Paraphimosis (when the phimotic ring gets trapped behind the glans
causing the glans to swell up) can be dangerous and is actually
considered a medical emergency.
"I learned that if the skin wouldn't come forward, the thing
to do was not to panic, but to slowly squeeze my glans and press
the blood out of it till it got small enough for the tight bit of
the skin to go over the rim. I just pressed it (the glans) gently
with the fingers and thumbs of both hands, and the blood was slowly
squeezed out. I'm sure any similar method would work." (e.mail
extract from Peter S.)
Manually squeezing the glans with a relaxed attitude in most cases
will subside the swelling. If after a couple of hours of trying
with ample relaxed pauses - then it will be necessary to get help
at the local emergency department.
In hospital, paraphimosis will often be treated with a quick unnecessary
circumcision. Though some form of treatment is necessary, a minimal
dorsal slit is all that is necessary and will always cure this condition.
I would always advise a small dorsal slit through the phimotic ring
as soon as possible in a child, because the condition tends to recur.
Afterwards, if necessary, further steps could be considered in all
calm and composure.
J. Chandler Williams MD. MS., et al "Paraphimosis
in Elderly Men" (American Journal of Emergency Medicine
Volume 13 Number 3, May 1995, p. 351-353)
"Treatment of paraphimosis is directed at relieving vascular
obstruction by reducing the foreskin or releasing the offending
tissue ring. Simple reduction of paraphimosis can usually be accomplished
by firmly squeezing (compressing) the glans for 5 minutes to reduce
the tissue edema and decrease the size of the glans. The skin can
then be drawn forward over the glans. The compression of the edematous
glans may be facilitated by slowly and tightly wrapping it with
2 x 2 inch Kerlex bandage. This "turban" technique provides
equal pressure around the glans and usually speeds up the process
There are at least 50 references to paraphimosis in private letters,
medical and anthropological texts - please search for more information