Paraphimosis in Children: Care Instructions

Paraphimosis (say "pair-uh-fy-MOH-suss") is a problem with the skin on your child's penis. The skin that folds over the penis (foreskin) gets tight and sticks behind the head of the penis. If your child can't return the foreskin to its normal place over the head of the penis, this is a medical emergency.

This only happens in someone who still has their foreskin.

This problem needs to be treated right away. If it's not treated, the penis will swell. Blood to the head of the penis may be cut off. This can damage the penis. And it can be very painful.

Your doctor probably reduced the swelling and put the foreskin in its normal place. Your doctor may have done surgery if the problem was severe.

Your doctor may suggest that your child be circumcised. This can prevent the problem from happening again.

• Do not pull back the foreskin for a week or until your doctor says it's okay.
• Be safe with medicines. Read and follow all instructions on the label.
  • If your child is not taking a prescription pain medicine, ask your doctor if your child can take an over-the-counter medicine.
  • If the doctor gave your child a prescription medicine for pain, give it as prescribed.
  • Do not give aspirin to children and teens. It has been linked to Reye syndrome, a rare but serious illness.
  • Store your child’s prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
• If your child has surgery, follow the directions you are given.
• If your child has small tears in the foreskin, your doctor may have you apply an antibiotic cream to the area. You may also be asked to watch for any signs of infection, such as redness, swelling, pain, or drainage.

• Clean your child's penis every day, carefully washing the whole area with warm water. Or if your child is older, have your child wash the area carefully. For the first week, only wash the outside of the penis.
• After a week, you can gently pull the foreskin back while washing the area. Pull it back only as far as it will go. Carefully wash the entire area with warm water. After washing, return the foreskin to its normal position.
• Teach your child how to pull back the foreskin and return it to its normal position. Some children as young as 3 can be taught to do this.