✦ Phimosis Treatment

Preputioplasty (Dorsal Slit + Transverse Closure)

Q: Is preputioplasty as effective as circumcision for phimosis?

Preputioplasty achieves relief in 85% of cases; circumcision has higher success rates and is preferred for lichen sclerosus or severe phimosis.

Q: Can phimosis recur after preputioplasty?

Recurrence occurs in up to 15% of cases; topical steroid cream post-operatively reduces recurrence rates significantly. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: Can I have preputioplasty under local anaesthesia?

Yes — preputioplasty is a minor procedure suitable for local anaesthesia in cooperative adult patients. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Foreskin-Preserving Surgery to Widen the Preputial Opening

20–30 min PROCEDURE

Day Care HOSPITAL STAY

>85% SUCCESS RATE

1–2 Weeks RECOVERY

What is Preputioplasty (Dorsal Slit + Transverse Closure)?

Preputioplasty is a foreskin-preserving surgical procedure that widens a narrow preputial opening (phimosis) without removing the foreskin. A dorsal longitudinal incision is made through the tight preputial ring and closed transversely (Heineke-Mikulicz principle), immediately widening the opening. It is suitable for mild to moderate phimosis in patients who wish to retain their foreskin for cultural, religious, or personal reasons. The procedure is performed under general or spinal anaesthesia with a hospital stay of Day Care. Success rates reach >85% in appropriately selected patients at experienced centres.

Patients with mild to moderate phimosis who wish to preserve the foreskin, and in whom the phimosis is restricted to the preputial opening without extensive scarring or lichen sclerosus.

How the Procedure Works

Anaesthesia & Assessment

Local or general anaesthesia administered; phimotic ring identified and assessed.

Dorsal Longitudinal Incision

Dorsal longitudinal incision made through the full thickness of the preputial ring.

Opening Widened

Incision opened out widening the preputial opening significantly.

Transverse Closure

Wound closed transversely with fine absorbable sutures (Heineke-Mikulicz principle).

Post-Op Care

Dressing applied; post-operative hygiene and care instructions provided.

Outcomes

20–30 minDURATION

Day CareHOSPITAL STAY

>85%SUCCESS RATE

1–2 WeeksFULL RECOVERY

Who Needs This Treatment?

→Preserves the foreskin for patients with cultural or personal preference.
→Simpler and quicker than formal circumcision.
→Effective for mild to moderate phimosis with a discrete tight preputial ring.
→No foreskin tissue lost — natural anatomy maintained.
→Day-case procedure with rapid healing.
→Can be performed under local anaesthesia in cooperative adults.

"Preputioplasty offers our phimosis patients a foreskin-preserving option. When lichen sclerosus is absent and the phimosis is localised, it is an elegant solution that respects the patient's wishes."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Is preputioplasty as effective as circumcision for phimosis?+

Can phimosis recur after preputioplasty?+

Can I have preputioplasty under local anaesthesia?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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