EAS Publisher | Management of Iatrogenic Paraphimosis at Fousseyni Daou Hospital, Kayes: A Clinical Case

Management of Iatrogenic Paraphimosis at Fousseyni Daou Hospital, Kayes: A Clinical Case

DOI : https://doi.org/10.36349/easjms.2025.v07i11.003

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The word paraphimosis is derived from two Greek words: "para" (meaning "beyond" or "resembling") and "phimosis" (meaning "to muzzle" or "to restrict"). It is a true urological emergency. [1, 2]. We report a case of iatrogenic paraphimosis after urinary catheterization and review the literature. This is a 2-year-old male patient who presented to the urology department with plaintive cries, painful penile swelling, fever, and vomiting after transurethral catheterization for acute urinary retention. Physical examination revealed a retracted foreskin behind the corona of the glans with swollen and edematous preputial mucosa. He also had a fever of 38.2°C. Paraphimosis is a rare urological emergency. In 15 years of urological practice, we have recorded only one case. Burstein and Paquin, from Canada, reported 46 patients between October 2013 and September 2016 [18]. If left untreated, it can lead to catastrophic penile lesions. The treatment was surgery. It is important to return the foreskin to its original position after urethral catheterization or cystoscopy.

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