>>22686622>>2268657011.1. Conservative Surgical Alternatives
It is a conservative alternative to traditional circumcision which is fraud with many complications, problems, and risk [7, 69–88]. Preputioplasty is the medical term for plastic surgery of the phimotic prepuce. This procedure has faster less painful recovery, less morbidity, less cost, and more preservation of foreskin and its various projectile, erogenous, and sexual physiologic functions [7, 86].
11.2. Conventional Male Circumcision
In this case, the phimotic foreskin is totally excised. Circumcision is one of the oldest elective operations known in humans. It started as a religious/ritual sacrifice [90]. But gradually it became a routine neonatal procedure in USA and in some countries of Euro pein view of its reported hygiene and cancer-preventing benefits [91]. It cures phimosis and prevents recurrence [92]. It also prevents further episodes of balanoposthitis and lowers incidence of urinary tract infections [26, 93–95]. But it is besot with its own innumerable short, and long-term problems. Pain, difficult recovery, bleeding, infection, psychological trauma, and high cost are seen with circumcision [96, 97]. The literature is full of reports of morbidity and even deaths with circumcision. Besides, circumcision could lead to keloid formation. Possibility of decline in sexual pleasure for both circumcised males as well as their female partners due to loss of erogenous tissue has been reported [96, 98–105]. With advent of newer plastic surgical procedures for phimosis, this traditional surgery is gradually getting outdated. Circumcision is to be avoided in children with genital anomalies where the foreskin may be needed for later corrective surgery for the anomaly.