed when a condition called paraphimosis occurs, where the foreskin becomes trapped behind the glans and cannot be moved back to its normal position. Reduction is a medical emergency that should be performed promptly to prevent complications such as tissue damage or necrosis due to restricted blood flow 1. The procedure typically involves applying gentle, steady pressure on the glans while simultaneously pulling the foreskin forward. Sometimes a lubricant or ice may be used to reduce swelling and facilitate the reduction. If manual reduction fails, a dorsal slit procedure or circumcision might be necessary. Paraphimosis differs from phimosis (where the foreskin cannot be retracted) and requires immediate medical attention to prevent permanent damage to the penis.
Key points to consider:
- Paraphimosis is a urologic emergency that requires prompt treatment to prevent complications 2, 1.
- The goal of reduction is to return the foreskin to its normal position, thereby restoring blood flow and preventing tissue damage 3, 4.
- Manual reduction is the first line of treatment, but dorsal slit or circumcision may be necessary if manual reduction fails 1, 5.
- It is essential to distinguish between paraphimosis and phimosis, as the treatment approaches differ significantly 3, 4.
In clinical practice, it is crucial to prioritize prompt reduction to prevent complications and ensure the best possible outcome for patients with paraphimosis. Reduction should be performed as soon as possible to minimize the risk of tissue damage and necrosis.