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Preputioplasty or prepuce plasty, also known as limited dorsal slit with transverse closure, is a plastic surgical operation on the prepuce or foreskin of the penis, [1] to widen a narrow non-retractile foreskin which cannot comfortably be drawn back off the head of the penis in erection because of a constriction which has not expanded after adolescence.
Dorsal slit is now rare in Western countries as a treatment for phimosis. Standard guidelines suggest conservative approaches first and, should those fail, either circumcision or preputioplasty to both retain the foreskin and relieve the phimosis.
The Plastibell plastic ring is placed under the foreskin and secured with a circumferential ligature, which prevents bleeding when the distal foreskin is excised. The entire procedure takes five to ten minutes. [18] The ring falls off after 4 to 7 days, leaving a circumferential wound that heals by secondary intention in one to two weeks.
Preputioplasty, in which a limited dorsal slit with transverse closure is made along the constricting band of skin, [40] can be an effective alternative to circumcision. [21] It has the advantage of only limited pain and a short healing duration relative to circumcision, while also avoiding cosmetic effects. [40]
The needle size, length and type should be selected based on the site, depth and patient's body habitus. 22–24G needles are sufficed for most injections. [1] As an example, ultrasound-guided hip joint injection [16] can be considered when symptoms persist despite initial treatment options such as activity modification, analgesia and physical ...
It occurs between the circumference of the head of the radius and the ring formed by the radial notch of the ulna and the annular ligament. [2] The interosseous membrane of the forearm and the annular ligament stabilise the joint. [2] A number of nerves run close to the proximal radioulnar joint, including: median nerve; musculocutaneous nerve ...
A labelled dorsal view of a circumcised penis: (1) shaft; (2) circumcision scar; (3) corona; (4) glans; and (5) meatus. The most common form of body modification related to the penis is circumcision: removal of part or all of the foreskin. It is most commonly performed as an elective procedure for prophylactic, cultural, or religious reasons. [54]
Complications of treatment may include joint stiffness and scar formation. [26] Recurrence of the lesion is more common following excision of a volar ganglion cyst in the wrist. Incomplete excision that fails to include the stalk or pedicle also may lead to recurrence, as will failing to execute a layered closure of the incision.