Diagnostics

Paraphimosis

Paraphimosis refers to the blockage of the foreskin – the skin covering the glans of the penis – when it is brought backwards.

The foreskin can not then return to its normal position and is blocked behind the glans, which itself can be “strangled”.

All uncircumcised men with a rather tight foreskin are potentially at risk for a paraphimosis.

This is an urgent condition that must be treated without delay and that requires a reduction of the paraphimosis as quickly as possible, by a doctor or in one of the Cliniques Marois.

What are the causes of paraphimosis?

All uncircumcised men with a tight foreskin, are potentially at risk for paraphimosis.

Paraphimosis may occur if the foreskin has been brought back from the glans for a prolonged period of time (eg. during or after sexual activity).

Paraphimosis may also be due to a forceful reduction of a phimosis.

It can also occur in a man who has had a urinary catheter placed, but without having put the foreskin back in place.

What are the symptoms of paraphimosis?

Strangulated glans

The main symptom of paraphimosis is the inability to return the foreskin to its normal position above the glans, thereby causing strangulation.

Swelling (swelling)

Paraphimosis can cause acute and painful swelling of the glans, sometimes associated with urinary retention.

Necrosis

Extreme cases of prolonged paraphimosis cause an interruption of the blood circulation with necrosis of the glans and part of the foreskin.

How to prevent a paraphimosis?

Paraphimosis can be prevented by complete circumcision but other precautions can be taken without performing this ablation:

Ensure regular and adequate hygiene of the penis;

Always replace the foreskin on the end of the penis after cleaning the penis, sexual intercourse, urinating or after a medical examination;

Never leave the foreskin behind the end of the penis for long periods.

What is the treatment of a paraphimosis?

A reduction of foreskin under penile block.

A foreskin plasty is sometimes necessary to release the ring.

After the resolution of a paraphimosis, it is strongly advised to carry out a circumcision eventual to avoid its recurrence, in the child to as in the adult.

Treatments offered at Cliniques Marois

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Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

Cancellation of appointment:

To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

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Dr. Marois is a urologist who is not a member of the Régie de l’Assurance Maladie du Québec (RAMQ). As such, if you require his professional services, you will have to pay directly the Cliniques Marois for the services rendered.

Cancellation Policy:

To ensure the smooth running of the clinics aa well as a minimum of courtesy towards other patients and staff members, we ask you to notify us 48 hours in advance for cancelling an appointment, 5 working days for cancelling a minor surgery in the office and 21 working days for major surgery at the CMC. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

Change of appointment:

We understand that events occur and schedules change, so we ask patients to give us at least a 24-hour notice for any changes of appointment. We will be happy to reschedule another one for you. Failure to provide such notice within this timeframe will result in a $ 100 fee.

Thank you for your understanding.

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