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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 instrument does not directly protect the glans during the procedure, so there is a risk that the glans can be pulled into the slit and crushed or partially severed. [ 2 ] In July 2010, one company manufacturing Mogen clamps (Mogen Circumcision Instruments of New York) went out of business following a lawsuit in which the doctor entirely ...
Phimosis (both pathologic and normal childhood physiologic forms) is a risk factor for paraphimosis; [5] physiologic phimosis resolves naturally as a child matures, but it may be advisable to treat pathologic phimosis via long-term stretching or elective surgical techniques (such as preputioplasty to loosen the preputial orifice or circumcision ...
Actor Melusi Yeni became the 1 millionth VMMC against HIV/AIDS transmission in the province of KwaZulu-Natal, South Africa. [29]There is a consensus among the world's major medical organizations and in the academic literature that circumcision is an efficacious intervention for HIV prevention in high-risk populations if carried out by medical professionals under safe conditions.
It passes between the crus penis [2] and the pubic symphysis [citation needed] of the pelvis to reach the dorsal surface of the corpus cavernosus penis. [2]As it pierces the perineal membrane, it (depending upon the source) passes between the two layers of the suspensory ligament of the penis, [citation needed] or pierces the lateral lamina of the suspensory ligament of penis.
Behind the corona, the terminal branches of the dorsal arteries anastomose with the axial arteries through perforating branches before they end in the glans. [25] Branches of the dorsal artery curve around each side of the distal shaft to enter the glans and the frenulum ventrally. [26] Venous drainage of the penis begins at the base of the glans.