Un método práctico de reducción manual sin dolor para la parafimosis de larga evolución (2009- 2011)

introduction: the paraphimosis is frequent in emergence services. its early reduction is easy, but if children come late it may to be a serious problem. due to the unsuccessful and painful attempts of reduction, these patients suffer a significant charge of emotional tension. objectives: to describe and to show the implementation of a practical method of painless manual reduction in patients with a prolonged paraphimosis. methods: a descriptive, prospective and longitudinal study was conducted in patients treated (25), diagnosed with paraphimosis of long term course (+ 12 hr) from january, 2009 to june, 2011. a method based in the subcutaneous annular anesthetic block was applied in the penis base derived of the pudendal innervation. the following variables were selected: age, triggering external cause, initial conservative treatment, to until reduction and complications. information was processed in absolute frequency and percentages where the results were significant tests for its statistic analysis. results: the sudden manipulation of prepuce by mother leads to this complication in the 68 % of children aged under 5. the conservative treatments caused a significant delay for its reduction in the 80 % of cases. conclusions: this method is well accepted by patient giving him a painless solution and it is of easy application in emergence services. procedures more painful like the phimotomy are avoided.