Male urogenital surgery
How to – Preputial resection
Indications
Relevant anatomy
Preoperative management
Food restrictions:
NSAIDs/analgesics:
Antibiotics:
Tetanus prophylaxis is recommended.
Local blocks:
Position/preparation:
Surgery Supplies:
Surgical procedure
- With the penis extended, determine the amount of prepuce (generally damaged) that needs to be removed. If you don’t have an assistant, it can help to use a towel clamp or piece of gauze to keep the penis extended. A penrose drain makes a good tourniquet.
Keeping dorsal aspects aligned, create a circumferential incision at each end of the area to be removed. The incision should extend into the loose connective tissue. Connect the two circumferential incisions with a linear incision to the same depth. Remove the damaged area using scissors.
Reconnect the two ends using simple continuous runs of suture (at least two to avoid a effect). Absorbable suture is probably wise.
Postoperative care
Complications
