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Dr. Vikram Chauhan - MD (Ayurveda)

Friday, September 29, 2017

Ayurvedic Treatment of Paraphimosis

Paraphimosis is a urologic emergency condition which affects uncircumcised or partially circumcised males. In this condition, the foreskin of the penis remains retracted for an extended period of time, and cannot be pulled forward over the tip of the penis. To put it differently, the retracted foreskin remains stuck behind the head of the penis, and cannot be returned to its normal anatomic position.

Paraphimosis is a serious and painful condition which can lead to swelling, edema, venous occlusion, and even arterial occlusion. Since this condition leads to the constriction of the foreskin and affects the arterial flow to the glans plans, it can result in some severe infection or an injury to the tip of the penis, or even gangrene and amputation of the glans penis.

As such, whenever uncircumcised or partially circumcised males suspect that they may be affected by Paraphimosis, they should seek a urology consultation immediately, so that the condition can be evaluated and diagnosed properly. Prompt attention to Paraphimosis and timely treatment of the condition can prevent potential complications such as anxiety, stress, pain and discomfort during intercourse, and scarring or bleeding of the tissue due to forced attempts to pull the foreskin to its normal position.


The most common cause behind the occurrence of Paraphimosis is that the foreskin of the affected males is not returned to its normal position by a medical practitioner after conducting a physical exam or a surgical procedure like inserting a catheter.

In addition, there are some other causes which can lead to Paraphimosis. These causes are:

  • Infections which scar the foreskin
  • Injury to the genital area
  • Forceful pulling back of the foreskin
  • Tight or less stretchy foreskin
  • Pulling back the foreskin for long duration
  • Mishandling of the foreskin
  • Poor hygiene
  • Medical conditions like Diabetes
  • Vigorous sexual activity, and
  • Other penis ailments like Phimosis.


Since Paraphimosis basically makes it difficult for affected males to return the foreskin to its normal position over the tip of the penis, the most common symptoms of this serious and painful condition are:

  • Foreskin gets stuck in retracted position
  • Swelling and pain in the penis tip
  • Foreskin becomes too tight
  • Penis tip becomes bluish in colour due to insufficient blood flow.


For an initial diagnosis of Paraphimosis, doctors generally carry out a physical examination of the penis and foreskin of the affected males, and ask them a few questions related to the problems being experienced by them.

Thereafter, the doctors may also check the complete medical history of the affected males, and may ask them undergo blood and urine tests for a formal confirmation of Paraphimosis.


The treatment of Paraphimosis, first and foremost, involves the controlling of pain and swelling in the tip of the penis; and draining out blood or pus with the help of needles. In some severe cases, doctors may need to make a small cut in order to relieve tension. Overall, the treatment of Paraphimosis depends on the severity of the patient's condition and the age of the patients.

Herbal Remedies for Paraphimosis


Doshas vitiation is the root cause for any disease in Ayurveda. Pitta and kapha gets vitiated by causative factors and give rise to this problem by blocking local channels. For managing the symptoms of Paraphimosis, certain herbal formulations can be very effective because renowned Ayurvedic experts use pure and natural herbs, with immense medicinal value, for preparing the formulations. Some of the main herbal formulations which can help manage Paraphimosis include:

1. Gotukola Capsules:

Pure extracts of the 'Gotu kola' (Centella asiatica) herb are used for preparing these capsules which are one of the most beneficial herbal products for men affected by Paraphimosis. The Gotu Kola herb is extremely effective in relieving the symptoms of Paraphimosis, such as pain and swelling in the penis tip.

The dosage of Gotukola Capsules recommended for Paraphimosis patients is: 2 capsules with plain water twice a day, after meals.

2. Neem Capsules:

Another useful herbal product for managing Paraphimosis is the 'Neem' (Azadirachta indica) herb. This herb, with excellent anti-inflammatory properties, has proven effectiveness in treating a number of diseases. Since Neem is a wonderful herb which is known for its remarkable medicinal significance since olden times, the use of Neem Capsules is advised for managing Paraphimosis.

Men affected by this painful urologic condition should take 1 Neem capsule twice daily with plain water, after meals.

3. Chanderprabha Vati:

Chanderprabha Vati tablets can effectively manage Paraphimosis symptoms. The different herbs used for preparing these tablets make this product an amazing formulation for providing relief to the patients of Paraphimosis.

These herbs, a total of 23, which are the ingredients of Chanderprabha Vati are:

  1. Shilajit (Asphaltum)
  2. Sharkara (Sugar)
  3. Guggul (Comniphora mukul)
  4. Mustak (Cyprus rotundus)
  5. Amalaki (Emblica officinalis)
  6. Haridra (Curcuma longa)
  7. Vacha (Acorus calamus)
  8. Karpoor (Cinnamomum camphora)
  9. Maricha (Piper nigrum)
  10. Pippali (Piper longum)
  11. Guduchi (Tinospora cordifolia)
  12. Shunthi (Zingiber officinalis)
  13. Chavya (Piper chaba)
  14. Vidanga (Embelia ribes)
  15. Dalchini (Cinnamomum zeylanicum)
  16. Tejpatta (Cinnamomum tamala)
  17. Danti (Baliospermum montanum)
  18. Ela (Elettaria cardamomum)
  19. Saindhav lavan (Rock salt)
  20. Suvarchal lavan (Sodium sulphate)
  21. Sarjikashaar (Sodium carbonate)
  22. Yavkshaar (Potasium carbonate)
  23. Vida lavan (Black salt).

To manage Paraphimosis, 2 Chanderprabha Vati tablets should be taken twice a day, after meals.

4. Cap. Boswellia Curcumin:

Another beneficial herbal formulation -- in the form of capsules -- for managing Paraphimosis symptoms is Boswellia Curcumin, which is a combination of two herbs: Shallaki (Boswellia serrata) and Curcumin (Curcumin longa). Both the herbs are rich in anti-inflammatory properties, and can be extremely useful in providing relief to Paraphimosis patients by controlling swelling and pain in the tip of the penis.

The dosage of Boswellia Curcumin capsules recommended for Paraphimosis patients is 1 capsule two times daily with plain water, after meals.


Along with the above-listed herbal formulations for managing Paraphimosis, it is important for uncircumcised or partially circumcised men to also pay attention to the following things, so that this discomforting urologic condition can be prevented or controlled in time:

  1. Do not leave the foreskin behind the head of the penis for long periods;
  2. Pull the foreskin back to normal position after sexual activity;
  3. Clean the penis area after having sex; and (d) maintain proper hygiene of the genital region.

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