Preputioplasty
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Preputioplasty or prepuce plasty, also known as limited dorsal slit with transverse closure, is a minor plastic surgical operation on the prepuce or foreskin of the penis to widen a narrow non-retractile foreskin which cannot comfortably be drawn back off the head of the penis in erection because of a stenosis which either has not relaxed during childhood and adolescence or has re-narrowed after sexual maturity.
- conservative,
- non-traumatic,
- less invasive;
which
- can be performed on an outpatient basis under local anaesthetic in a doctor's office and
- has the advantage of healing very quickly
without
- any or any significant cosmetic alteration to the appearance of the penis.
Contents |
Methods of performing preputioplasty
Preputioplasty may be performed by Y-plasty or Z-plasty, techniques also used in reconstructive surgery to loosen constricting scar tissue following traumatic burns.
However, Y-plasty and Z-plasty require a degree of surgical sophistication that physicians in general practice may lack.
More commonly it simply consists of one or more very short longitudinal incisions which release the stenosis — the constricting ring of tissue — in the foreskin and are closed transversely: [|] is closed and sutured as [—].
Comparison with dorsal slit
Preputioplasty versus circumcision and dorsal slit
European physicians and surgeons have carried out preputioplasties for many years in a social environment in which circumcision is widely considered anomalous.
Preputioplasty is appropriate in the majority of cases of non-retractile foreskin
- which are not complicated by scarring caused by recurrent infection or tearing and
- where there are no religious, cultural or other personal reasons mandating circumcision as the preferred manner of relieving a phimotic stenosis of the foreskin.
External links
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
