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DORSAL SLIT
What is
Dorsal Slit?
A
dorsal slit which is referred as superincision
in anthropological literature is a procedure
which leaves the penis completely exposed giving
the appearance of a circumcised penis from the
dorsal aspect. No tissue is removed from this
procedure. The whole tissue of the foreskin
collects after a dorsal slit found underneath
the shaft. This gives the look of a turkey neck
from a lateral or anterior view or during
erection.
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Effects
of Dorsal Slit
This
procedure is typically used when circumcision is
done so that retraction of the foreskin may be
achieved which is needed in doing the different
types of circumcision.
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Candidates for Dorsal Slit
Ideal
candidates for this procedure are patients with
symptomatic phimosis (balanitis, paraphimosis)
as a first stage procedure. It can also be done
when urethral instrumentation is necessary but
cannot be done because of the phimosis.
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Your Consultation
Before
undergoing the procedure, cleansing of the
genitalia is done with the use of Betadine in
saline solution. A 1% Xylocaine solution is then
infiltrated for about 1 cm width at the selected
area at the dorsal side of the penis near the
constricting band.
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The
Dorsal Slit Procedure
The
dorsal slit procedure is very simple and is a
minimally invasive procedure. This is done with
the foreskin being pulled down and held under a
slight tension. The dorsal foreskin, at the 12
o'clock position, is then double clamped.
Incision of the crushed tissue is then made. In
order to avoid edema, adhesions, and sometimes
paraphimosis, the amount of tissue left
underneath the coronal sulcus should not exceed
1 cm long. The edges are approximated with the
use of absorbable sutures.
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Recovery
It
usually takes about 7-10 days before healing
process takes place. At first, the tip of the
penis will appear bright red. As healing comes
about, the redness starts to fade and the penis
will get back its normal skin color from tip to
base.
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Risks
Complications may be expected from this
procedure such as bleeding, skin infection, and
injury to the skin of the penis.
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Frequently Asked Questions
Q:
What effects does a dorsal slit have?
A:
When a dorsal slit is done on a young patient,
the separate flaps of foreskin is likely, upon
healing, to more or less disappear behind and
underneath the glans. So even if it is
obviously still there, the residual foreskin is
out of the way and not noticeable. The
remaining foreskin totally disappears during
erection so the penis appears alike to one that
was circumcised.
Q:
What benefits can one get from this procedure?
A:
Because this procedure is very simple and avoids
the frenular area of the penis, it offers a
quick, easy, and safe operation with only few
complications.
Q:
What is phimosis?
A:
Phimosis is actually an unclear term. Commonly,
this term is used to refer to any condition
wherein the foreskin cannot be retracted due to
severe tightness. True phimosis on the other
hand should be recognized from a "normal" tight
foreskin. Phimosis contains a thin band or ring
of connective tissue that is embedded towards
the front of the foreskin. This ring, which is
often whitish, makes the opening narrow making
it impossible to retract the foreskin. This
leads to the tip of the foreskin losing its
normal suppleness and becomes scarred.
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The following list of Urology procedures are
performed at Beverly Hills Medical Group -
please click the links to find out more:
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