Preputioplasty : A guide to Circumcision
This is also known as ‘prepuceplasty’: it is a surgical procedure which is performed to widen the foreskin to enable this to be pulled back. The foreskin is too narrow which is due to a tight ring of tissue called a ‘stenosis’ which prevents it from being retracted.
This stenosis forms a ‘waist’ around the foreskin which prevents it from being pulled back from the head of the penis (glans).
Preputioplasty is performed under anaesthesia and involves the surgeon making two vertical incisions in the foreskin to release the stenosis. These are then closed using stitches but this will have widened the foreskin which means that it can be retracted.
There is another option to stitches which involves using a heated probe which seals off any bleeding. Another option is bipolar diathermy which uses electric current to do the same thing.
This procedure is used to treat phimosis and is an alternative to circumcision. It is seen as less invasive, less traumatic and quicker to heal than circumcision.
Another similar procedure is a dorsal slit which involves making an incision in the foreskin to help loosen it and widen it at the same time. This single incision reveals the glans but does not involve any removal of tissue.
This is less commonly performed in favour of preputioplasty.
Guide to Circumcision
- Circumcision Intro
- The Foreskin
- About circumcision
- Brief history of circumcision
- How common is circumcision?
- Circumcision and boys
- Circumcision and men
- Why circumcision?
- Medical reasons
- Frenulum breve
- Balanitis xerotica obliterans
- Cultural/religious reasons
- Preventative reasons
- Circumcise or not to circumcise?
- Female circumcision
- Circumcision myths
- Circumcision surgery
- Preparing for surgery
- On the day of surgery
- After surgery
- Risks and complications
- Alternatives to circumcision
- Foreskin restoration
- Circumcision FAQs