Barber N J, Chappell B, Carter P G, Britton J P
Department of Urology, King's College Hospital, London, UK.
J R Soc Med. 2003 Sep;96(9):452-3. doi: 10.1177/014107680309600909.
Foreskin complaints in childhood, if not manageable conservatively, are usually treated by circumcision. A less radical surgical option, when balanitis xerotica obliterans is absent, is preputioplasty. We sent questionnaires to the parents of 23 boys who had had this procedure and 22 replied. Mean interval since operation was 20 months (range 3-36). The main indications for surgery had been irretractable foreskin in 9, recurrent balanoposthitis in 10 and ballooning on voiding in 3 and the operation had dealt successfully with these in 7, 7, and 3, respectively. In all but one case the parents were satisfied with the cosmetic result. However, in 8 cases (36%) the parents said they would have preferred circumcision and 3 of the boys had been listed for further surgery. Preputioplasty is a satisfactory alternative to circumcision in selected cases.
儿童期的包皮问题，如果保守治疗无效，通常采用包皮环切术。在没有干性闭塞性龟头炎的情况下，一种不太激进的手术选择是包皮成形术。我们向23名接受过该手术的男孩的父母发送了问卷，22人回复。手术平均间隔时间为20个月（范围3 - 36个月）。手术的主要指征包括9例包皮无法上翻、10例复发性阴茎头包皮炎和3例排尿时包皮膨胀，手术分别成功解决了其中7例、7例和3例。除1例之外，所有家长对外观效果都很满意。然而，8名家长（36%）表示他们更倾向于包皮环切术，其中3名男孩已被列入进一步手术名单。在特定情况下，包皮成形术是包皮环切术的一种令人满意的替代方法。
