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Is preputioplasty effective and acceptable?

N J Barber1, B Chappell, P G Carter

  • 1Department of Urology, King's College Hospital, London, UK.

Journal of the Royal Society of Medicine
|September 2, 2003
PubMed
Summary
This summary is machine-generated.

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Preputioplasty offers a viable surgical alternative for childhood foreskin issues when circumcision is not preferred. While generally successful, some parents desired circumcision, and a few cases required further intervention.

Area of Science:

  • Pediatric Urology
  • Surgical Techniques

Background:

  • Childhood foreskin complaints often lead to circumcision.
  • Preputioplasty presents a less invasive surgical alternative, suitable when balanitis xerotica obliterans is absent.

Purpose of the Study:

  • To evaluate the outcomes and parental satisfaction with preputioplasty in pediatric patients.

Main Methods:

  • A questionnaire was sent to parents of 23 boys who underwent preputioplasty.
  • 22 parental responses were collected, with a mean follow-up of 20 months post-operation.

Main Results:

  • Preputioplasty successfully addressed indications such as irretractable foreskin, recurrent balanoposthitis, and ballooning during voiding in most cases.
  • Parental satisfaction with cosmetic results was high (all but one case).

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  • However, 36% of parents expressed a preference for circumcision, and 3 boys required subsequent surgery.

    • Conclusions:

    • Preputioplasty is a satisfactory alternative to circumcision for selected pediatric cases.
    • Careful patient selection is important for optimal outcomes and to manage parental expectations regarding circumcision preference.