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Triple incision to treat phimosis in children: an alternative to circumcision?
Author(s) -
FischerKlein Ch.,
Rauchenwald M.
Publication year - 2003
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.2003.04354.x
Subject(s) - medicine , preputial gland , surgery , patient satisfaction , outpatient clinic , urination , urinary system , endocrinology
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.