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'''Preputioplasty''' , also '''Prepucioplasty''', is any plastic surgical procedure on the prepuce or [[foreskin]]. There are several different procedures. Preputioplasty typically is used to treat [[phimosis]] when manual [[stretching]] fails.<ref>{{REFweb
|title=Preputioplasty
|url=https://encyclopedia.thefreedictionary.com/Preputioplasty
|publisher=The Free Dictionary by Farlex
|accessdate=2022-06-24
}}</ref> There is increasing recognition that [[Adolescent and adult circumcision| circumcision]] is not a satisfactory treatment for [[phimosis]].
There are several different procedures. Preputioplasty typically is used to treat phimosis when manual [[stretching]] fails. Osmonov et al. (2022) have recently provided an excellent review of available procedures.<ref>{{REFjournal
|last=Osmonov
|init=D
|author-link=
|last2=Hamann
|init2=C
|author2-link=
|last3=Eraky
|first3=
|init3=A
|author3-link=
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117135/
|title=Preputioplasty as a surgical alternative in treatment of phimosis
|journal=Int J Impot Res
|date=2022-05
|volume=34
|issue=4
|pages=353-8
|pubmedID=34853437
|pubmedCID=9117135
|DOI=10.1038/s41443-021-00505-9
|accessdate=2023-02-07
}}</ref>
Several articles 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.
==Video==
<br>
<youtube>v=MO8QUIeqOCE&t=17s</youtube>
{{SEEALSO}}
* [[Dorsal slit]]
* [[Frenuloplasty]]
* [[Plastic surgery]]
{{LINKS}}
* {{REFjournal
|last=Holmlund
|first=
|init=DE
|author-link=
|etal=no
|title=Dorsal incision of the prepuce and skin closure with Dexon in patients with phimosis
|trans-title=
|language=
|journal=Scand J Urol Nephrol
|location=
|date=1973
|volume=7
|issue=2
|pages=97-9
|url=
|archived=
|quote=
|pubmedID=4586345
|accessdate=2023-02-08
}}
* {{REFjournal
|last=Hoffman
|first=
|init=S
|author-link=
|last2=Metz
|first2=
|init2=P
|author2-link=
|last3=Ebbehøj
|first3=
|init3=J
|author3-link=
|etal=no
|title=A new technique for phimosis: prepuce-saving technique with multiple Y-V-plasties
|trans-title=
|language=
|journal=Brit J Urol
|location=
|date=1984-06
|volume=56
|issue=3
|article=
|page=
|pages=319-21
|url=http://www.cirp.org/library/treatment/phimosis/hoffman/
|archived=
|quote=The operation for phimosis aims at achieving normal preputial retractability and the prepuce need not be removed.
|pubmedID=6544618
|DOI=10.1111/j.1464-410x.1984.tb05396.x
|accessdate=2023-02-08
}}
* {{REFjournal
|last=Emmett
|first=
|init=AJ
|author-link=
|etal=no
|title=Four V-flap repair of preputial stenosis (phimosis)
|trans-title=
|language=
|journal=Plast Reconstr Surg
|location=
|date=1975-06
|volume=55
|issue=8
|pages=687-9
|url=https://journals.lww.com/plasreconsurg/Citation/1975/06000/FOUR_V_FLAP_REPAIR_OF_PREPUTIAL_STENOSIS.7.aspx
|archived=
|quote=
|pubmedID=1093214
|pubmedCID=
|DOI=10.1097/00006534-197506000-00007
|accessdate=2023-02-08
}}
* {{REFjournal
|last=Parkash
|first=
|init=S
|author-link=
|last2=Rao
|first2=
|init2=BR
|author2-link=
|etal=no
|title=Preputial stenosis--its site and correction
|trans-title=
|language=
|journal=Plast Reconstr Surg
|location=
|date=1980-08
|volume=66
|issue=2
|pages=281-2
|url=https://journals.lww.com/plasreconsurg/Citation/1980/08000/Preputial_Stenosis_Its_Site_and_Correction.19.aspx
|archived=
|quote=The resulting prepuce is absolutely normal in appearance and function
|pubmedID=7403314
|pubmedCID=
|DOI=10.1097/00006534-198008000-00019
|accessdate=2023-02-08
}}
* {{REFjournal
|last=Ohimi
|first=
|init=T
|author-link=
|last2=Qhimi
|first2=
|init2=H
|author2-link=
|etal=no
|title=Special surgical techniques for relief of phimosis
|trans-title=
|language=
|journal=J Dermatol Surg Oncol
|location=
|date=1981-04
|season=
|volume=7
|issue=4
|pages=326-30
|url=https://onlinelibrary.wiley.com/doi/10.1111/j.1524-4725.1981.tb00650.x
|archived=
|quote=
|pubmedID=7240535
|pubmedCID=
|DOI=10.1111/j.1524-4725.1981.tb00650.x
|accessdate=2023-02-08
}}
* {{REFjournal
|last=Wahlin
|first=
|init=N
|author-link=
|etal=no
|title="Triple incision plasty". A convenient procedure for preputial relief
|trans-title=
|language=
|journal=Scand J Urol Nephrol
|location=
|date=1992
|volume=26
|issue=2
|pages=107-10
|url=http://www.cirp.org/library/treatment/phimosis/wahlin/
|archived=
|quote=
|pubmedID=1626197
|DOI=10.1080/00365599.1992.11690439
|accessdate=2022-02-08
}}
* {{REFjournal
|last=Cuckow
|first=
|init=PM
|author-link=
|last2=Rix
|first2=
|init2=G
|author2-link=
|last3=Mouriquand
|first3=
|init3=PG
|author3-link=
|etal=no
|title=Preputial plasty: a good alternative to circumcision
|trans-title=
|language=
|journal= J Pediatr Surg |location= |date=1994-04 |volume=29 |issue=4 |pages=:561-3 |url=http://www.cirp.org/library/treatment/phimosis/cuckow/ |archived= |quote=Compared with circumcision, preputial plasty has few complications, and functional and cosmetic results are good, providing the prepuce is mobilized regularly after surgery. |pubmedID=8014816 |pubmedCID= |DOI=10.1016/0022-3468(94)90092-2 |accessdate=2023-02-08}}* {{REFjournal |last=de Castella
|first=
|init=H
|author-link=
|publisher|etal=no |title=Prepuceplasty: an alternative to circumcision |trans-title= |language= |journal=The Free Dictionary by FarlexAnn R Coll Surg Engl |websitelocation= |date=1994-07 |volume=76 |issue=4 |pages=257-8 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2502252/pdf/annrcse01590-0049.pdf |archived= |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. |pubmedID=8074388 |pubmedCID=2502252 |accessdate=2023-02-08}}* {{REFjournal |last=Lane |first= |init=TM |author-link= |last2=South |first2= |init2=LM |author2-link= |etal=no |title=Lateral preputioplasty for phimosis |trans-title= |language= |journal=J R Coll Surg Edinb |location= |date=1999-10 |volume=44 |issue=5 |pages=310-2 |url=http://www.cirp.org/library/treatment/phimosis/south1/ |archived= |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. |pubmedID=10550955 |pubmedCID= |accessdate=20222023-0602-2408}}* {{REFjournal |last=Saxena |first= |init=AK |author-link= |last2=Schaarschmidt |first2= |init2=K |author2-link= |last3=Reich |first3= |init3=K |author3-link= |last4=Willital |first4=GH |init4= |author4-link= |etal=no |title=Non-retractile foreskin: a single center 13-year experience |trans-title= |language= |journal=Int Surg |location= |date=2000-04 |volume=85 |issue=2 |pages=180-3 |url=http://www.cirp.org/library/treatment/phimosis/saxena1/ |formatarchived=
|quote=
|pubmedID=11071339 |accessdate=2023-02-09}}<* {{REFjournal |last=Fischer-Klein |first= |init=CH |author-link= |last2=Rauchenwald |first2=M |init2= |author2-link= |etal=no |title=Triple incision to treat phimosis in children: an alternative to circumcision? |trans-title= |language= |journal=BJU Int |location= |date=2003-09 |volume=93 |issue=4 |pages=459-62; |url=http://www.cirp.org/library/treatment/ref>phimosis/fischer-klein1/ |archived= |quote=Triple incision to treat phimosis in children: an alternative to circumcision? |pubmedID=12930440 |DOI=10.1046/j.1464-410x.2003.04354.x |accessdate=2023-02-09}}* {{SEEALSOREFjournal |last=Angotti |first= |init=R |author-link= |last2=Molinaro |first2= |init2=F |author2-link= |last3=Ferrara |first3= |init3=F |author3-link= |last4= |first4= |init4= |author4-link= |last5= |first5= |init5= |author5-link= |last6= |first6= |init6= |author6-link= |last7= |first7= |init7= |author7-link= |last8= |first8= |init8= |author8-link= |last9= |first9= |init9= |author9-link= |etal=yes |title=Preputialplasty: can be considered an alternative to circumcision? When, how, why? Experience of Italian centre |trans-title= |language= |journal= Gland Surg |location= |date=2018-04 |volume=7 |issue=2 |pages=228-233 |url=https://gs.amegroups.com/article/view/18649/19028 |archived= |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 |pubmedID=29770316 |pubmedCID=5938266 |DOI=10.21037/gs.2018.02.04 |accessdate=2023-01-11}}* [[Plastic surgery]]{{REFjournal |last=Balaji |first= |init=BS |author-link= |last2=Jacob |first2= |init2=TJK |author2-link= |last3=Gowri |first3= |init3=MS |author3-link= |etal=no |title=Acceptability and outcomes of foreskin preservation for phimosis: An Indian perspective |trans-title= |language= |journal=J Family Med Prim Care |location= |date=2020-05-31 |season= |volume=9 |issue=5 |article= |page= |pages=2297-302 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380800/ |archived= |quote= The surgical morbidity and cosmetic outcomes of prepuce preservation techniques result in high satisfaction from parents in communities’ not practicing religious circumcision. |pubmedID=32754491 |pubmedCID=7380800 |DOI=10.4103/jfmpc.jfmpc_49_20 |accessdate=2023-02-11}}
{{REF}}
[[Category:TermMedical term]]
[[Category:Genital surgery]]
[[de:Präputioplastik]]