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A Comparative Study of Management of Phimosis By Preputioplasty and Circumcision

Kandarpa Akhil, Resident, Department of General Surgery, Dr. D.Y. Patil Medical College and Research Centre, Pimpri, Pune, Dr D.Y. Patil Vidyapeeth, Pune, Maharastra 411018, India. , Bhushan Shaha , Rohit Virmanib , Kandarpa Akhilc , Nagendra Yadavd , Harshad Gawadee , Shahji Chavanf

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New Indian Journal of Surgery 9(2):p 136-145, March - April 2018. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.5

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Abstract

Introduction: Phimosis is defined as a condition in which the prepuce cannot be retracted over the glans penis, usually treated by circumcision. A minimal surgical techniques have been proposed preputioplasty for prepucial relief to avoid circumcision.

AIMS/Objectives: Prospective Comparative Study Of Management Of Phimosis By Techniques Of Circumcision And Preputioplasty in relation to: Bleeding, Injury to urethral meatus. Injury to glans, Post op swelling of glans / prepuce, Time taken for the procedure,Time taken for complete healing, Post operative results.

Methods: It is a prospective comparative study in which 100 patients who underwent preputioplasty and 100 were subjected to circumcision. Indications, techniques, and immediate outcomes were documented. We have subsequently followed up patients to look for outcome and patient’s satisfaction.

Result: The average duration of preputioplasty was from 10 to 20 min without intraoperative complications. Post operative edema was more with preputioplasty. The outcome was good in preputioplasty as compared to
circumcision. All of the patients had retractable prepuce with no functional problems. None of the patients required a redo procedure or circumcision.


Conclusion: Preputioplasty is a safe and simple alternative to more radical procedure of circumcision.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9218.5

Keywords

Phimosis; Circumcison; Preputioplasty.

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