Preputioplasty: Difference between revisions
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Several articles improperly advocate preputioplasty for phimosis in children. The authors seemingly are unaware that [[Development of retractable foreskin| developmentally non-retractable foreskin]] is normal in children, is not pathological, and does not require treatment. Osmonov et al. (2022) discuss six different surgical procedures for the relief of phimosis.<ref name="osmonov2022" /> | Several articles improperly advocate preputioplasty for phimosis in children. The authors seemingly are unaware that [[Development of retractable foreskin| developmentally non-retractable foreskin]] is normal in children, is not [[pathological phimosis]], and does <i>not</i> require treatment. Osmonov et al. (2022) discuss six different surgical procedures for the relief of phimosis.<ref name="osmonov2022" /> | ||
==Video== | ==Video== | ||
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* [[Dorsal slit]] | * [[Dorsal slit]] | ||
* [[Frenuloplasty]] | * [[Frenuloplasty]] | ||
* [[Physiological phimosis]] | |||
* [[Plastic surgery]] | * [[Plastic surgery]] | ||
Latest revision as of 15:18, 19 April 2026
Preputioplasty, also Prepucioplasty, is any plastic surgical procedure on the prepuce or foreskin.[1] There is increasing recognition that circumcision is not a satisfactory treatment for phimosis.
Preputioplasty typically is used to treat phimosis when manual stretching fails. Osmonov et al. (2022) have recently provided an excellent review of available procedures.[2]
Several articles improperly advocate preputioplasty for phimosis in children. The authors seemingly are unaware that developmentally non-retractable foreskin is normal in children, is not pathological phimosis, and does not require treatment. Osmonov et al. (2022) discuss six different surgical procedures for the relief of phimosis.[2]
Video
See also
External links
Holmlund DE. Dorsal incision of the prepuce and skin closure with Dexon in patients with phimosis. Scand J Urol Nephrol. 1973; 7(2): 97-9. PMID. Retrieved 8 February 2023.- Hoffman S, Metz P, Ebbehøj J. A new technique for phimosis: prepuce-saving technique with multiple Y-V-plasties. Brit J Urol. June 1984; 56(3): 319-21. PMID. DOI. Retrieved 8 February 2023.
Quote:The operation for phimosis aims at achieving normal preputial retractability and the prepuce need not be removed.
- Emmett AJ. Four V-flap repair of preputial stenosis (phimosis). Plast Reconstr Surg. June 1975; 55(8): 687-9. PMID. DOI. Retrieved 8 February 2023.
- Parkash S, Rao BR. Preputial stenosis--its site and correction. Plast Reconstr Surg. August 1980; 66(2): 281-2. PMID. DOI. Retrieved 8 February 2023.
Quote:The resulting prepuce is absolutely normal in appearance and function
- Ohimi T, Qhimi H. Special surgical techniques for relief of phimosis. J Dermatol Surg Oncol. April 1981; 7(4): 326-30. PMID. DOI. Retrieved 8 February 2023.
- Wahlin N. "Triple incision plasty". A convenient procedure for preputial relief. Scand J Urol Nephrol. 1992; 26(2): 107-10. PMID. DOI. Retrieved 8 February 2022.
- Cuckow PM, Rix G, Mouriquand PG. Preputial plasty: a good alternative to circumcision. J Pediatr Surg. April 1994; 29(4): :561-3. PMID. DOI. Retrieved 8 February 2023.
Quote:Compared with circumcision, preputial plasty has few complications, and functional and cosmetic results are good, providing the prepuce is mobilized regularly after surgery.
- de Castella H. Prepuceplasty: an alternative to circumcision. Ann R Coll Surg Engl. July 1994; 76(4): 257-8. PMID. PMC. Retrieved 8 February 2023.
Quote:Cuckow et al. have recently pleaded eloquently on behalf of the foreskin and recommended the operation of'preputial plasty', which they claim is a well-recognised procedure in (mainland) Europe. It should extend to the repertoire of British surgeons.
- Lane TM, South LM. Lateral preputioplasty for phimosis. J R Coll Surg Edinb. October 1999; 44(5): 310-2. PMID. Retrieved 8 February 2023.
Quote:All had easily retractile foreskins at follow-up. Large numbers of patients might reasonably benefit from a lateral preputioplasty when presenting with a symptomatic phimosis in the absence of significant scarring of the prepuce. It avoids the needless loss of the foreskin, the importance of which is only now beginning to emerge.
- Saxena AK, Schaarschmidt K, Reich K, Willital, GH. Non-retractile foreskin: a single center 13-year experience. Int Surg. April 2000; 85(2): 180-3. PMID. Retrieved 9 February 2023.
- Fischer-Klein CH, Rauchenwald, M. Triple incision to treat phimosis in children: an alternative to circumcision?. BJU Int. September 2003; 93(4): 459-62;. PMID. DOI. Retrieved 9 February 2023.
Quote:Triple incision to treat phimosis in children: an alternative to circumcision?
- Angotti R, Molinaro F, Ferrara F, et al. Preputialplasty: can be considered an alternative to circumcision? When, how, why? Experience of Italian centre. Gland Surg. April 2018; 7(2): 228-233. PMID. PMC. DOI. Retrieved 11 January 2023.
Quote:In conclusion, our technique is a good option of preputialplasty. It is a safe, easy and simple to learn. It is a good alternative to circumcision for patients that can’t accept the exposed glans
- Balaji BS, Jacob TJK, Gowri MS. Acceptability and outcomes of foreskin preservation for phimosis: An Indian perspective. J Family Med Prim Care. 31 May 2020; 9(5): 2297-302. PMID. PMC. DOI. Retrieved 11 February 2023.
Quote:The surgical morbidity and cosmetic outcomes of prepuce preservation techniques result in high satisfaction from parents in communities’ not practicing religious circumcision.
References
- ↑
Preputioplasty
, The Free Dictionary by Farlex. Retrieved 24 June 2022. - ↑ a b Osmonov D, Hamann C, Eraky A. Preputioplasty as a surgical alternative in treatment of phimosis. Int J Impot Res. May 2022; 34(4): 353-8. PMID. PMC. DOI. Retrieved 7 February 2023.
