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Preputioplasty

How is Preputioplasty performed?

It is a surgical technique performed under general anaesthetic and takes around one hour in theatre. You are able to go home on the same day as long as someone collects you from the hospital.

We carry out this treatment where patients wish to retain their foreskin and at the same time correct issues such as phimosis – having a tight foreskin.

A Preputioplasty enables patients to clean underneath their foreskin and also fully retract it.

A Preputioplasty is also known as a “dorsal slit” procedure. It is known as this because an incision is made either side of the foreskin. This will allow you full retraction of the foreskin for sexual intercourse purposes without pain and discomfort.

Dissolvable sutures are used to close the wound and these will fall out naturally in the following weeks.

Get In Touch

To find out more about the preputioplasty procedure, which when performed will loosen the foreskin, contact our expert team.

After Preputioplasty surgery

You should arrange to take a few days off work after the surgery, depending on the type of work that you do. If your work is fairly physical then you may wish to arrange one week off.

In the first week after preputioplasty surgery you will notice some bruising and swelling and your penis may feel quite sore. This is normal. You will be discharged with antibiotics and pain relief medication for the first week. It is very important to keep the penis clean and dry in the first two weeks. You will be able to shower after a few days but soaking in the bath should be avoided until the Urologist advises you it is safe to do so. Sexual activity should be avoided for four to six weeks, this includes masturbation. Similarly, avoid strenuous exercise and all contact sport for the same period. The Urologist will encourage you to retract the foreskin after surgery to help the healing process

As part of the aftercare you will have a series of follow up appointments with the Doctor to monitor your progress.

Finance Details

Finance is available (subject to status) with flexible payment terms. Easy online application.
No deposit is required. You can borrow up to 100% of the surgery cost
0% finance is available up to £2500
We accept all major debit and credit cards
Cash payments accepted up to the full surgery cost

What is included in the preputioplasty surgery?

The surgery is carried out by of one of our GMC Specialist registered Urologists and in care quality commission private hospitals.

We carry out dorsal slit surgery at our hospital on Harley Street.

As most guys like weekends for surgery, we have a choice of weekends available.

Our surgery and care package is the most comprehensive of all provider options. It is designed to give you total peace of mind knowing that there are no hidden extras, and should any treatment be needed after your surgery, it will be provided completely free of charge. We are the only Urology centre that offers this service and level of aftercare.

All Included in the Cost

Hospital and theatre fees.
Initial Consultations with the Urologist. (Usually £150)
Pre-op tests
Anesthetist fees
Urologist fees
Nurse pre-operative screening
Access to our dedicated patient care support team where required
All post-operative check-ups as required with your Urologist
Free revision surgery , where clinically indicated, within 2 years of the operation date

What should I do next?

The next step is to arrange a consultation about preputioplasty surgery with one of our Urologists. This will give you the opportunity to ask all those important questions and get a full examination at the same time.

How long does it take to recover from Preputioplasty?

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.

How long after Preputioplasty before I can drive?

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.

What surgery fixes tight foreskin?

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.

Does it hurt to have Preputioplasty treatment?

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.

Are there different Preputioplasty techniques?

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.

Why should I choose Preputioplasty over circumcision?

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.