title: [Phimosis: dorsal slit or circumcision?].
abstract: BACKGROUND
  Phimosis is perhaps one of the most frequent consultation on pediatric surgery clinics throught the world. The aim of this study is to compare the two procedures more frequently performed in our hospital: dorsal slit and circumcision. PATIENTS Y METHODS: Retrospective study of 1698 patients who were admitted for elective surgical treatment of phimosis between 2003 and 2009. We analyzed age, surgical and anesthethic times, surgical technique and complications. We also did transversal descriptive study through telephonic survey on parents and patients older than 16 years old.
  
  
  RESULTS
  There was 76.6% of dorsal slit (n = 1300) and 23.4% (n= 398) of circumcisions. Mean age was 7.15 years y mean time of follow up was 42.3 months. Surgical time was significantly higher in circumcision (p < 0.0001). There were 3% (n = 51) of reoperations, no differences between groups. We didn't find differences in postoperative stenosis, but bleeding was more frequent in circumcision group (1.7%; p = 0.03). There were no differences on parental appreciation of postoperative pain, or functional and esthetic satisfaction between groups.
  
  
  CONCLUSIONS
  We didn't find differences on subjective satisfaction between groups. Even if there are differences n postoperative bleeding, global incidence is very low. In our experience both techniques are valid and safe, so surgeon and parents must jointly make the decision.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Infantil Gregorio Marañón, Madrid. ccorona.hgugm@salud.madrid.org
authors.forename: C
authors.initials: C
authors.lastname: Corona
authors.forename: A
authors.initials: A
authors.lastname: Cañizo
authors.forename: J
authors.initials: J
authors.lastname: Cerda
authors.forename: M
authors.initials: M
authors.lastname: Fanjul
authors.forename: N
authors.initials: N
authors.lastname: Carrera
authors.forename: A
authors.initials: A
authors.lastname: Tardáguila
authors.forename: M
authors.initials: M
authors.lastname: Zornoza
authors.forename: A
authors.initials: A
authors.lastname: Parente
authors.forename: J M
authors.initials: JM
authors.lastname: Angulo
authors.forename: E
authors.initials: E
authors.lastname: De Tomás
authors.forename: E
authors.initials: E
authors.lastname: Molina
authors.forename: D
authors.initials: D
authors.lastname: Peláez
authors.forename: M A
authors.initials: MA
authors.lastname: García Casillas
authors.forename: S
authors.initials: S
authors.lastname: Rivas
authors.forename: R
authors.initials: R
authors.lastname: Romero
authors.forename: M C
authors.initials: MC
authors.lastname: Marín
mesh_terms: D002944:Circumcision, Male / Q000379:methods*; D052816:Foreskin / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D010688:Phimosis / Q000601:surgery*; D012189:Retrospective Studies; D013521:Urologic Surgical Procedures, Male / Q000379:methods