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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 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.
Paraphimosis is usually caused by medical professionals or parents who handle the foreskin improperly.[4] [6] The foreskin may be retracted during penile examination, penile cleaning, urethral catheterization, or cystoscopy; if the foreskin is left retracted for a long period, some of the foreskin tissue may become oedematous (swollen with fluid), which makes subsequent reduction of the ...
Trigger finger; Other names: Historicopous, trigger digit, trigger thumb, [1] stenosing tenosynovitis [1] An example of trigger finger affecting the ring finger: Specialty: Hand surgery, orthopedic surgery, and plastic surgery: Symptoms: Catching or locking of the involved finger, pain [2] [3] Usual onset: 50s to 60s years old [2] Risk factors
The digits at the borders of the cleft might be syndactilyzed, and one or more digits can be absent. In most types, the thumb, ring finger and little finger are the less affected parts of the hand. [7] The incidence of cleft hand varies from 1 in 90,000 to 1 in 10,000 births depending on the used classification.
The specific cause of camptodactyly remains unknown, but there are a few deficiencies that lead to the condition. A deficient lumbrical muscle controlling the flexion of the fingers, and abnormalities of the flexor and extensor tendons. [7] A number of congenital syndromes may also cause camptodactyly: Jacobsen syndrome; Beals syndrome [8] Blau ...