Preputial skin as a graft

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    • Preputial skin as a graft

      Man könnte die Vorhaut nochmal brauchen...

      "A total of 960 boys below the age of 12 years visiting the hospital as outpatients or inpatients were examined for the preputial retraction.
      True phimosis was seen in only three children in the age group of 8-10 years and two children in the 10-12 years age group.
      Although circumcision is considered to be a simple procedure devoid of much morbidity, it is associated with many complications like hemorrhage, edema, infection, meatal stenosis, urethral fistulae, unsightly scars, penile curvature, shortness of shaft skin, and partial, or total penile loss.
      Preputial skin has been used as a graft in many procedures such as urethroplasty for hypospadias or strictures, the reconstruction of skin defects of various sizes caused from trauma, acute burn, release of burn contractures, and syndactyly repair.The advantages of using preputial skin as a graft donor site include minimal donor site morbidity, low tendency to contract, and hairless skin. In view of the various studies including the present one and the versatile use of preputial skin as a graft, it is suggested that circumcision should be avoided as far as possible especially for nonseparation of prepuce in early childhood."

      Allerdings...


      "Alternatives to circumcision such as a topical steroid such as betamethasone valerate 0.05% applied to the tip of the phimotic prepuce; use of EMLA cream (eutectic mixture of lignocaine and prilocaine) to separate adhesions in the outpatient clinic;dorsal relieving in- cision operation;and retraction under GA alone were found to be less invasive and had less postoperative complications. These procedures along with local hygiene will help preserve preputial skin for further use if required."

      bioline.org.br/pdf?ip05022
      "Man muss diese versteinerten Verhältnisse dadurch zum Tanzen zwingen, dass man ihnen ihre eigne Melodie vorsingt!" K.M.