Inability to reduce the proximal edematous foreskin distally over the glans is called?

Inability to reduce the proximal edematous foreskin distally over the glans is called?

• A. Paraphimosis
• B. Phimosis
• C. Balanitis
• D. Epididymitis

Answer: (B)

Paraphimosis occurs when the foreskin has been retracted behind the glans and cannot be moved forward to cover the glans again. The retracted, edematous foreskin forms a tight ring around the distal penis, trapping the glans and causing venous congestion and swelling. This is an emergency because edema and constriction can worsen and risk ischemia if not reduced promptly. The scenario described—an edematous proximal foreskin that cannot be slid distally over the glans—fits paraphimosis. Phimosis, in contrast, is the inability to retract the foreskin over the glans in the first place, not the inability to replace a retracted foreskin. Balanitis is inflammation of the glans, which may cause redness and irritation but does not describe a mechanical entrapment. Epididymitis is inflammation of the epididymis presenting with scrotal or testicular pain and swelling, not related to foreskin retractility.

Paraphimosis occurs when the foreskin has been retracted behind the glans and cannot be moved forward to cover the glans again. The retracted, edematous foreskin forms a tight ring around the distal penis, trapping the glans and causing venous congestion and swelling. This is an emergency because edema and constriction can worsen and risk ischemia if not reduced promptly. The scenario described—an edematous proximal foreskin that cannot be slid distally over the glans—fits paraphimosis.

Phimosis, in contrast, is the inability to retract the foreskin over the glans in the first place, not the inability to replace a retracted foreskin. Balanitis is inflammation of the glans, which may cause redness and irritation but does not describe a mechanical entrapment. Epididymitis is inflammation of the epididymis presenting with scrotal or testicular pain and swelling, not related to foreskin retractility.