Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Research

Natl J Med Res. 2014; 4(4): 326-329


A Comparative Study of Circumcision and Preputioplasty in Pediatric Cases of Phimosis: A Prospective Study in a Tertiary Care Hospital, Bhavnagar, Gujarat

Verma Arvind Kumar, Hathila Tejas N, Bhimani Sachin, Rajan Somani, Rupani Mihir P.

Abstract
"Introduction: Preputioplasty have gained a new interest now days because the retained preputial skin with mucosa after preputioplasty gives good cosmetic appearance and it can be utilized in future for urethral stricture surgery. The aim of this study was to compare the post-operative complications and post-operative hospital stay in patients operated by circumcision and preputioplasty.
Methodology: This prospective study included 50 patients (age less than 4 years) having phimosis, treated during July 2010 to July 2012. These patients were treated by two methods viz. circumcision and preputioplasty (25 cases by each method).The patients were assessed post-operatively at day 1, day 15, at 2 months and at 3 months.
Results: The study revealed that the immediate post-operative complications like pain, bleeding, oedema, difficulty in micturition and fever were present after both the procedures. But post-operative pain (84%), bleeding (24%) and difficulty in micturition (16%) were higher after circumcision than after preputioplasty (40%, 4% and 4% cases respectively). Post-operative oedema was more prominent in preputioplasty-operated patients (84%). Post-operative hospital stay was longer in cases treated with circumcision. After three months, recurrent adhesions were more common after preputioplasty (32%). Cosmetic appearance was acceptable in patients operated with both the procedures.
Conclusion: Preputioplastyis a faster, easier, relatively painless technique with excellent cosmetic results and lesser complications than circumcision, except post-operative edema and adhesions. "

Key words: Preputioplasty, circumcision, phimosis



Share this Article


Advertisement
Journal of Molecular Pathophysiology

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.