With scissors, cut the skin in the midline. Never leave a circumferential pressure dressing on the penis, as this could compromise the blood supply to the glans and cause tissue necrosis. Paraphimosis Paraphimosis is the inability to reduce a retracted foreskin back over the glans penis. This skin acts as a constricting ring and reduces blood flow to the distal phallus. This is an emergency.
Patients are in severe pain, and frequently require narcotic analgesics to reduce the paraphimosis.
Placing considerable pressure on the glans to push it back through the constricting tissue can do this. Surgical sponges may be necessary to obtain an adequate hold on the phallus and prepuce. Once reduced, a dorsal slit as described above can be performed. Balanitis Balanitis is inflammation of the glans penis. It is commonly encountered in men with poor genital hygiene, failing to retract the foreskin and clean the tissue beneath.