Preputioplasty is a surgical procedure in which the narrowed foreskin ring is incised and widened, allowing the foreskin to be freely retracted over the glans. This preserves the foreskin and its protective function, avoiding the need for full circumcision.
The most common medical indication is mild to moderate phimosis, when the patient wishes to avoid complete removal of the foreskin. The procedure may also be considered in cases of scarred narrowing after inflammation or microtrauma, as well as with a long but non-scarred foreskin causing recurrent infections. Preputioplasty is not appropriate in cases of extensive lichen sclerosus or complicated paraphimosis – in such situations, circumcision is recommended.
The procedure is performed under local anesthesia.
The surgeon makes one or several longitudinal incisions through the entire constricted ring, and then sutures the outer and inner layers of the foreskin transversely with absorbable stitches, which increases the diameter of the opening. This stage takes about 20–30 minutes. If the foreskin is significantly scarred, the surgeon removes the fibrotic ring or recommends full circumcision.
After the procedure, a sterile dressing with antibacterial ointment is applied. The patient is discharged the same day. Swelling and minor subcutaneous bleeding usually resolve within 3–5 days, and the sutures dissolve within 3–4 weeks. Sexual activity and intense sports can be resumed after about 4–6 weeks. For the first 48 hours, it is recommended to keep the penis in an elevated position.
Preputioplasty is an effective and minimally invasive method of treating phimosis, allowing the foreskin to be preserved and offering a shorter recovery period compared to circumcision. Performed under local anesthesia, the procedure takes less than an hour, and most patients return to normal daily activities the next day. We invite you to book a consultation.