The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce

dc.contributor.advisorHowlett, Justin
dc.contributor.advisorRode, Heinz
dc.contributor.authorTasker, David Beaumont
dc.date.accessioned2022-06-29T10:41:02Z
dc.date.available2022-06-29T10:41:02Z
dc.date.issued2022
dc.date.updated2022-06-29T10:40:21Z
dc.description.abstractBackground: Congenital Megaprepuce is a urological condition characterized by a megapreputial reservoir with a long redundant inner prepuce. The condition has been linked to urinary tract infections, lower urinary tract symptoms, and ballooning of the penis during voiding. An impeded urinary stream and resultant ballooning is associated with discomfort and causes parental anxiety due to the unusual appearance of phallus. Surgical correction should improve functionality, but cosmesis is also important. This study took place in a community in which traditional circumcision remains an essential rite of passage. Therefore, early surgical correction of congenital megaprepuce was complicated by the unique requirement that patients remain uncircumcised. Methodology: Here we investigated the functional and cosmetic outcomes of the ventral slit procedure, an uncomplicated technique used to restore urinary flow which, importantly, preserves the foreskin. Parents of 18 paediatric patients were interviewed post-operatively regarding phallic appearance and functionality following surgery. Results: Overall, the ventral slit procedure successfully restored flow, prevented ballooning and alleviated discomfort during voiding in all patients. Parents interviewed were highly satisfied with surgical outcomes, as assessed by the Pediatric Penile Perception score. Conclusion: The ventral slit procedure was found to be a culturally acceptable and simple surgical solution to congenital megaprepuce.
dc.identifier.apacitationTasker, D. B. (2022). <i>The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce</i>. (). ,Faculty of Health Sciences ,Division of General Surgery. Retrieved from http://hdl.handle.net/11427/36567en_ZA
dc.identifier.chicagocitationTasker, David Beaumont. <i>"The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce."</i> ., ,Faculty of Health Sciences ,Division of General Surgery, 2022. http://hdl.handle.net/11427/36567en_ZA
dc.identifier.citationTasker, D.B. 2022. The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce. . ,Faculty of Health Sciences ,Division of General Surgery. http://hdl.handle.net/11427/36567en_ZA
dc.identifier.ris TY - Master Thesis AU - Tasker, David Beaumont AB - Background: Congenital Megaprepuce is a urological condition characterized by a megapreputial reservoir with a long redundant inner prepuce. The condition has been linked to urinary tract infections, lower urinary tract symptoms, and ballooning of the penis during voiding. An impeded urinary stream and resultant ballooning is associated with discomfort and causes parental anxiety due to the unusual appearance of phallus. Surgical correction should improve functionality, but cosmesis is also important. This study took place in a community in which traditional circumcision remains an essential rite of passage. Therefore, early surgical correction of congenital megaprepuce was complicated by the unique requirement that patients remain uncircumcised. Methodology: Here we investigated the functional and cosmetic outcomes of the ventral slit procedure, an uncomplicated technique used to restore urinary flow which, importantly, preserves the foreskin. Parents of 18 paediatric patients were interviewed post-operatively regarding phallic appearance and functionality following surgery. Results: Overall, the ventral slit procedure successfully restored flow, prevented ballooning and alleviated discomfort during voiding in all patients. Parents interviewed were highly satisfied with surgical outcomes, as assessed by the Pediatric Penile Perception score. Conclusion: The ventral slit procedure was found to be a culturally acceptable and simple surgical solution to congenital megaprepuce. DA - 2022 DB - OpenUCT DP - University of Cape Town KW - general surgery LK - https://open.uct.ac.za PY - 2022 T1 - The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce TI - The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce UR - http://hdl.handle.net/11427/36567 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36567
dc.identifier.vancouvercitationTasker DB. The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce. []. ,Faculty of Health Sciences ,Division of General Surgery, 2022 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/36567en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDivision of General Surgery
dc.publisher.facultyFaculty of Health Sciences
dc.subjectgeneral surgery
dc.titleThe functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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