Pediatric Surgery Unit, Ashish Hospital and Research Center, Jabalpur, Madhya Pradesh, India. Correspondence to: Dr Pradyumna Pan, Pediatric Surgery Unit, Ashish Hospital and Research Centre, Jabalpur, Madhya Pradesh 482 001, India.
Indian Pediatr. 2019 Dec 15;56(12):1029-1032.
To evaluate the functional and cosmetic result of limited dorsal slit preputialplasty for surgical management of phimosis in children.
This is a prospective cohort study (Jan 2010 to Dec 2019) of 246 children (age >5 y) who were unable to retract the foreskin and were symptomatic.
No intraoperative complications were encountered. Preputial edema was the most common (n=45, 18.2%) immediate postoperative occurrence. At one year follow-up, a total cosmetic score of 6 (considered optimal) was seen in 203 (91%) patients. A score of 5 was observed in 13 (5.9%) and the remaining 7 (3.1%) had a score of less than 4. All pubertal children, except one, could retract prepuce freely without discomfort.
This preputialplasty provides satisfactory cosmetic and functional result in phimosis, and is an acceptable alternative to circumcision.
评估有限切开式背侧包皮成形术治疗儿童包茎的功能和美容效果。
这是一项前瞻性队列研究（2010 年 1 月至 2019 年 12 月），共纳入 246 名（年龄>5 岁）无法退缩包皮且有症状的儿童。
术中无并发症发生。最常见的（n=45，18.2%）即刻术后并发症是包皮水肿。在 1 年随访时，203 名（91%）患者的整体美容评分达到 6 分（认为是最佳）。13 名（5.9%）患者评分为 5 分，其余 7 名（3.1%）评分低于 4 分。除 1 名青春期儿童外，所有其他青春期儿童都能自由地将包皮向后退缩，没有不适感。
这种包皮成形术在治疗包茎方面提供了满意的美容和功能效果，是一种可接受的割礼替代方法。
