Dorsal slit preputioplasty for phimosis: a prepuce conserving surgery

Abstract

Background: Phimosis is narrowing of prepuce leading to non-retraction behind glans penis. Phimosis is physiological in majority of patients. Pathological phimosis gives rise to symptoms of urinary tract infection and balanoposthitis. Most of patients with phimosis are subjected to circumcision. Instead of circumcision, a conservative surgical approach preputioplasty can be done as a prepuce salvage procedure. Methods: Patients suffering from urinary tract symptoms and persistent narrowing of phimotic ring and recurrent balanoposthitis were subjected to this prepuce salvage surgery. The dorsal slit preputioplasty was performed in these patients. Results: All patients were operated under local anaesthesia in outpatient department. The mean operative time was 10 minutes. No major complication was seen in any of these patients. Oedema of prepuce, haematoma and mild inflammation was noticed in a small number of patients. But wound infection and disruption occurred in none of the patients. The wound healing was good in all the patients on two weeks follow up. On one month follow up the cosmetic results were very good as per patient satisfaction. Conclusions: Dorsal slit preputioplasty is a simple procedure to perform without special equipment, less cost and less morbidity as day surgery procedure. This technique produces salvage of prepuce thereby conserving the sensations and functions inherent to prepuce.