Limited Dorsal Slit Preputialplasty for Management of Phimosis in Children

ABSTRACT

Objective: To evaluate the functional and cosmetic result of limited dorsal slit preputialplastyfor surgical management of phimosis in children. Methods: This is a prospective cohortstudy (Jan 2010 to Dec 2019) of 246 children (age >5 y) who were unable to retract theforeskin and were symptomatic. Results: No intraoperative complications wereencountered. Preputial edema was the most common (n=45, 18.2%) immediatepostoperative occurrence. At one year follow-up, a total cosmetic score of 6 (consideredoptimal) was seen in 203 (91%) patients. A score of 5 was observed in 13 (5.9%) and theremaining 7 (3.1%) had a score of less than 4. All pubertal children, except one, could retractprepuce freely without discomfort. Conclusion: This preputialplasty provides satisfactorycosmetic and functional result in phimosis, and is an acceptable alternative to circumcision