Abstract

PONCE SANDOVAL, Nelson et al. A practical method of painless manual reduction without pain for the long course paraphimosis (2009- 2011). Rev Cubana Med Gen Integr [online]. 2012, vol.28, n.1, pp.52-62. ISSN 0864-2125.

Introduction: the paraphimosis is frequent in emergence services. Its early reduction is easy, but if children come late it may to be a serious problem. Due to the unsuccessful and painful attempts of reduction, these patients suffer a significant charge of emotional tension. Objectives: to describe and to show the implementation of a practical method of painless manual reduction in patients with a prolonged paraphimosis. Methods: a descriptive, prospective and longitudinal study was conducted in patients treated (25), diagnosed with paraphimosis of long term course (+ 12 hr) from January, 2009 to June, 2011. A method based in the subcutaneous annular anesthetic block was applied in the penis base derived of the pudendal innervation. The following variables were selected: age, triggering external cause, initial conservative treatment, to until reduction and complications. Information was processed in absolute frequency and percentages where the results were significant tests for its statistic analysis. Results: the sudden manipulation of prepuce by mother leads to this complication in the 68 % of children aged under 5. The conservative treatments caused a significant delay for its reduction in the 80 % of cases. Conclusions: this method is well accepted by patient giving him a painless solution and it is of easy application in emergence services. Procedures more painful like the phimotomy are avoided.

Keywords : paraphimosis; long-term course; reduction.

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