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Hi Dr. Reed,

 I got circumsized at age 30 and i still feel whether i did right thing or not.  Recently i heard of Preputioplasty.  Is this a safer bet for people suffering  with phimosis?

 I cannot do much now but just want to suggest anyone of this in case if  they have problems.

Thanks,

Ramon

Conservative Surgical Alternatives:

Preputioplasty is the medical term for plastic surgery of the prepuce or foreskin. It is a more conservative alternative to the traditional circumcision or dorsal slit for the treatment of preputial stenosis or phimosis. Many doctors have proposed surgical alternatives to circumcision because of the many problems, risk, complications, and disadvantages inherent in circumcision.

Advantages claimed for preputioplasty are more rapid, less painful recovery, significantly less morbidity, and preservation of the foreskin and its various protective, erogenous, and sexual physiologic functions.

There are a number of articles is the medical literature describing various preputioplasty techniques. CIRP presents below a bibliography of articles known to us (there may be others.) The articles are listed in the approximate order of their appearance.

Some of the procedures such as Y- and V- plasties are complex and require a skilled surgeon to perform properly. Consequently, they have not won favor.

Many doctors recommend the “dorsal slit with transverse closure” procedure described by Cuckow, Rix, and Mouriquand. The American Academy of Pediatrics now recommends the Cuckow procedure in its 1999 Circumcision Policy Statement. The procedure is relatively simple to perform and gives good results. The newer lateral procedure described by Lane et al., however, may offer a cosmetic improvement over the Cuckow procedure. It moves the “slit with tranverse closure” from the top to the sides.

May 26,  2009

Good afternoon  Ramon,

I still tell my patients in most instances a full circumcision is not medically necessary, but confers several advantages relating to maintenance of hygiene, reducing acquisition of sexually transmitted disease and reducing the incidence of your giving your lady friend cervical cancer.

Preputioplasty would not really confer these benefits, and while perhaps safer for a neonate has the potential for many problems in an adult male.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

At 01:36 PM 5/26/2009, you wrote:

Hi Dr. Reed,

 I got circumsized at age 30 and i still feel whether i did right thing or not.
 Recently i heard of Preputioplasty. Is this a safer bet for people suffering
 with phimosis?

 I cannot do much now but just want to suggest anyone of this in case if
 they have problems.

Thanks,
Rama

Conservative Surgical Alternatives:

Preputioplasty is the medical term for plastic surgery of the prepuce or foreskin. It is a more conservative alternative to the traditional circumcision or dorsal slit for the treatment of preputial stenosis or phimosis. Many doctors have proposed surgical alternatives to circumcision because of the many problems, risk, complications, and disadvantages inherent in circumcision.

Advantages claimed for preputioplasty are more rapid, less painful recovery, significantly less morbidity, and preservation of the foreskin and its various protective, erogenous, and sexual physiologic functions.

There are a number of articles is the medical literature describing various preputioplasty techniques. CIRP presents below a bibliography of articles known to us (there may be others.) The articles are listed in the approximate order of their appearance.

Some of the procedures such as Y- and V- plasties are complex and require a skilled surgeon to perform properly. Consequently, they have not won favor.

Many doctors recommend the “dorsal slit with transverse closure” procedure described by Cuckow, Rix, and Mouriquand. The American Academy of Pediatrics now recommends the Cuckow procedure in its 1999 Circumcision Policy Statement. The procedure is relatively simple to perform and gives good results. The newer lateral procedure described by Lane et al., however, may offer a cosmetic improvement over the Cuckow procedure. It moves the “slit with tranverse closure” from the top to the sides.

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