Modified partial circumcision for phimosis

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    • Modified partial circumcision for phimosis


      Objectives


      In the last years, many surgical techniques of preputioplasty
      have aimed to preserve the foreskin in case of phimosis. These
      techniques are not reliable for patients affected by phimosis linked to
      balanitis xerotica obliterans (BXO) and scarred foreskin. We tried
      an original technique of resection of the pathological foreskin,
      removing the mucosal internal layer followed by reconstruction of the
      foreskin. The aim was to evaluate the outcome of paediatric patients who
      underwent modified partial circumcision for pathological phimosis.


      Patients
      and methods


      In all, 360 patients with phimosis underwent modified partial
      circumcision at our institution. The mean age of the boys was 8.9 years,
      range 5–15 years. In 145 (40.3%) cases, indication for surgery was
      clinical suspicion of BXO, in 215 (59.7%) cases it was chronic
      inflammation of the foreskin.


      Results


      In all cases, the postoperative period was uneventful. Cosmesis
      was considered by parents as excellent in 95.2% of patients. In these
      patients, the glans was almost completely covered by soft foreskin.
      Histopathological examination of
      the removed foreskin documented BXO in 162 (45%). Twelve (3.3%) patients
      complained of recurrences and five (1.4%) patients of smegmatic cysts.


      Conclusion


      The described surgical technique of modified partial circumcision for the correction of pathological phimosis appears
      cosmetically well accepted, safe, and simple with low rate of late postoperative complications.
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      Mein Schwanz gehört mir!
      (gilt auch für Jungen)