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CC BY-NC-ND 4.0 · Indian J Plast Surg 2021; 54(02): 114-117
DOI: 10.1055/s-0041-1731621
Original Article

A Novel Procedure of Prepuce Reconstruction Customized to the Religious Needs of Some Individuals

Richie Gupta 
1   Department of Plastic, Aesthetic and Reconstructive Surgery, and Gender Identity Clinic, Fortis Hospital Shalimar Bagh, Delhi, India
,
Sandeep Mehta
2   Department of Surgical Oncology and Reconstructive Cancer Surgery, Fortis Hospital Shalimar Bagh, Delhi, India
,
Rajat Gupta
1   Department of Plastic, Aesthetic and Reconstructive Surgery, and Gender Identity Clinic, Fortis Hospital Shalimar Bagh, Delhi, India
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Abstract

Background Authors describe a novel procedure in a group of patients for prepuce reconstruction, ensuring complete glans penis coverage who had either been circumcised in childhood or had congenitally short prepuce.

Methods Case records of all cases done by the novel method which involved penile degloving and maintenance of neoprepuce, with the help of de-epithelization of glans penis and a few key sutures performed over the period from January 2010 to December 2019 were reviewed retrospectively. A total of 46 patients, 32 had congenitally short prepuce and 14 had previous circumcision.

Results All the patients had complete glans penis coverage. None of the patients had complications like urinary infection, meatal stenosis, collection in neoprepucial sac, balanitis, or posthitis. The mean followup was 23.24 months in 37 patients. Nine lost to followup.

Conclusions The procedure is simple, gives reliable results, and is customized to the needs of the patients. It does not interfere with penile erections.

Keywords

prepuce reconstruction - circumcision - glans coverage - milah - periah


Publication History

Article published online:
05 July 2021

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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