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Which condition involves a tight prepuce that, once retracted, cannot be returned?

  1. Phimosis

  2. Paraphimosis

  3. Balanitis

  4. Balanoposthitis

The correct answer is: Paraphimosis

The condition characterized by a tight prepuce that, once retracted, cannot be returned to its original position is paraphimosis. When the foreskin is pulled back but becomes trapped behind the glans (the head of the penis), it can lead to swelling and constriction, which is symptomatic of paraphimosis. This situation requires prompt medical attention, as it can impede blood flow and lead to complications if not addressed quickly. Additionally, phimosis refers to a condition where the foreskin cannot be retracted over the glans at all due to tightness, rather than the foreskin being retracted and unable to return. Balanitis is inflammation of the glans, and balanoposthitis refers to inflammation of both the glans and the prepuce. While these conditions involve the foreskin or glans, they do not describe the mechanism of retraction and entrapment that defines paraphimosis.