title: Y-V preputioplasty for adult phimosis: a review of 89 cases.
abstract: OBJECTIVE
  Numerous surgical techniques have been proposed for preputial relief to avoid circumcision. We aimed to review the indications, techniques, and outcomes of Y-V preputioplasty for men with phimosis treated at our institution between 1995 and the present.
  
  
  METHODS
  We retrospectively examined the case notes of 89 patients who underwent Y-V preputioplasty since 1995. Indication, technique, and immediate outcomes were recorded. We have subsequently attempted to contact these patients for the completion of a satisfaction questionnaire.
  
  
  RESULTS
  All case notes were retrieved; 87 of 89 procedures were undertaken by a single surgeon (I.A.). The median age at operation was 29 years (range, 18-84 years) and median follow-up was 4 years. Seven patients required revision surgery (3: Y-V preputioplasties; 2: circumcisions; 1: adhesion division; and 1: frenuloplasty), whereas 2 patients reported unresolved symptoms but have not undergone additional procedures. Currently, we have successfully contacted 31 of 89 (35%) patients by telephone. These cases appear to have similar demographic features to the whole group. All agreed to complete a satisfaction questionnaire, and 30 replies were received. Overall, 12 patients (40%) were very satisfied and 10 (33%) were satisfied, whereas 4 (13%) were indifferent and 4 (13%) were dissatisfied. Two patients have subsequently undergone circumcision. Twenty-one (70%) patients described their cosmetic result as very good or good, and 22 (73%) patients would recommend the operation to a friend. Dissatisfaction with the procedure seemed to be associated with pre-existing erectile dysfunction, and not retracting the foreskin postoperatively.
  
  
  CONCLUSIONS
  Y-V preputioplasty would seem a good alternative to circumcision for men with phimosis who wish to preserve their foreskin.
authors.affiliation: Airedale General Hospital, Steeton, Keighley, United Kingdom. nic@munron.plus.com
authors.forename: Nicholas P
authors.initials: NP
authors.lastname: Munro
authors.forename: Hassan
authors.initials: H
authors.lastname: Khan
authors.forename: Nick A
authors.initials: NA
authors.lastname: Shaikh
authors.forename: Ian
authors.initials: I
authors.lastname: Appleyard
authors.forename: Philip
authors.initials: P
authors.lastname: Koenig
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D052816:Foreskin / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010688:Phimosis / Q000601:surgery*; D012189:Retrospective Studies; D013521:Urologic Surgical Procedures, Male / Q000379:methods