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[26] [35] [27] Non-retractile foreskin usually becomes retractable during the course of puberty. [27] If phimosis in older boys or adult males is not causing acute and severe problems, nonsurgical measures may be effective. Choice of treatment is often determined by whether circumcision is viewed as an option of last resort or as the preferred ...
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.
This may be a complication of circumcision or a naturally occurring event. When it is a naturally occurring event, a short frenulum can restrict normal retraction of the foreskin during erection (a condition known as frenulum breve). The goal of treatment is to allow normal retraction of the foreskin.
In some cases the foreskin may become swollen as a result of paraphimosis (foreskin trapped behind the glans) or other conditions such as severe balanitis. Should reduction of the swelling by conservative methods be unsuccessful, a dorsal slit is a common intervention of choice since circumcision is almost always excluded in such cases.
In men who are not circumcised, it also connects the foreskin to the glans and the ventral mucosa. [1] [2] In adults, the frenulum is typically supple enough to allow manual movement of the foreskin over the glans and help retract the foreskin during erection. [3] [4] In flaccid state, it tightens to narrow the foreskin opening. [2]
Once the frenulum is cut, the physician applies stitches to close the wound. The patient may be given a prescription for pain killers to take in case there is pain afterwards, but usually the only discomfort is from the pricking of the stitches on the foreskin. Once the stitches are removed, in about seven days, normal sexual activity can resume.