Abstract | INTRODUCTION: METHODS: Starting in February 2011, we used mannitol 20% in patients presenting to urologic emergency with uncomplicated paraphimosis. Mannitol-soaked gauzes were wrapped around the oedematous prepuce, followed by minimal intermittent hand compression and frequent resoaking of the gauze with 20% mannitol. No needle punctures were made. The soaked gauze was removed and the paraphimosis was reduced easily. RESULTS: A complete reduction of paraphimosis occurred after mannitol-soaked gauze had been placed over the oedematous prepuce for about 30-45 min in 6 of our patients. This is a novel agent used for this entity; it reduces paraphimosis in a minimal time with no pain, with the added advantage of the least risk of infection after the procedure as opposed to granulated sugar or 50% dextrose previously used as osmotic agents. CONCLUSIONS:
Mannitol can be applied in clinical practice for reducing paraphimosis. It requires no anaesthesia and is associated with minimal/no patient discomfort unlike that seen with multiple needle punctures and the various other non-osmotic methods of reducing paraphimosis.
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Authors | Ajay Anand, Sahil Kapoor |
Journal | Urologia internationalis
(Urol Int)
Vol. 90
Issue 1
Pg. 106-8
( 2013)
ISSN: 1423-0399 [Electronic] Switzerland |
PMID | 23257575
(Publication Type: Journal Article)
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Copyright | Copyright © 2012 S. Karger AG, Basel. |
Chemical References |
- Diuretics, Osmotic
- Mannitol
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Topics |
- Administration, Cutaneous
- Diuretics, Osmotic
(administration & dosage, therapeutic use)
- Humans
- Male
- Mannitol
(administration & dosage, therapeutic use)
- Paraphimosis
(drug therapy)
- Time Factors
- Treatment Outcome
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