What are complications of phimosis or paraphimosis?

Updated: Aug 05, 2017
  • Author: Hina Z Ghory, MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Complications of phimosis or paraphimosis may include the following:

  • Recurrence

  • Posthitis

  • Necrosis and gangrene of the glans [19]

  • Autoamputation

In a Brazilian study of 30 patients who underwent circumcision due to phimosis, human papillomavirus (HPV) was present in 46.66%, of whom 50% had high-risk HPV genotypes. Only 16.36% of 100 asymptomatic patients were found to be positive for HPV, and only 1 showed high-risk HPV. [26]

According to a study in Taiwan, phimosis with preputial fissures may be a sign of undiagnosed diabetes mellitus. In 28 patients with acquired phimosis and preputial fissures, diabetes was confirmed in all 28 patients, as compared with only 2 patients out of 28 with acquired phimosis without preputial fissures. Statistically significant differences were found in body mass index, random plasma glucose, glucosuria, and glycosylated hemoglobin levels, but not in age, family history of diabetes, hypertension, or classic hyperglycemic symptoms. [27]


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