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Updated: May 13, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Prepuce-sparing plasty and simple running suture for phimosis
C Monarca1, M I Rizzo, L Quadrini
1Sapienza University of Rome, Italy.
Aim:
Circumcision is the most common procedure for phimosis. In recent years, the value of foreskin properties as well as aesthetic reasons determined to other operations preserving the foreskin. We report 5-years experience with a technique that preserve the physical foreskin appearance intact.
Patients And Methods:
Fifty-two patients, eligible to undergo phimosis surgery, underwent prepuce-sparing plasty and simple running suture. Evaluation of results was made with photos comparative and verified by using presence/absence of recurrence, scarring evaluation, and VAS for patient satisfaction.
Results:
Forty-eight patients reported no complications. There were no cases of bleeding, infection, pathological scarring, phimosis recurrence. The scar showed a good pliability and a thin thickness. Patient satisfaction was high.
Conclusions:
The association of prepuce-sparing plasty and simple running suture highlighted an effective and easy method for the correction of acquired phimosis in adult patients, with excellent functional and cosmetic results.
