La Vega slit procedure for the treatment of phimosis.
Publication/Presentation Date
3-1-2000
Abstract
OBJECTIVES: The surgical treatment of phimosis is usually circumcision. In countries in which circumcision is not widely practiced, this approach results in a phallus that is cosmetically unacceptable. We applied a ventral slit procedure to boys with severe phimosis and achieved outstanding results.
METHODS: All patients were selected during a 1-week medical mission to La Vega in the Dominican Republic during April 1997. Eight patients presented with severe phimosis. The patient age ranged from 3 to 7 years (mean 4.4). All patients were cleared by the team pediatrician before undergoing the procedure.
RESULTS: Eight patients underwent the procedure without complications. The operative time was less than 10 minutes in all instances. All had excellent postoperative cosmesis, were able to retract their foreskins, and voided without difficulty. A follow-up mission to La Vega in March 1998 yielded no complications involving this group of patients.
CONCLUSIONS: Unlike circumcision and the dorsal slit procedure, this approach yields a phallus that on initial appearance is indistinguishable from an uncircumcised phallus. The procedure is easily performed and should be considered in the treatment of phimosis whenever foreskin preservation is desired.
Volume
55
Issue
3
First Page
419
Last Page
421
ISSN
1527-9995
Published In/Presented At
Dean, G. E., Ritchie, M. L., & Zaontz, M. R. (2000). La Vega slit procedure for the treatment of phimosis. Urology, 55(3), 419–421. https://doi.org/10.1016/s0090-4295(99)00459-8
Disciplines
Medicine and Health Sciences
PubMedID
10699624
Department(s)
Department of Surgery
Document Type
Article