ISSN 2398-2977      

Prepuce: resection

pequis
Contributor(s):

David Moll

Graham Munroe

Synonym(s): Reefing Circumcision, Segmental posthectomy


Introduction

  • Resection of a circumferential segment of the internal preputial lamina.
  • Indicated in removing penile lesions and restoring telescoping function of the concentric elastic sleeves that allow extension and retraction of the penis.

Uses

  • Removing preputial neoplasia, granulomas and scars too extensive for simple excision but not involving the underlying tunica albuginea.
  • Penile paralysis   Penis: paralysis / priapism  cases where reefing of the internal lamina of the prepuce can help permanently maintain the penis within the prepucial cavity.
  • Removal of certain congenital abnormalities of the prepuce/penis.

Advantages

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Related to primary reason for surgery.
  • Guarded in neoplasia and paralyzed penis.
  • Fair in granulomas and scars.

Further Reading

Publications

Refereed papers

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