Before the procedure, samples were taken from preputial
skin of all patients by swab before cleansing with polyvidone-iodine.
Segmental posthectomy (reefing) and partial phallectomy [9-12] are indicated if only the distal portion of the penis is involved and the remaining free part of the penis can extend beyond the preputial
orifice during urination.
prolapse refers to protrusion and eversion of inner lining of preputial
sheath with no tendency to spontaneous return.
Transverse island flaps of inner preputial
skin have provided a reliable technique for the repair of hypospadias, especially proximal hypospadias.5 These flaps can be used as a single stage procedure minimising multiple hospital admissions if devoid of complications.
The constriction ring of preputial
skin forms a tourniquet, leading to constriction of the distal penis and venous engorgement resulting in skin oedema and distal gangrene.
Pup physical development was evaluated by the time of: a) pinna unfolding; b) development of primary coat of downy hair; c) hair growing; d) incisor eruption; e) eye opening; f) testes descent to scrotum; g) preputial
separation; and h) vaginal opening.
Many procedures are reported for repair of distal, middle and proximal hypospadias, but each technique has its own advantages, limitations and complications.4,5 For middle hypospadias, Snodgrass technique, or the tubularised incised plate (TIP) urethroplasty, mathieu's repair, onlay island flap (OIF) repair, Duckett's technique or the tubularised preputial
island flap, are commonly used.6 Since Duckett reported tubularised preputial
island flap,7 one-stage repair has been gaining popularity with several new one-stage techniques being mentioned.
It is a measure o the signal importance he attached to this work that, as AMA delegate to the great 1876 International Medical Congress in Philadelphia he supplemented his brilliant demonstration of hip-joint excision (of which Joseph Lister exclaimed that "this demonstration would of itself have been a sufficient reward for my voyage across the Atlantic") by delivering a long paper "On the Deleterious Results of a Narrow Prepuce and Preputial
The 1% rate of infection has been questioned, but in Finland, where circumcision is almost never done, an epidemiologic study shows essentially the same rate. Although the mothers of infants not circumcised in the study by Wiswell et al were routinely instructed on cleansing of the foreskin without forceful preputial
retraction, infection was not prevented, as was previously suggested.
Several observational studies and randomized trials have investigated the role of topical steroids and preputial
stretching in resolving physiologic phimosis.
Male reproductive tissues taken included one testis, one epididymis, one vesicular-coagulating (VC) gland, and one preputial