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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.
One study suggests around 15–20% of men require additional circumcision after a frenuloplasty, because not all symptoms indicating the surgery improved. [3] The British Association of Urological Surgeons (BAUS) estimates this number to be lower at 2–10%. [4]
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.
Men with short foreskins would wear the kynodesme to prevent exposure. [3] As a consequence of this social stigma, an early form of foreskin restoration known as epispasm was practiced among some Jews in Ancient Rome (8th century BC to 5th century AD). [4] Foreskin restoration is of ancient origin and dates back to the Alexandrian Empire (333 BC).
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]
A penile implant is an implanted device intended for the treatment of erectile dysfunction, Peyronie's disease, ischemic priapism, deformity and any traumatic injury of the penis, and for phalloplasty or metoidioplasty, including in gender-affirming surgery.
In 2018, the Mayo Clinic announced a $648 million expansion called Arizona.Bold.Forward. to nearly double the size of its campus in Phoenix by 2024. The Mayo Clinic Alix School of Medicine expanded its four-year medical school class to the Mayo Clinic Arizona campus in 2017. [7] [6] [8] [9] [10] [11]
In 2011, the organization changed its name and the name of its affiliates to Mayo Clinic Health System. [8] [9] By 2012, the health system had 70 locations and reported seeing 500,000 patients annually. [10] Prathibha Varkey was named president of Mayo Clinic Health System in 2021; she succeeded Bobbie Gostout.