Document Detail

Y-V plasty of the foreskin as an alternative to circumcision for surgical treatment of phimosis during childhood.
MedLine Citation:
PMID:  18947698     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: To evaluate the result of Y-V preputioplasty and to compare this with an earlier technique of prepuce-sparing phimosis treatment. MATERIALS AND METHODS: A total of 65 boys were treated surgically for phimosis without removing the foreskin. Indications were the failure of conservative ointment treatment, congenital uropathies (to prevent infections and to make proper cleaning of the glans and the inner preputium possible to ensure clean urine sampling), recurrent balanitis or painful ballooning of the prepuce, and/or the need for urethral instrumentation. Forty-seven patients were treated with one or two Y-V plasties to widen the narrow preputial ring; 18 were treated using transverse closure of longitudinal incisions of the narrow preputial ring. RESULTS: Of the 47 Y-V plasties, two patients had recurring complaints and needed further treatment (4.3%), and of the 18 patients treated by transversely closed longitudinal incisions, two patients had recurring complaints (11%). Recurrences occurred regardless of age and premedication with topical therapy. Cosmesis was considered to be excellent in all cases of Y-V plasty. Few patients complained about skin tags after longitudinal incisions. CONCLUSION: Y-V plasty of the preputial skin as an alternative to circumcision in the treatment of phimosis has good functional and cosmetic results. It is a minor operation with less impact on the penis than partial or total circumcision. The cosmetic results are superior to those after transversely closed longitudinal incisions.
Jaap L Nieuwenhuijs; Pieter Dik; Aart J Klijn; Tom P V M de Jong
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Publication Detail:
Type:  Journal Article     Date:  2006-03-23
Journal Detail:
Title:  Journal of pediatric urology     Volume:  3     ISSN:  1873-4898     ISO Abbreviation:  -     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2008-10-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233150     Medline TA:  J Pediatr Urol     Country:  England    
Other Details:
Languages:  eng     Pagination:  45-7     Citation Subset:  -    
University Children's Hospital, University Medical Centre Utrecht, The Netherlands.
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