Rosh Pediatrics Practice Exam

What is a common symptom of paraphimosis in uncircumcised boys?

1. AInability to void

2. BPain at the base of the penis

3. CEdema of the glans penis

4. DSkin lesions

The correct answer is: CEdema of the glans penis

In the case of paraphimosis, the most notable symptom is indeed edema of the glans penis. Paraphimosis occurs when the foreskin is retracted and cannot be returned to its normal position over the glans, leading to swelling and inflammation. As the condition progresses, the constriction can cause increased blood flow to the area, further exacerbating the swelling and leading to edema. This condition can be painful and can result in complications if not treated promptly. The other symptoms mentioned, while they may be associated with other conditions affecting the genital area, are not characteristic of paraphimosis. For instance, inability to void might suggest a different urinary obstruction issue, pain at the base of the penis could indicate various causes, and skin lesions do not directly relate to the classic presentation of paraphimosis. Understanding the specific symptoms associated with paraphimosis is crucial for accurate diagnosis and timely intervention.