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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.
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 outer (hinged) ring is placed on the outside of the foreskin and locks against the inner ring when snapped together. The distal foreskin is then excised. The Shang Ring is removed after one week when the outer ring locking mechanism is opened using a special tool. A pair of scissors designed for this purpose is then used to remove the inner ...
A few examples of Old Kingdom... statuary present some adult males—usually priests, functionaries, or low-status workers—as having undergone a vertical slit on the dorsal aspect of the prepuce, although no flesh has been removed. [63] It may be performed as a part of traditional customs, such as those in the Pacific Islands and the ...
The practitioner then places the circumcision device (this sometimes requires a dorsal slit), which remains until blood flow has stopped. Finally, the foreskin is amputated. [1] For older babies and adults, circumcision is often performed surgically without specialized instruments, [37] and alternatives such as Unicirc or the Shang ring are ...
Instead, it would have involved excising a triangular section, or alternately just creating a longitudinal incision, in the dorsal face of the foreskin. [28] [29] In modern terms, this is preputioplasty and/or dorsal slit (superincision). This is supported by artworks and statues showing foreskins, some of which present an incision on the glans ...
The most commonly-done procedure is in actuality not a circumcision but a dorsal slit, where no foreskin is actually removed. When the foreskin is removed, it is commonly known locally as a "German cut" in reference to the introduction of the modern surgical technique by the founder of plastic and reconstructive surgery, Johann Friedrich ...