Which statement best describes the pathognomonic finding of paraphimosis?

Which statement best describes the pathognomonic finding of paraphimosis?

• A. Penile fracture
• B. Priapism
• C. Foreskin behind corona and tight band
• D. Urethral stricture

Answer: (C)

The main idea here is recognizing the hallmark sign that uniquely identifies paraphimosis. The defining finding is the foreskin being retracted behind the corona of the glans and forming a tight constricting band around the penis. This setup leads to venous congestion and edema of the glans and foreskin and is highly diagnostic for paraphimosis, making it the best answer. Other conditions involve different clinical signs that are not specific to paraphimosis: penile fracture presents with a cracking sound and sudden loss of erection with deformity, priapism is a persistent, often painful erection, and urethral stricture causes a weak or split urinary stream. None of these describe the key, pathognomonic picture of a foreskin stuck behind the glans with a tight band.

The main idea here is recognizing the hallmark sign that uniquely identifies paraphimosis. The defining finding is the foreskin being retracted behind the corona of the glans and forming a tight constricting band around the penis. This setup leads to venous congestion and edema of the glans and foreskin and is highly diagnostic for paraphimosis, making it the best answer.

Other conditions involve different clinical signs that are not specific to paraphimosis: penile fracture presents with a cracking sound and sudden loss of erection with deformity, priapism is a persistent, often painful erection, and urethral stricture causes a weak or split urinary stream. None of these describe the key, pathognomonic picture of a foreskin stuck behind the glans with a tight band.