"Trident" preputial plasty for phimosis in childhood.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: England NLM ID: 101233150 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4898 (Electronic) Linking ISSN: 14775131 NLM ISO Abbreviation: J Pediatr Urol Subsets: MEDLINE
    • Publication Information:
      Original Publication: Kidlington, Oxford, UK : Elsevier, c2005-
    • Subject Terms:
      Suture Techniques*; Foreskin/*surgery ; Phimosis/*surgery ; Plastic Surgery Procedures/*methods; Adolescent ; Child ; Child, Preschool ; Humans ; Male ; Operative Time ; Phimosis/pathology ; Phimosis/physiopathology ; Prospective Studies ; Treatment Outcome
    • Abstract:
      Objective: To evaluate the functional and cosmetic result of modified-triple incision preputial plasty for surgical management of phimosis in children.
      Materials and Methods: This prospective study involved all consecutive children (age 3-15) with phimosis, managed at our Institution in a one-year period. All patients unable to retract the foreskin and symptomatic with episodes of posthitis or balanoposthitis or ballooning of the foreskin with voiding were initially included. After a two-month trial of topic corticosteroids treatment, for patients refractory to conservative ointment treatment, "trident" preputial plasty was offered. This procedure combines two lateral Z-plasty and one middle Y-V plasty. All the procedures were performed as a day care, in general anaesthesia by two senior surgeons. Outpatient follow-up controls were scheduled at 1 and 2 week, 1, 6 and 12 months after surgery, respectively.
      Results: A total of 41 patient were enrolled. Mean operative time was 24 minutes (range 15-43). At 12-month follow-up, all but one patients (97.6%) was able to retract the prepuce. Cosmetic and functional results were satisfactory.
      Conclusion: In selected group of children with phimosis, the "trident" preputial plasty provided excellent cosmetic and functional result. Adequate retraction of the prepuce by the patients soon after surgery is mandatory.
      (Copyright © 2017 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.)
    • Contributed Indexing:
      Keywords: Children; Phimosis; Prepuce; Preputial plasty; Trident plasty
    • Publication Date:
      Date Created: 20170401 Date Completed: 20180515 Latest Revision: 20221207
    • Publication Date:
      20240829
    • Accession Number:
      10.1016/j.jpurol.2017.01.024
    • Accession Number:
      28359779