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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.
The incision can be z-shaped, y-shaped or a single horizontal cut. Once healed, the procedure effectively elongates the frenulum, allowing normal function. Under normal circumstances the incision heals completely in around six to eight weeks, after which time normal sexual activity can resume.
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. [10]
Surgical methods of foreskin restoration, known as foreskin reconstruction, usually involve a method of grafting skin onto the distal portion of the penile shaft. The grafted skin is typically taken from the scrotum, which contains the same smooth muscle (known as dartos fascia) as does the skin of the penis.
Circumcised penis with frenulectomy (ventral view) (circumcision procedure at birth) Frenulectomy of the penis is a surgical procedure for cutting and removal of the penile frenulum, to correct a condition known as frenulum breve.
Convalescence is relatively rapid, with most patients able to void and a mean recovery time of less than five days at home. However, prostatic edema is expected after microwave therapy, and this can lead to a risk of urinary retention.
As a result, bipolar TURP is also not subject to the same surgical time constraints of conventional TURP. A 2019 Cochrane review of 59 studies including 8924 men with BPH urinary symptoms found that bipolar and monopolar TURP probably result in comparable improvements in urinary symptoms, as well as in similar erectile function , incidence of ...
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