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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swelling Of Scrotal And Penis

I am an RN. I have a pt that is 69. He had prostate cancer 11yrs ago. He had a penile implant 4/30. It gave a problem and had to be removed 5/3. It required a 1/2 packing for about 2-3 weeks. He was very swollen both scotal and penis. A penrose was in last week when I visted him as a home health nurse. He said the doctor "cut the penrose off". I think the doctor pulled the penrose. Pt. says Dr. put in stitches there. The doctor had pulled down on the foreskin when penile implant removed and pt now only has swelling of the penis. Like a balloon 1/4 to 1/2 cm arround close to head of penis. He said when when the doctor putlled on the forskin the doctor didn't know he had not been circumcised and it was extremely painful and has been swollen since. This is a new doctor/surgeon because of insurance he could not go back to the one that had treated him for CA and put in a pump before. The pump stopped working and that is when he went to the new doctor and got pump put in that gave him trouble and had to be removed. Now he gets up for 30 min or so and the swelling goes to a 4-6 and he has to lay down. He wants to go back to work. He is in construction. Can you help. I will go see him Wed. I read where ice can Help?
Mon, 23 Nov 2015
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Urologist,  's  Response
Hello
Thanks for query .Based on he history of events that you have posted I would state that he has developed Paraphimosis .

It is likely that the constricting ring has formed around the glans penis at the level of just above coronal sulcus making it impossible to replace the foreskin back over glans penis .
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In a present context he needs to consult qualified General Surgeon or Urologist for evaluation and get the constricting ring incised This can be done under local anesthesia.

He will need daily dressing for a week and may need toget circumcised (if required).

Dr.Patil.
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Suggest Treatment For Swelling Of Scrotal And Penis

Hello Thanks for query .Based on he history of events that you have posted I would state that he has developed Paraphimosis . It is likely that the constricting ring has formed around the glans penis at the level of just above coronal sulcus making it impossible to replace the foreskin back over glans penis . . In a present context he needs to consult qualified General Surgeon or Urologist for evaluation and get the constricting ring incised This can be done under local anesthesia. He will need daily dressing for a week and may need toget circumcised (if required). Dr.Patil.