Retrospectieve analyse van preputiumplastieken bij jongens met pathologische fimose in de afgelopen negen jaar

Abstract

In our clinic, more patients wish to treat pathological phimosis with a preputioplasty to preserve their foreskin. This study aims to analyze the long-term effects of preputioplasty. Additionally, we have produced an instructional video for those who want to master this surgical technique. A retrospective cohort study was performed in boys aged ≤ 18 years old suffering from pathological phimosis. All patients underwent preputioplasty between January 2011–2020. The outcome of the preputioplasty is considered positive when the foreskin was retractable months post-operative. In total, 176 patients were included. The mean age operating was 8.9 years. A positive result after preputioplasty was observed in 163/176 patients (93%). Patients with a negative outcome most often chose a re-operation: circumcision in seven cases and a redo-preputioplasty in three. Four patients showed complications (minor infection (1), wound dehiscence (2), and excess amount of skin (1)). Thus, a preputioplasty is shown to be a feasible operative treatment option.