Recurrence or inadequate widening occurs in up to 15% of cases; circumcision remains the definitive alternative if plasty fails.

✦ Phimosis Treatment

Y-V Plasty

Q: Is Y-V plasty better than preputioplasty?

Both achieve similar results; Y-V plasty uses skin geometry for widening while preputioplasty uses Heineke-Mikulicz transverse closure — the choice depends on anatomy.

Q: Is Y-V plasty suitable for lichen sclerosus?

No — lichen sclerosus causes progressive scarring and skin disease; circumcision is the required treatment when lichen sclerosus is present.

Y-V Plasty Foreskin Reconstruction to Widen the Preputial Opening

30–45 min PROCEDURE

Day Care HOSPITAL STAY

>85% SUCCESS RATE

1–2 Weeks RECOVERY

What is Y-V Plasty?

Y-V Plasty is a reconstructive technique for widening a narrow preputial opening while preserving the foreskin. A Y-shaped incision is made on the foreskin, and the tissue is rearranged into a V-shape closure, effectively lengthening and widening the preputial opening using geometric skin plasty principles. It provides a more anatomically natural result than simple dorsal slit in patients who prefer foreskin preservation. 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 preferring foreskin preservation where the preputial ring is discrete and the skin quality is adequate for plasty. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Y Incision Design

Y-shaped incision designed with the stem of the Y on the dorsal preputial ring.

Full Thickness Incision

Y incision made through the full thickness of the preputial ring.

Flap Advancement

Skin flap advanced downward; V-closure performed converting the Y incision to a V.

Repair & Closure

Fine absorbable sutures used to close the V, widening the preputial opening.

Dressing & Healing

Dressing applied; healing typically complete within 2 weeks.

Outcomes

30–45 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.
→More anatomically natural result than simple dorsal slit.
→Day-case procedure performed under local or general anaesthesia.
→Geometric plasty principle provides durable widening of preputial opening.
→Avoids the social or cultural implications of complete circumcision.
→Suitable for mild to moderate phimosis without lichen sclerosus.

"Y-V plasty is an elegant geometric solution for phimosis in patients who wish to preserve their foreskin. In the right case, it provides a durable, natural-looking widening of the preputial opening."

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

Common Questions

Frequently Asked

Is Y-V plasty better than preputioplasty?+

Can Y-V plasty fail?+

Is Y-V plasty suitable for lichen sclerosus?+

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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