Abstract
To evaluate the functional and cosmetic result of limited dorsal slit preputialplasty for surgical management of phimosis in children. This is a prospective cohort study (Jan 2010 to Dec 2019) of 246 children (age >5 y) who were unable to retract the foreskin and were symptomatic. No intraoperative complications were encountered. Preputial edema was the most common (n=45, 18.2%) immediate postoperative occurrence. At one year follow-up, a total cosmetic score of 6 (considered optimal) was seen in 203 (91%) patients. A score of 5 was observed in 13 (5.9%) and the remaining 7 (3.1%) had a score of less than 4. All pubertal children, except one, could retract prepuce freely without discomfort. This preputialplasty provides satisfactory cosmetic and functional result in phimosis, and is an acceptable alternative to circumcision.
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