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If you're experiencing discomfort during erections, difficulty retracting the foreskin, or have a tight foreskin (phimosis), a preputioplasty may offer a solution. This procedure involves making small incisions to widen the foreskin, allowing for full retraction and improved hygiene.

What Is a Preputioplasty?

A preputioplasty is a surgical procedure designed to treat phimosis by widening a tight foreskin. Unlike circumcision, which removes the foreskin, preputioplasty preserves it while addressing the tightness. The procedure typically involves making one or more small incisions along the foreskin, which are then closed transversely to allow for full retraction.

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If you're experiencing issues related to a tight foreskin, our specialist urologists are here to help. Book a free consultation to discuss your concerns and explore treatment options tailored to your needs.

 

 

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Why Consider a preputioplasty ?

 

You might benefit from a preputioplasty if you experience:

Pain or discomfort during erections or intercourse

Difficulty retracting the foreskin

Hygiene challenges due to limited foreskin movement

Occasional bleeding associated with movement or intercourse

Procedure Overview

 

Duration: Approximately 30 minutes

Anaesthesia: Local anaesthetic; sedation or general anaesthetic can be arranged upon request

Recovery: Most patients return to normal activities within a few days

Cost: Now just £1,350 – save up to 60%

Combining Preputioplasty with penis enlargement

In some cases, a preputioplasty is performed alongside penis enlargement surgery to address both functional and aesthetic concerns. Combining these procedures can provide comprehensive results, enhancing both comfort and appearance.

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Frequently Asked Questions

At Moorgate Andrology we perform Preputioplasty under general anaesthetic, this means you are asleep throughout the procedure, and you will not feel any pain. Ideally, you should arrange to take a few days off after the surgery to recover. You may feel a little tired after the general anaesthetic and it’s wise to avoid driving again until you are fully recovered.

If you feel any discomfort after you have gone home following the procedure do not hesitate to contact our expert team who can support you through your aftercare.

Most patients are back to work and driving again after a few days. You should expect the operated area to feel sore and this may take a few weeks to settle completely. This is perfectly normal. You will be given a course of antibiotics to take for one week after the surgery. You will also be given pain relief medication, but most patients tolerate the early post-operative discomfort very well. It may be four to six weeks before you can resume sexual activities. This will depend on the speed of your recovery. The Urologist will advise you when you are able to resume.

A tight foreskin can be a real problem, not to mention painful when trying to retract the foreskin over the glans of the penis. In most cases, a foreskin releasing procedure, like a full circumcision, is performed to remove the foreskin completely. This can be performed under local or general anaesthetic and takes around 45 minutes to complete. This will resolve the problem of a tight foreskin. A tight foreskin is known by the term phimosis. Some patients do not wish to have the foreskin removed if at all possible. In such cases a procedure called Preputioplasty can be performed.

Preputioplasty procedure describes specific surgical techniques to resolve the problem of phimosis without having to remove the entire foreskin. Our Urologists have a various surgical techniques at their disposal such as the triple incision plasty, preputial plasty, and limited dorsal slit.

At your consultation the Urologist will discuss each surgical procedure and advise you of the approach most suited to your particular condition, taking into account any personal preferences that you have, of course.

The objective of any Urologist is to ensure that the patient is as comfortable as possible during a Preputioplasty treatment or surgical procedure. Your comfort during the procedure is one of our prime concerns alongside your safety throughout the procedure.

The procedure can be performed under local or general anaesthetic. Under general anaesthetic you will feel no discomfort at all. This is because under general anaesthetic you are asleep throughout. The Anaesthetist will wake you up when the procedure is complete. Under local anaesthetic you may feel some discomfort when the local anaesthetic is applied. This is administered by injection. After the local anaesthetic has been given, you should not feel any discomfort. With a local anaesthetic, the Urologist will ensure that you are as comfortable as possible. If you do feel any discomfort, he will ask you to tell him/her so that more anaesthetic can be given.

There are a number of approaches to the procedure known as Preputioplasty. Of course, your Urologist will explain these to you at your consultation and ultimately recommend the best approach for you. If you have any particular preference, then you should make the Urologist aware at the time.

The different approaches to this procedure include, Ventral V plasty. This technique is used when we want to preserve the full shaft skin length.  There is also the so-called Y-V Plasty, the trident plasty and the Z plasty. It is really important to arrange an in-depth consultation so that the Urologist can examine the foreskin and discuss the different options with you.

A consultation to discuss the different Preputioplasty techniques usually takes around half an hour, this would include the examination. When you are ready to book a consultation to discuss the different Preputioplasty techniques just let us know and we can arrange a Urologist appointment at your nearest Moorgate Andrology centre.

If you have a condition called Phimosis, where you cannot fully retract the foreskin, you may wish to have this corrected. Indeed, if you are getting pain when trying to retract the foreskin, something will need to be done. The first option is complete removal of the foreskin, a full circumcision. However, not all men want to lose their entire foreskin. They much prefer the look of their penis when the foreskin is intact. In such cases a Preputioplasty maybe a good option. In almost all cases of a tight foreskin, a Preputioplasty can be considered alongside the option of full circumcision. A Preputioplasty will focus on widening of the constriction of the foreskin. This may be a better aesthetic result for you if you do not wish to have full removal of the foreskin. It is a good idea to take some time after the consultation to consider the options carefully.

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