Penis Pain from Paraphimosis Can Be Serious Whether intact or circumcised, penis pain can be an issue for all men and can come about from a variety of causes. However, paraphimosis is a penis pain-causing condition which is, by definition, limited only to men with foreskin. Knowing about paraphimosis and what to do if it occurs is an essential part of practical penis care for intact men. What is paraphimosis? Many intact men are familiar with the term phimosis, which refers to a situation in which the male has difficulty retracting the foreskin back from the glans. In phimosis, the foreskin is too tight (or the glans too swollen) to allow for the easy, comfortable sliding back and forth of the foreskin. This can cause considerable penis pain in a man. In paraphimosis, the problem is not that the foreskin cannot retract; the problem is that it has retracted successfully but cannot return to covering the glans. The foreskin becomes “trapped” behind the glans, and in that position forms a tight “grip” near the base of the glans. The tightness causes penis pain; of even greater concern, however, is that this can caught off blood flow to the glans. If this situation continues for an extended period of time, it is possible for gangrene to occur, which in the worst case may require removal of a portion of the affected area. What causes it? Paraphimosis is fortunately rare, occurring in approximately 1% of males aged 16 and over. Although it can occur at any age, most incidences are reported in adolescents and in elderly men. The reason for its occurrence in these population is due to its causes. There are generally two main causes of paraphimosis. In the first, it is due to the foreskin simply not being sufficiently loosened. During puberty and adolescence, as the penis grows and erections achieve adult status, it may take time for the foreskin to loosen sufficiently. Adolescent boys masturbating vigorously may unintentionally create a slight trauma that wedges the foreskin below the glans.
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