Abstract
BackgroundA new technique for the treatment of children's phimosis is presented that minimizes the repairing time, the postoperative complications and maintains the physical foreskin appearance intact.MethodsEightyseven children with phimosis were treated with this new developed technique, between 2003 and 2005. Sutureless prepuceplasty creates a permanent surgical extension of the close prepuce. Stretching and retraction of phimotic foreskin reveals a tight prepuce ring that is cutting in its dorsal surface longitudinally. Rarely triple symmetric incisions in the preputial outlet are necessary. The foreskin is loose and moves absolutely free in bilateral courses. The wounds are healing by second intention. Antisepsis, steroids and Elicina cream, (which contains allantoin, collagen, elastin, glycolic acid and vitamins A, D, and E) should apply daily, for twenty to thirty days.ResultsThe foreskin is moving in centripetal or efferent courses absolutely loosely, painlessly and bloodlessly. The mean time of follow-up was 27 months (one to four years). No complications were observed.ConclusionSutureless prepuceplasty may present an acceptable alternative in children's phimosis reconstruction.
Highlights
A new technique for the treatment of children's phimosis is presented that minimizes the repairing time, the postoperative complications and maintains the physical foreskin appearance intact
Circumcision was probably performed for phimosis treatment
Between 2003 and 2005, eightyseven boys (87) with tight phimotic rings, most of whom were resistant to conservative treatment with locally administered steroids for 20 days, were treated with sutureless prepuceplasty (SLP), by the same surgeon)
Summary
A new technique for the treatment of children's phimosis is presented that minimizes the repairing time, the postoperative complications and maintains the physical foreskin appearance intact. Circumcision is probably the oldest and one of the most common elective procedures all over the world. It was initially performed for ritual, religious or family traditional reasons [1]. The most interesting was the report of prepuceplasty suggested by Homlund DE in 1973 It is a limited dorsal incision of the phimotic prepuce with transverse skin closure with absorbable sutures [3]. It is a good operation, it is not without complications or re-operations [4,5,6]. Sutureless prepuceplasty (SLP) is a faster, easier, painless and without complications technique, which has excellent cosmetic results
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