title: Modified puncture technique for reduction of paraphymosis.
abstract: METHODS
  A total of 45 patients underwent reduction of paraphymosis at LN Hospital, Delhi, India and Leighton Hospital, Crewe, UK from August 1991 to September 1999 using the multiple puncture and glans squeeze technique. These were divided into 3 grades: grade 1, paraphymosis without engorgement of glans; grade 2, paraphymosis with engorgement of glans; and grade 3, paraphymosis with associated skin changes (non-pitting oedema, cheese-cutting of the shaft of the penis or erosions).
  
  
  RESULTS
  Grade 1 (6) patients were reduced by simply pulling the foreskin back into the normal position. Grade 2 (37) patients were reduced by the above-mentioned technique. Grade 3 (2) patients could not be reduced by this technique and the band had to be divided.
  
  
  CONCLUSIONS
  Difficult paraphymosis with gross engorgement of the glans can be successfully reduced by this technique as long as the skin changes are not marked.
authors.affiliation: Department of Urology, Leighton Hospital, Crewe, Cheshire, UK. vkumar3908@hotmail.com
authors.forename: V
authors.initials: V
authors.lastname: Kumar
authors.forename: P
authors.initials: P
authors.lastname: Javle
mesh_terms: D006801:Humans; D008297:Male; D010263:Paraphimosis / Q000601:surgery*; D011677:Punctures / Q000379:methods*; D012720:Severity of Illness Index