HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Is Preputioplasty Safe Treatment For Phimosis?

default
Posted on Tue, 18 Feb 2014
Question: I believe that I have a mild case of phimosis and have scheduled an appointment with a urologist next month. Having looked at various options to correct phimosis, I find myself favoring preputioplasty. I do not want to undergo circumcision and have heard that steroidal creams are hit or miss when used on adults. If you've performed preputioplasty before, how would you gauge your typical patient's satisfaction with the procedure? Were they pleased with both the function and aesthetics, or did they ultimately return for circumcision?
doctor
Answered by Dr. Manuel C See IV (4 hours later)
Brief Answer: Preputioplasty is a valid treatment option. Detailed Answer: good day and thank you for being with healthcare magic! For phimosis the standard of treatment is still circumcision although preputioplasty is a valid option. Preputioplasty has the advantage of having only one small incision and retaining the preputial skin and having the same cosmesis as an uncircumcised penis. Generally 1/3 of patients undergoing preputioplasty either got a second procedure (circumcision or another preputioplasty ) or wished they had circumcision. The reason for this is some still would have tightness when retracting the preputial skin. Also you would have to dilate the skin and retracting the skin to expose the glans for some time to gradually dilate the preputial skin after the procedure. So there is still work to be done after the preputioplasty and how often you dilate the skin would relate to success or failure of the procedure. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: WWW.WWWW.WW I would gladly help you. Best wishes. Regards, Manuel C. See IV, M.D. DPBU FPUA
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Manuel C See IV

Urologist

Practicing since :2005

Answered : 909 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Urologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Is Preputioplasty Safe Treatment For Phimosis?

Brief Answer: Preputioplasty is a valid treatment option. Detailed Answer: good day and thank you for being with healthcare magic! For phimosis the standard of treatment is still circumcision although preputioplasty is a valid option. Preputioplasty has the advantage of having only one small incision and retaining the preputial skin and having the same cosmesis as an uncircumcised penis. Generally 1/3 of patients undergoing preputioplasty either got a second procedure (circumcision or another preputioplasty ) or wished they had circumcision. The reason for this is some still would have tightness when retracting the preputial skin. Also you would have to dilate the skin and retracting the skin to expose the glans for some time to gradually dilate the preputial skin after the procedure. So there is still work to be done after the preputioplasty and how often you dilate the skin would relate to success or failure of the procedure. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: WWW.WWWW.WW I would gladly help you. Best wishes. Regards, Manuel C. See IV, M.D. DPBU FPUA