Paraphimosis is a condition where the foreskin cannot return to its normal position, trapping the glans and potentially leading to a range of complications. A “sub-coronal phimosis ring” is one of the primary causes of this condition. It refers to a narrowing of the foreskin that can make it difficult or impossible for the foreskin to return to its normal position, creating painful pressure. When these conditions occur, one of the most effective and commonly adopted solutions is functional circumcision, a surgical procedure that removes part or all of the foreskin, restoring normal genital function.
The functional circumcision has a dual purpose: not only does it address the issue of paraphimosis, but it also helps treat recurring infections or other foreskin-related issues. Although it may seem like a drastic solution, it is often the only way to prevent more severe complications, such as chronic infection or permanent damage to the glans. Functional circumcision is typically performed under local or general anesthesia, depending on the severity of the condition and the overall health of the patient.
The procedure begins with an incision in the foreskin area to remove the tight and less elastic portion. A revision of the surrounding tissues is then performed to prevent the formation of scars or adhesions that could compromise the functionality of the area. In some cases, a “partial circumcision” technique may be used, where only a small portion of the foreskin is removed, depending on the severity of the phimosis and the patient’s response to treatment.
Complications following circumcision are rare but may include infections, bleeding, or abnormal scarring. Post-operative management is critical to reduce the risk of complications. It is important for patients to follow the doctor’s instructions, which may include the use of antibiotics, wound monitoring, and good hygiene practices to prevent infection.
Another crucial aspect is the choice of anesthesia. Paraphimosis surgery can be performed under local anesthesia, but in more complex cases, such as those involving severe phimosis, general anesthesia may be necessary to ensure maximum comfort and patient safety.
The surgeries you see in this video were performed by Prof. Gabriele Antonini. Some of these images, intended for a medical audience and educational purposes, may be intense for those not accustomed to surgical scenes.
