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To the Editor:—
In the June 19, 1954, issue of The Journal, page 746, there is an article on hyaluronidase in the treatment of paraphimosis. I agree the hyaluronidase is a wonderful drug to use in reduction of localized edema, but to use it for such a simple thing as the reduction of a retracted edematous prepuce seems like a lot of treatment and time spent on a simple procedure. Nor do I believe that the painful reduction and the dorsal slit are necessary. Any prepuce that becomes irreducible because of edema can easily be reduced, and very comfortably so, by simply grasping the glans penis and the prepuce in the hand and applying prolonged, gentle pressure for a few seconds or possibly minutes. The edema can be entirely squeezed out, and the prepuce can be very easily advanced over the glans.
Lenz O. HYALURONIDASE AND PARAPHIMOSIS. JAMA. 1955;157(4):364. doi:10.1001/jama.1955.02950210060025
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