Dorsal slit: Difference between revisions
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A '''dorsal slit''' (often referred to in anthropology as '''superincision''') is a single incision along the upper length of the [[foreskin]] from the tip to the [[Glans penis]], exposing the [[glans]] without removing any tissue. | A '''dorsal slit''' (often referred to in anthropology as '''superincision''') is a single incision along the upper length of the [[foreskin]] from the tip to the [[Glans penis]], exposing the [[glans]] without removing any tissue. | ||
[[File:Dorsal slit.jpg|thumb|right|Dorsal slit]] | [[File:Dorsal slit.jpg|thumb|right|Dorsal slit]] | ||
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In Western medicine it was used as an alternative to [[circumcision]] to relieve conditions such as failure of the foreskin to retract ([[phimosis]]) or failure to cover the glans penis ([[paraphimosis]]), although a perception of poor appearance limited its popularity. While it is a less invasive surgery than circumcision, it is more invasive than [[Phimosis#Preputioplasty| preputioplasty]] since it leaves the incision open. It is still used when circumcision or other measures are considered impractical or undesirable. | In Western medicine it was used as an alternative to [[circumcision]] to relieve conditions such as failure of the foreskin to retract ([[phimosis]]) or failure to cover the glans penis ([[paraphimosis]]), although a perception of poor appearance limited its popularity. While it is a less invasive surgery than circumcision, it is more invasive than [[Phimosis#Preputioplasty| preputioplasty]] since it leaves the incision open. It is still used when circumcision or other measures are considered impractical or undesirable. | ||
Superincision has been widely practised by people of the Pacific, stretching from Hawaii to the Philippines. However, with increasing urbanisation, traditional rituals have been giving way in many places to medically performed circumcision,<ref name="mcgrath-young2001">{{REFbook | Superincision has been widely practised by people of the Pacific, stretching from Hawaii to the Philippines. However, with increasing urbanisation, traditional rituals have been giving way in many places to medically performed [[circumcision]],<ref name="mcgrath-young2001">{{REFbook | ||
|last=McGrath | |last=McGrath | ||
|first=Ken | |first=Ken | ||
|init=K | |||
|author-link=Ken McGrath | |author-link=Ken McGrath | ||
|last2=Young | |last2=Young | ||
|first2=Hugh | |first2=Hugh | ||
|init2=H | |||
|author2-link=Hugh Young | |author2-link=Hugh Young | ||
|year=2001 | |year=2001 | ||
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According to Goodwin (1990), the dorsal slit operation may be reversed by suturing the cut ends together, which restores the tissue to its normal position and recreates the foreskin: | According to Goodwin (1990), the dorsal slit operation may be reversed by suturing the cut ends together, which restores the tissue to its normal position and recreates the foreskin: | ||
<blockquote> | <blockquote> | ||
One patient presented with a dorsal slit because of an acute infection during childhood. All of the normal preputial skin was still present and the patient wished the skin restored to a normal appearance. An inverted V-shaped incision was made where the dorsal slit had been and the two edges were sutured together, thus, reproducing the normal prepuce. The patient was delighted with the results. It could be that this might be an answer to some critics of circumcision. A simple dorsal slit can be performed in patients who have phimosis or severe recurrent infections. At a later date, if they wished restoration, reconstruction to the uncircumcised appearance would be simple.<ref>{{REFjournal | One patient presented with a dorsal slit because of an acute infection during childhood. All of the normal preputial [[skin]] was still present and the patient wished the [[skin]] restored to a normal appearance. An inverted V-shaped [[incision]] was made where the dorsal slit had been and the two edges were sutured together, thus, reproducing the normal prepuce. The patient was delighted with the results. It could be that this might be an answer to some critics of circumcision. A simple dorsal slit can be performed in patients who have phimosis or severe recurrent infections. At a later date, if they wished restoration, reconstruction to the [[uncircumcised]] appearance would be simple.<ref>{{REFjournal | ||
|last=Goodwin | |last=Goodwin | ||
| | |init=WE | ||
|author-link= | |author-link= | ||
|etal=no | |etal=no | ||
|title=Uncircumcision: a technique for plastic reconstruction of a prepuce after circumcision | |title=Uncircumcision: a technique for plastic reconstruction of a prepuce after circumcision | ||
|journal=J Urol | |journal=J Urol | ||
|location= | |location= | ||
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</blockquote> | </blockquote> | ||
==Video== | |||
<br> | |||
Dr Sacher Kubin, M. S., performs a dorsal slit operation. | |||
<youtube>v=SzUrSAzXEZE</youtube> | |||
<br> | |||
This mis-labled video from [[India]] depicts a dorsal slit procedure. | |||
<youtube>v=lgisMxSHm-E</youtube> | |||
{{SEEALSO}} | {{SEEALSO}} | ||
* [[Circumcision]] | * [[Circumcision]] | ||
* [[Foreskin]] | * [[Foreskin]] | ||
* [[New Zealand]] | |||
* [[Penis]] | |||
* [[Preputioplasty]] | |||
* [[Republic of the Philippines]] | |||
{{REF}} | {{REF}} | ||
[[Category:Circumcision]] | [[Category:Circumcision]] | ||
[[Category:Genital cutting]] | [[Category:Genital cutting]] | ||
[[Category:Genital surgery]] | [[Category:Genital surgery]] | ||
[[Category:New Zealand]] | [[Category:New Zealand]] | ||
[[de:Dorsaler Schlitz]] | |||