Download PDF
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
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

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/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Purpura V, Bondioli E, Cunningham EJ. et al. The development of a decellularized extracellular matrix-based biomaterial scaffold derived from human foreskin for the purpose of foreskin reconstruction in circumcised males. J Tissue Eng 2018:9:10.2041731418812613
  • 2 Hammond T. Long term consequences of neonatal circumcision: A preliminary poll of circumcised males. In: Sexual Mutilations: A Human Tragedy. New York: Plenum Press, 1997
  • 3 Schultheiss D, Truss MC, Stief CG, Jonas U. Uncircumcision: a historical review of preputial restoration. Plast Reconstr Surg 1998; 101 (07) 1990-1998
    CrossrefPubMedGoogle Scholar
  • 4 Rubin JP. Celsus’s decircumcision operation. Urology 1980; XVI (01) 121-124
    CrossrefPubMedGoogle Scholar
  • 5 Penn J. Penile reform. Br J Plast Surg 1963; 16: 287-288
    CrossrefPubMedGoogle Scholar
  • 6 Greer Jr DM, Mohl PC, Sheley KA. A technique for foreskin reconstruction and some preliminary results. J Sex Res 1982; 18 (04) 324-330
    CrossrefGoogle Scholar
  • 7 Goodwin WE. Uncircumcision: a technique for plastic reconstruction of a prepuce after circumcision. J Urol 1990; 144 (05) 1203-1205
    CrossrefPubMedGoogle Scholar
  • 8 Lynch MJ, Pryor JP. Uncircumcision: a one-stage procedure. Br J Urol 1993; 72 (02) 257-258
    CrossrefPubMedGoogle Scholar
  • 9 Brandes SB, McAninch JW. Surgical methods of restoring the prepuce: a critical review. BJU Int 1999; 83 (Suppl. 01) 109-113
    CrossrefPubMedGoogle Scholar
  • 10 Gupta R, Gupta R, Mehta R, Aggarwal A, Mathur A. Gender dysphoria. In K Agrawal and R K Mahajan, eds. Textbook of Plastic, Reconstructive and Aesthetic Surgery Volume IV (259–293). Noida, Uttar Pradesh: Thieme Publishers 2019