Just ahead of the entrapped foreskin, using an ordinary
wire cutter, the two unzipped halves were first given
transverse cuts over the free margin so that the tooth line
is divided, and then, further cutting the cloth strips just
lateral to the tooth lines, the cuts were extended along the
sides of the zip fastener.3 The zip fastener was then held
with pliers from side to side ensuring that the lateral
margins of its both anterior and posterior faceplates were
within the grip of the pliers (Figure 3)....

Applying a strong compression, the entrapped foreskin
was released instantaneously. This maneuver was
painless. It was due to an increased gap between the two
faceplates of the zip fastener when compression was
applied from the lateral sides.
The increased gap resulted in loosening the
interdigitation of the teeth of the two halves of the zip,
allowing the prepuce to be slipped off.

In Group A patients, 7 patients out of 10(70%) required
circumcision at later stage due to pain and unable to
retract prepuce at the site if injury due to stretching.
While in Group B study, there was only 1 patient out of
10 (10%) required circumcision. In long term follow up,
there was no pain while retracting prepuce in Group B
patients. Moreover, occurrence of edema in our study was
also less in patients of group B.

We suggest children with
long prepuce to undergo circumcision to avoid such
injuries and inhabitat wearing underpants or use
alternative to zip for clothing in children.