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Чаще всего парафимоз — осложнение врождённого или приобретённого фимоза (сужения крайней плоти, которое не позволяет полностью открыть головку пениса) [1](https://mc21.ru/articles/parafimoz/)[2](https://centr-hirurgii-spb.ru/diseases/parafimoz/). \n\n**Опасность**: длительное сдавление приводит к нарушению кровоснабжения и питания тканей головки, что чревато развитием гангрены [6](https://polyclinika.ru/tech/parafimoz-simptomy-i-lechenie/). При появлении первых признаков парафимоза необходимо немедленно обратиться за медицинской помощью [1](https://mc21.ru/articles/parafimoz/).\n\n## Причины\nНекоторые причины парафимоза: \n* **Насильственное смещение суженной крайней плоти** за головку полового члена во время мочеиспускания, полового акта, мастурбации или гигиенических процедур [1](https://mc21.ru/articles/parafimoz/). \n* **Травмы полового члена**: неаккуратные манипуляции, грубый половой акт, случайные повреждения [1](https://mc21.ru/articles/parafimoz/). \n* **Некоторые медицинские процедуры или операции**: неправильное или неаккуратное выполнение цистоскопии, введение катетера [1](https://mc21.ru/articles/parafimoz/)[6](https://polyclinika.ru/tech/parafimoz-simptomy-i-lechenie/). \n* **Заболевания и состояния**, повышающие риск развития патологии: некомпенсированный диабет, аллергия со стороны гениталий, сердечная недостаточность, лимфостаз [6](https://polyclinika.ru/tech/parafimoz-simptomy-i-lechenie/).\n\n## Симптомы\nНекоторые симптомы парафимоза: \n* **Отёк и увеличение размеров головки** из-за нарушения венозного и лимфатического оттока [1](https://mc21.ru/articles/parafimoz/). \n* **Синюшный оттенок** головки из-за сдавления сосудов [1](https://mc21.ru/articles/parafimoz/). \n* **Выраженная острая боль** в области головки, усиливающаяся при прикосновении, движении, мочеиспускании [1](https://mc21.ru/articles/parafimoz/). \n* **Крайняя плоть**, сдавливающая головку, также отекает, утолщается, приобретает красный цвет из-за воспаления [1](https://mc21.ru/articles/parafimoz/). \n* **Затруднённое мочеиспускание** вплоть до острой задержки мочи [1](https://mc21.ru/articles/parafimoz/). \n\nПри несвоевременном лечении длительное сдавление приводит к **некрозу (омертвлению) тканей** головки полового члена [1](https://mc21.ru/articles/parafimoz/).\n\n## Диагностика\nДля постановки диагноза урологу или хирургу достаточно провести осмотр и собрать анамнез заболевания [4](https://alfazdrav.ru/zabolevania/urologiya/parafimoz/). Врач определяет выраженность отёка, цвет кожи, остроту болевого синдрома [4](https://alfazdrav.ru/zabolevania/urologiya/parafimoz/). В отдельных случаях может быть рекомендовано УЗИ для оценки кровотока в поражённой области [4](https://alfazdrav.ru/zabolevania/urologiya/parafimoz/).\n\n## Лечение\nВ зависимости от стадии и тяжести состояния врач может предложить следующие методы [14](https://duetclinic.ru/diseases/parafimoz/): \n* **Консервативное вправление** — попытка аккуратно вправить крайнюю плоть в исходное положение [14](https://duetclinic.ru/diseases/parafimoz/). Это может потребовать предварительного обезболивания или применения ледяных компрессов для уменьшения отёка [14](https://duetclinic.ru/diseases/parafimoz/). \n* **Медикаментозное лечение** — применение препаратов для уменьшения отёка и боли [14](https://duetclinic.ru/diseases/parafimoz/). В некоторых случаях, при наличии инфекции, могут быть назначены антибиотики [14](https://duetclinic.ru/diseases/parafimoz/). \n* **Хирургическое вмешательство** — если консервативные методы неэффективны, может потребоваться операция [14](https://duetclinic.ru/diseases/parafimoz/). Хирург делает разрезы, чтобы снять давление и восстановить нормальное положение крайней плоти [14](https://duetclinic.ru/diseases/parafimoz/). 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