![]() ![]() In a letter describing this technique, Dr. The downside is that the treatment requires at least an hour for the swelling to come down. This may be an easy and cost-effective means of reducing a paraphimosis in the emergency department. This technique has been described on ALiEM for a case of rectal prolapse and in a 1998 case report. The high solute concentration of the sugar water pulls the water from the swollen tissue while lidocaine provides topical analgesia. Place soaked gauze on the glans of penis.Mix 50 mL of 50% dextrose solution with 2% lidocaine jelly (a.k.a.Sugar solution for non-reducible paraphimosis 1 Unfortunately, as time goes on, more swelling occurs making traditional reduction techniques more difficult. Treatment involves gentle compression of the glans and gradual manual foreskin retraction. ![]() Paraphimosis can be a urological emergency as the tight ring formed by the foreskin can cause ischemia to the tip of the penis and eventually gangrene. Risk factors for paraphimosis include scarring, vigorous sexual activity, chronic balanoposthitis, and forgetting to replace the foreskin after catheterization or manipulation. Paraphimosis occurs when a retracted foreskin can’t be reduced back over the glans of the penis. ![]()
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