5yr male undergone circumcision one month back c/o swelling over prepesal skin Diagnosed N Tt

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A case of paraphimosis. But how come paraphimosis occurred after circumcision.which is not possible. I feel it is done by an untrained person .Manual reduction of paraphimosis and do adequate re-circumcision
Sir in this do the injection of Hyalase in the inflammed skin has any significance or not?
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Is it religious circumcision /khatna ? Followed by improper care,led to infection and give away of suturing.Take care or may lead to septicaemia..It's oedema of prepucial skin,. Doesn't fit as paraphimosis because it is not 'Phimosis ' as causing factor
Circumcision of skin of penile shaft has been done as is wont to happen in the wrong technique of pulling at skin before chopping it off. Distal prepuce proper is left without vascular link with prox penile skin...hence edema preuce. Cut margin is circular, hence shrinks to form a ring constriction. Needs excision of this distal prepucial hanger. Regular dressing to allow secondary healing to achieve cover of distal penile if pt is in rural set up. Ideally a skin graft shd be a decent approach. Easily avlbl from the child's thigh or scrotum.
Secondary infection due to circumcision by Non medical Person. Hypericum - 200 will act best along with regular cleaning of infective area with Calendula ext. Mother tincture
THIS IS THE RESULT OF SHEER BRUTAL QUACKERY IN THE NAME OF RELIGION..(SUCH BRUTES SHOULD BE BOOKED FOR LIFE).WHICH WE ALL MUST CONDEMN VEHEMENTLY @Dr. M V Subramanyam @Dr. Hemant Adhikari @Dr. Aniruddha Lele @Dr. Khalil Dhanshe @Dr. P. G. Shah @Dr. L.m. Patel
Yes you're true Dr.iyer ji You said it right
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Excessive inner layer of prepuce was left.poor healing of circumcisions wound lead to edema.inject hyaluronic acid IN TO THE EDEMATOUS PREPUCE.NOT IN THE WOUND.apply pressure manually to expel the fluid and apply glycerine mag sulf.bandages daily.
Do multiple puncture with dispo needle watery discharge will come out and perpural odema will reduced then treat with good antibiotic and anagesics
During circumcision the inner prepuceal skin must be incised beyond corona glandys to avoid recurrence. In guillatine method this may not happen.
Improper circumcision has led to constriction band now he needs excesion of constriction band and reoperation of phimosis
It's not paraphimosis, it's most commonly happen when foreskin incised far from the rim of coronal groove,
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