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1.
Vet Clin North Am Equine Pract ; 37(2): 339-366, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34243877

ABSTRACT

Selected emergency conditions of male and female reproductive tracts in horses are described, including injuries affecting the external genitalia of male horses and emergent conditions arising during gestation in mares. Conditions affecting male horses are discussed in the context of breeding stallions, but kicks or other mechanisms of trauma in the groin can also affect geldings. Priapism, paraphimosis, trauma to the scrotum and testicles, and penile injury are discussed. In mares, traumatic vestibular injury, placentitis, hydropsic conditions, prepubic tendon and abdominal wall compromise, and uterine torsion are included. Clinical recognition of the problem, diagnostic procedures, and treatments are summarized.


Subject(s)
Horse Diseases/diagnosis , Paraphimosis/veterinary , Priapism/veterinary , Reproduction , Animals , Breeding , Emergencies/veterinary , Female , Genitalia, Female/injuries , Genitalia, Male/injuries , Horse Diseases/therapy , Horses , Male , Paraphimosis/diagnosis , Paraphimosis/therapy , Pregnancy , Priapism/diagnosis , Priapism/therapy , Wounds and Injuries/veterinary
2.
Ther Umsch ; 77(5): 223-225, 2020 Jun.
Article in German | MEDLINE | ID: mdl-32870094

ABSTRACT

Urologic Emergencies: Paraphimosis Abstract. Paraphimosis presents a rare but acute urological emergency whereby the foreskin becomes entrapped behind the coronary sulcus of the penis. Therapy is quick and feasible, even in an outpatient setting. In most cases compression of the preputial edema and subsequent reposition of the prepuce is sufficient. Rarely, surgical intervention in form of a dorsal incision of the constriction is required. With partial or full phimosis being the underlying condition, paraphimosis occurs predominantly in infants and toddlers. However, persistent or secondary phimosis can lead to paraphimosis in advanced age.


Subject(s)
Paraphimosis/diagnosis , Paraphimosis/surgery , Paraphimosis/therapy , Phimosis , Child, Preschool , Emergencies , Emergency Service, Hospital , Humans , Male
3.
Emerg Med Clin North Am ; 37(4): 583-592, 2019 Nov.
Article in English | MEDLINE | ID: mdl-31563196

ABSTRACT

The penis is an organ of enormous importance and is vital for both excretory and reproductive function. The anatomy of the penis itself can lead to many of its emergent conditions and a thorough understanding of the anatomy and physiology is central to recognition of these conditions. Physicians should have a high clinical suspicion for penile emergencies and perform a thorough physical examination to make a proper diagnosis. Prompt diagnosis and proper management are essential for minimizing dysfunction of this vital organ.


Subject(s)
Penile Diseases/diagnosis , Emergencies , Humans , Male , Paraphimosis/diagnosis , Paraphimosis/therapy , Penile Diseases/therapy , Penis/injuries , Phimosis/diagnosis , Phimosis/therapy , Priapism/diagnosis , Priapism/therapy
5.
Med Clin North Am ; 102(2): 373-385, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29406065

ABSTRACT

Urologic emergencies can involve the kidneys, ureters, bladder, urethra, penis, scrotum, or testicles. History and physical examination are essential to diagnosis, whereas imaging is increasingly used to confirm diagnoses. Acute urinary retention should be relieved with Foley placement. Penile emergencies include paraphimosis, which can be treated by foreskin reduction, whereas penile fracture and priapism require urologic intervention. Fournier gangrene and testicular torsion are scrotal emergencies requiring emergent surgery. Nephrolithiasis, although painful, is not an emergency unless there is concern for concomitant urinary tract infection, both ureters are obstructed by stones, or there is an obstructing stone in a solitary kidney.


Subject(s)
Urologic Diseases/diagnosis , Urologic Diseases/therapy , Acute Disease , Emergencies , Female , Female Urogenital Diseases/diagnosis , Female Urogenital Diseases/therapy , Fournier Gangrene/diagnosis , Fournier Gangrene/therapy , Humans , Male , Male Urogenital Diseases/diagnosis , Male Urogenital Diseases/therapy , Nephrolithiasis/diagnosis , Nephrolithiasis/microbiology , Nephrolithiasis/therapy , Paraphimosis/diagnosis , Paraphimosis/therapy , Penis/injuries , Priapism/diagnosis , Priapism/therapy , Referral and Consultation , Rupture , Spermatic Cord Torsion/diagnosis , Spermatic Cord Torsion/therapy , Urinary Retention/diagnosis , Urinary Retention/therapy
6.
Surg Clin North Am ; 96(3): 407-24, 2016 Jun.
Article in English | MEDLINE | ID: mdl-27261785

ABSTRACT

The diagnosis and management of urologic emergencies are incorporated into the basic training of all urology residents. In institutions without access to urologic services, it is usually left to the General Surgeon or Emergency Medicine physician to provide timely care. This article discusses diagnoses that are important to recognize and treatment that is practically meaningful for the non-Urologist to identify and treat. The non-Urology provider, after reading this article, will have a better understanding and a higher comfort level with treating patients with urologic emergencies.


Subject(s)
Fournier Gangrene/therapy , Paraphimosis/therapy , Priapism/therapy , Pyonephrosis/therapy , Spermatic Cord Torsion/therapy , Urinary Retention/therapy , Acute Disease , Emergency Treatment , Female , Fournier Gangrene/diagnosis , Humans , Male , Paraphimosis/diagnosis , Priapism/diagnosis , Pyonephrosis/diagnosis , Spermatic Cord Torsion/diagnosis , Urinary Retention/diagnosis
9.
Dermatol Online J ; 17(7): 3, 2011 Jul 15.
Article in English | MEDLINE | ID: mdl-21810388

ABSTRACT

Primary cutaneous CD30+ T-cell lymphoproliferative disorders (PC-CD30+ LPD) as a group are one of the more common types of T-cell lymphoma. More specifically primary cutaneous anaplastic lymphoma (PC-ALCL), one of these lymphoproliferative disorders, is the second most common cutaneous T-cell lymphoma. We report an unusual presentation of PC-ALCL. A 90-year-old, uncircumcised male presented with a 3-week history of painful penile swelling and discharge. The patient was treated with cephalexin and underwent emergent circumcision for paraphimosis. The diagnosis of ALCL was made on microscopic evaluation of the foreskin along with follow-up staging studies. A literature review revealed 31 previously reported cases of penile lymphoma, one of which reported a primary penile CD30+ T-cell lymphoma similar to ours. Only one case report described a lymphoma presenting as paraphimosis. Our case is the second reported case of PC-ALCL of the penis and the first of its kind to present as paraphimosis. Lymphomas must be included in the differential diagnosis of penile lesions and paraphimosis. When present, clinicians should be able to differentiate primary cutaneous lymphoma from lymphomas with secondary skin involvement. All foreskins should be submitted to pathology for proper evaluation of penile lesions.


Subject(s)
Foreskin/pathology , Ki-1 Antigen/analysis , Lymphoma, Primary Cutaneous Anaplastic Large Cell/pathology , Paraphimosis/etiology , Penile Neoplasms/pathology , Skin Neoplasms/pathology , Aged, 80 and over , Circumcision, Male , Diagnosis, Differential , Humans , Immunohistochemistry , Lymphoma, Primary Cutaneous Anaplastic Large Cell/complications , Lymphoma, Primary Cutaneous Anaplastic Large Cell/surgery , Male , Paraphimosis/diagnosis , Paraphimosis/surgery , Penile Neoplasms/complications , Penile Neoplasms/surgery , Skin Neoplasms/complications , Skin Neoplasms/surgery
10.
ScientificWorldJournal ; 11: 289-301, 2011 Feb 03.
Article in English | MEDLINE | ID: mdl-21298220

ABSTRACT

Phimosis is a condition in which the prepuce cannot be retracted over the glans penis. Actually, physiologic phimosis is common in male patients up to 3 years of age, but often extends into older age groups. Balanoposthitisis a common inflammation occurring in 4-11% of uncircumcised boys. Circumcision is generally undertaken for three reasons: first, as an item of religious practice, typically neonatally although occasionally transpubertally, as a rite of passage; second, as a prophylactic measure against future ailments for the reduction in the risk of penile cancer, urinary tract infection, and sexually transmitted infection; and third, for immediate medical indication. Balanitisxeroticaobliterans is an infiltrative skin condition that causes a pathological phimosis and has been considered to be the only absolute indication for circumcision. Various kinds of effective alternatives to circumcision have been described, including manual retraction therapy, topical steroid therapy, and several variations of preputioplasty. All of these treatments have the ability to retract the foreskin as their goal and do not involve the removal of the entire foreskin. Paraphimosis is a condition in which the foreskin is left retracted. When manipulation is not effective, a dorsal slit should be done, which is usually followed by circumcision.


Subject(s)
Circumcision, Male , Paraphimosis/diagnosis , Penile Diseases/diagnosis , Phimosis/diagnosis , Humans , Male , Paraphimosis/physiopathology , Penile Diseases/physiopathology , Phimosis/physiopathology
11.
J Pediatr Surg ; 43(2): e31-3, 2008 Feb.
Article in English | MEDLINE | ID: mdl-18280267

ABSTRACT

Paraphimosis is a urologic emergency that occurs in uncircumcised boys. In untreated paraphimosis, increasing edema caused by vascular and lymphatic obstruction results in ominous sequelae such as penile gangrene, which leads to autoamputation in days or weeks. Most cases of paraphimosis are iatrogenic, but that condition has unusual causes as well. We present a very rare case of paraphimosis that occurred in a patient with a hemangioma of the glans penis. We suggest that the swelling of the hemangioma pushed the penile skin backward and caused paraphimosis. To our knowledge, such a presentation has not been previously reported in the English literature.


Subject(s)
Hemangioma/complications , Hemangioma/diagnosis , Paraphimosis/etiology , Penile Neoplasms/complications , Penile Neoplasms/diagnosis , Circumcision, Male , Follow-Up Studies , Hemangioma/surgery , Humans , Infant , Male , Paraphimosis/diagnosis , Paraphimosis/surgery , Penile Neoplasms/surgery , Risk Assessment , Severity of Illness Index , Treatment Outcome
19.
J Small Anim Pract ; 42(10): 510-3, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11688528

ABSTRACT

Idiopathic chronic penile protrusion was diagnosed in six dogs during a seven year period. All cases were treated surgically by using cranial advancement of the prepuce. The surgical technique was successful in four dogs, while the remaining two developed recurrence. In one of the latter cases, partial penile amputation was performed to correct the recurrent protrusion. Five dogs were available for follow-up clinical examination and all were found to be normal.


Subject(s)
Dog Diseases/diagnosis , Dog Diseases/surgery , Paraphimosis/veterinary , Animals , Chronic Disease , Dog Diseases/pathology , Dogs , Male , Paraphimosis/diagnosis , Paraphimosis/surgery
20.
Trop Med Int Health ; 5(12): 906-7, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11169281

ABSTRACT

Paraphimosis usually develops when a tight foreskin is retracted over the glans penis for a prolonged period. Many esoteric aetiologies have been implicated in the development of paraphimosis including piercing the foreskin, Plasmodium falciparum infection, application of celadine juice to the foreskin, chancroid, pessaries and the implantation of pearls. We report the first two cases of paraphimosis developing during wining, an erotic dance native to Trinidad & Tobago.


Subject(s)
Dancing , Paraphimosis/etiology , Adolescent , Adult , Dancing/classification , Humans , Male , Paraphimosis/diagnosis , Paraphimosis/therapy
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