Sutureless prepuceplasty with wound healing by second intention: an alternative surgical approach in children's phimosis treatment.
BACKGROUND
A new technique for the treatment of children's phimosis is presented that minimizes the repairing time, the postoperative complications and maintains the physical foreskin appearance intact.


METHODS
Eightyseven children with phimosis were treated with this new developed technique, between 2003 and 2005. Sutureless prepuceplasty creates a permanent surgical extension of the close prepuce. Stretching and retraction of phimotic foreskin reveals a tight prepuce ring that is cutting in its dorsal surface longitudinally. Rarely triple symmetric incisions in the preputial outlet are necessary. The foreskin is loose and moves absolutely free in bilateral courses. The wounds are healing by second intention. Antisepsis, steroids and Elicina cream, (which contains allantoin, collagen, elastin, glycolic acid and vitamins A, D, and E) should apply daily, for twenty to thirty days.


RESULTS
The foreskin is moving in centripetal or efferent courses absolutely loosely, painlessly and bloodlessly. The mean time of follow-up was 27 months (one to four years). No complications were observed.


CONCLUSIONS
Sutureless prepuceplasty may present an acceptable alternative in children's phimosis reconstruction.
Christianakis
Efstratios
E
Department of Pediatric Surgery, Pendeli Children's Hospital, Palaia Pendeli, Athens, Greece. xristianakis@in.gr
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D052816:Foreskin / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010688:Phimosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D014945:Wound Healing