Phimosis Treatment Without Operation

Phimosis

In the United States, circumcision is the surgical treatment of choice for correction of phimosis. In European countries, however, preputioplasty is often used. Although these techniques are outside the scope of this discussion, patients should be aware that these prepuce-preserving methods exist.

Adult circumcision can be performed under local or regional anesthesia and commonly involves either the dorsal slit or the sleeve technique. In China, however, standardization with a device known as the Shang Ring has proven effective, with a substantial decrease in both operative time and anesthetic requirements. ^[31] The dorsal slit is often useful in patients with phimosis, and the sleeve technique may allow for better hemostasis in patients with large subcutaneous veins.

A properly performed circumcision eliminates phimosis, as well as the risks of paraphimosis and frenular tears or bleeding associated with sexual intercourse.

Buried penis

Numerous techniques have been described for repairing the buried penis. Variations have been proposed for different presumed etiologies and to simplify the procedure. Recurrence and the need for subsequent procedures are possibilities. While the challenge of repair may seem daunting for most general urologists, reconstructive experts have reported unanimous success of a lasting nature.