Triple incision to treat phimosis in children: an alternative to circumcision?

Abstract:

OBJECTIVE:To evaluate the functional and cosmetic results and patient satisfaction after triple incision plasty for phimosis in children. PATIENTS AND METHODS:The study included 197 boys who had a triple incision for phimosis (mean age 5.8 years, range 0.25-18). The indications for preputial surgery were recurrent balanoposthitis, ballooning during micturition and severe phimotic stenosis. The results after surgery were assessed using a questionnaire about the child's/parent's satisfaction, and an outpatient follow-up examination for functional and cosmetic preputial appearance. RESULTS:Of 128 parents/children responding, 108 (84%) were satisfied with the function and 102 (80%) reported a good cosmetic outcome. Triple incision as preputioplasty would be recommended to other parents by 119 (93%) respondents. Ninety-one (71%) of the parents feared disadvantages in their son's later life if the child had been circumcised. The outpatient examination showed an excellent functional and cosmetic outcome in 71 (77%) of the children. CONCLUSION:Triple incision is a simple, fast and safe technique for preputial relief, with good functional and cosmetic results, and was well accepted by the patients.

journal_name

BJU Int

journal_title

BJU international

authors

Fischer-Klein Ch,Rauchenwald M

doi

10.1046/j.1464-410x.2003.04354.x

keywords:

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

459-62; discussion 462

issue

4

eissn

1464-4096

issn

1464-410X

pii

4354

journal_volume

92

pub_type

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