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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Swelling In Penis After Using Catheter

84 year old man has had a cathater in for 4 weeks. This was changed at Rehab. Now patient gets home today from the rehab center and his penis is swollen, very painful. Was sent to ER and they send him back home to see urologist. Are there anything we can do at home
Wed, 1 Feb 2017
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General Surgeon,  's  Response
Hi,
Thanks for contacting HCM.
According to your clinical history two probable differentials are paraphimosis and infection.
Paraphimosis is a medical condition in which foreskin of the penis become retracted and form a swollen ring of tissue around the penis.Long term catheterization is a common cause of paraphimosis especially in uncircumcised males.Any infection around penis also have the same clinical picture.
You can use hot compresses to reduce the pain and swelling and the patient definitely have some relief with that.Local application of lignocaine gel can also be tried.
But you must consult a urologist as soon as possible because paraphimosis is a urological emergency and early intervention favors good outcome.
Hope I have addressed your concern.
Thank you.
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Suggest Treatment For Pain And Swelling In Penis After Using Catheter

Hi, Thanks for contacting HCM. According to your clinical history two probable differentials are paraphimosis and infection. Paraphimosis is a medical condition in which foreskin of the penis become retracted and form a swollen ring of tissue around the penis.Long term catheterization is a common cause of paraphimosis especially in uncircumcised males.Any infection around penis also have the same clinical picture. You can use hot compresses to reduce the pain and swelling and the patient definitely have some relief with that.Local application of lignocaine gel can also be tried. But you must consult a urologist as soon as possible because paraphimosis is a urological emergency and early intervention favors good outcome. Hope I have addressed your concern. Thank you.