Paraphimosis

[sasmock]

Hi again - has anyone any experience with paraphimosis please? When the district nurse changed my dad's catheter today, she couldn't get the foreskin repositioned. She rang her senior who told her it was called paraphimosis and it may be a GP issue. The DN said no more about it apart from ask your gp if it becomes a problem. My mum has just called me to tell me all this - it's still very swollen but dad isn't saying it hurts. I've just googled it, and it's apparently a medical emergency as it can lead to gangrene and amputation!! No one answering phone on 24 hr DN support line. Not sure what to do - is it something that can wait until the morning, I haven't a clue. Dad's perception of pain is reduced - he may be saying 'no' it doesn't hurt when actually 'yes' it does!

[Spiralsparkle]

Maybe ring NHS direct 111 to get advice or do you have out of hours doctors you can ring ? We have Shropdoc here from when GP shut. Our DNs don't work 24 hours !

[doglington]

Sorry. No help but you are really being put through the mill !!!

big hug from Jean xx

[Yvonneandgeorge in reply to doglington]

Not heard of it, sorry good idea to ring 111 they might be able to advise you. If it was dangerous wouldn't the DN have referred you to the GP? Sorry xxxx

[sasmock]

DN just called back - she'd put a note on his file to call 111 if it didn't subside - but she didn't tell my mum that before she left!!! So now waiting for emergency doc to call back , and he may send an ambulance crew to assess- and if it needs treatment, he'll have to go in. Can't believe this. Just looked it up and it says paraphimosis happens when catheter isn't done correctly. Why am I not surprised! Thanks all x

[Spiralsparkle in reply to sasmock]

Another night of worry and frustration at health professionals incompetency. Did Ambulance have to come out? Xx

[Heady]

Hi, Steve had this, just after his Catether was fitted. The GP prescribed sudacrem, much to my daughters disgust. After a couple of days, he was sent to A & E and a specialised consultant came and physically squashed the swelling and got everything back in place. Not a pleasant experience, but she was young and beautiful!!! Did stop him playing with tube, so we didn't have any of the pulling out of the Catether, which others have gone through.

If you don't hear from anyone, take him to A & E in the morning.

Best of luck

Lots of love

Anne

[abirke]

This causes the foreskin to become swollen and stuck, which may slow or stop the flow of blood to the tip of the penis. The condition can lead to serious complications if it isn't treated. Paraphimosis most often occurs when a healthcare provider handles the foreskin improperly

I just googled this and this :

Treatment will vary depending on your age and the severity of your condition. In general, the first step in treating paraphimosis is to reduce the swelling. Your doctor may do the following:

apply ice to the area

wrap a bandage tightly around the penis

use needles to drain pus or blood

inject hyaluronidase, which is an enzyme that helps reduce swelling

Your doctor may also make a small incision to relieve tension, but they’ll only do this in severe cases.

Once the swelling is reduced, your doctor will move the foreskin back into position. This can be very painful, so you’ll likely be given painkillers before the procedure starts. Painkillers might include an anesthetic, a nerve block, or an oral narcotic. During the procedure, your doctor will first lubricate the penis and foreskin. They’ll then gently squeeze the tip of the penis while also pulling down on the foreskin.

A complete circumcision, or removal of the foreskin, may be necessary in very severe cases of paraphimosis. This will also prevent the condition from happening again.

All of the information was got off healthline.com

Please see your Dr right away....

Sincerely

AVB

[sasmock]

Dad's predicament was dealt with at 2.30 am by an emergency doctor. So thankfully, he's not had to go in. Doc said dad would have been in a lot of pain, but still dad kept saying no when we asked if it hurt. Not sure if he's got reduced perception or if he's saying no when he means yes

[Spiralsparkle in reply to sasmock]

Glad it got sorted for him and no need to be taken out of his home again. Xxx

[Heady in reply to sasmock]

Glad it's all sorted. Steve could never judge pain. I could always tell, but he always indicated that he wasn't in any pain. The messages not getting through properly again. If he ever did say he was hurting, I got the doctor in straight away or dialled 999, as that meant it was serious.

Lots of love

Anne