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Testimonials

  • Just returned from surgery.  BHMG was amazing and has to be the cleanest facility I have ever been to.  The recovery suite had the most comfortable bed I had slept in - ever.  The nursing staff was unbeli...

    Tomas V., U.S.A
    United States
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    YOU HAVE MADE ME THE HAPPIEST GIRL IN THE WORLD! --

    Spraque53, Australia
    Philippines
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    Australia
  • I found the care to be excellent by virtually everyone who cared for me. But the real reason I like Beverly Hills Medical Group is their individual private rooms. During my stay I had an individual room that had a tv, cabinets, and bathroom all to myself. I was a...

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    Australia
  • Super Clean.  I wish all hospitals could be like yours as I was thoroughly impressed with the investment BHMG made to build a facility like this one in the Philippines.     

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    Qatar
  • Im 34 years old and my breasts never really developed fully but it didn't ever bother me a great deal. But after having several children and losing and gaining weight due to pregnancy and breast feeding, my breasts just started to sag...

    Graysana
    United Kingdom

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.

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.

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.

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.

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.

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.

Risks

Complications may be expected from this procedure such as bleeding, skin infection, and injury to the skin of the penis.

FAQs

What effects does a dorsal slit have?

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.

What benefits can one get from this procedure?

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.

What is phimosis?

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.